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Table 1 Characteristics at baseline and follow-up visits of 29 RA patients reporting hand flare during 1 year of follow-up

From: Serial magnetic resonance imaging and ultrasound examinations demonstrate differential inflammatory lesion patterns in soft tissue and bone upon patient-reported flares in rheumatoid arthritis

 

Baseline (n = 29)

FV1 (flare visit) (n = 29)

FV2 (n = 29)

FV3 (n = 28)

FV4 (n = 28)

No. reporting flare

0/29

29/29

22/29

3/27

6/27

Age, years

64.8 (9.7)

NA

NA

NA

NA

Female/male (%)

20/9 (69/31)

NA

NA

NA

NA

Disease duration, years

10.3 (5.5) [2–21]

NA

NA

NA

NA

Anti-CCP positive (%)

27 (93)

NA

NA

NA

NA

IgM RF positive (%)

26 (90)

NA

NA

NA

NA

DAS28CRP

2.0 (0.7) [1.2–3.1]

3.5 (1.0)*** [1.2–5.3]

3.0 (1.2)*** [1.2–6.0]

2.4 (0.9) [1.2–4.9]

2.6 (1.0)* [1.2–4.9]

CRP (mg/l)

5.7 (8.6) [0–33]

10.1 (12.7)*** [0.4–48]

6.8 (9.2) [0–44]

6.1 (6.9) [0.4–23]

6.8 (11.4) [0.4–56]

SJC28

0 (0) [0–0]

1.5 (1.0)*** [0–4]

1.0 (1.4)*** [0–5]

0.2 (0.5) [0–2]

0.4 (0.7)** [0–3]

TJC28

0.8 (1.5) [0–7]

4.0 (3.5)*** [0–12]

3.8 (4.9)*** [0–21]

1.6 (2.0) [0–8]

1.9 (2.1)** [0–7]

EGA (VAS)

4.1 (3.2) [0–11]

16.2 (13.1)*** [2–74]

11 (9.9)*** [0–47]

5.8 (5.8) [0–27]

6.5 (5.8) [0–26]

PROs

 Pain (VAS)

16.7 (18.4) [0–71]

43.2 (22.8)*** [0–74]

36.4 (26.7)** [0–98]

24.2 (23.7) [0–96]

25.8 (22.9) [0–74]

 PGA (VAS)

22.1 (23.1) [0–84]

43.4 (26.2)*** [0–85]

37.1 (26.2)** [0–98]

26.3 (24.3) [0–93]

26.6 (26.0) [0–80]

 Patient-reported TJC28

1 (1.9) [0–8]

4.0 (3.0)*** [1–11]

2.5 (3.5)* [0–14]

1.4 (2.6) [0–13]

1.8 (2.8) [0–12]

 Patient-reported SJC28

0 (0) [0–0]

2.8 (2.9)*** [1–11]

1.9 (3.1)*** [0–12]

0.7 (1.8)** [0–8]

1 (2.1)** [0–10]

 HAQ

0.4 (0.4) [0–1.5]

0.6 (0.5)*** [0–1.5]

0.5 (0.5) [0–1.8]

0.4 (0.5) [0–1.9]

0.5 (0.5) [0–1.9]

Patient-reported flare characteristics

 RA-FQ (0–50)

10.1 (9.6) [0–33]

22.9 (12.7)*** [1–49]

15 (10.7) [1–37]

9.5 (8.6) [0–35]

10.5 (9.9) [0–38]

 Flare severitya (0–10)

NA

4.8 (2.7) [1–10]

2.67 (2.4)*** [0–8]

1.25 (2.3)** [0–9]

1.45 (2.3)** [0–7]

Flare duration (n)

 1–3 days

NA

18

4

1

4

 4–7 days

NA

8

10

0

0

 8–14 days

NA

2

0

0

0

 > 14 days

NA

1

4

2

2

MRI

 Synovitis

10.3 (4.0) [0–17.5]

12.7 (3.1)*** [7–19]

11.9 (3.2)** [6–19]

11.0 (3.7) [3–18.5]

11.5 (3.6) [4.5–20]

 Tenosynovitis

6.4 (4.7) [0–17.5]

9.3 (5.8)*** [1–20.5]

8.1 (4.9)** [1–19.5]

7.9 (5.2)** [0–20.5]

8.2 (4.8)** [0–20.5]

 BME

2.6 (4.8) [0–22.5]

2.6 (3.1) [0–11]

2.9 (3.6)** [0–11.5]

2.9 (3.5)** [0–12]

2.9 (3.5)* [0–11.5]

 No. (%) with synovitis sum score ≥ 1

28 (97)

29 (100)

29 (100)

26 (100)

26 (100)

 No. (%) with tenosynovitis sum score ≥ 1

28 (97)

29 (100)

29 (100)

25 (96)

26 (100)

 No. (%) with BME ≥ 1

14 (48)

20 (69)

18 (62)

18 (64)

17 (61)

US

 Synovitis (GLOESS)

8.3 (5.4) [0–23]

11.3 (5.3)* [3–25]

10.6 (5.0)* [3–23]

9.7 (5.0) [3–23]

10.04 (5.1) [3–23]

 Tenosynovitis

3.5 (4.6) [0–14]

6.3 (6.2)*** [0–19]

5.9 (5.9)** [0–24]

4.4 (5.0) [0–15]

4.6 (5.0) [0–15]

 No.(%) with GLOESS ≥ 1

28 (97)

29 (100)

29 (100)

28 (100)

28 (100)

 No.(%) with tenosynovitis sum score ≥ 1

18 (62)

20 (69)

23 (79)

19 (68)

19 (68)

  1. Mean (SD) [range] or numbers (%) of demographic, clinical, patient-reported, and imaging characteristics. Anti-CCP anti-cyclic citrullinated peptide antibody, BME bone marrow edema, CRP C-reactive protein, DAS disease activity score, EGA evaluator global assessment, FV follow-up visit, GLOESS Global OMERACT (Outcome Measures in Rheumatology) –EULAR European League Against Rheumatism) Synovitis Score, HAQ health assessment questionnaire, MRI magnetic resonance imaging, PGA patient’s global assessment, PROs patient-reported outcomes, RA-FQ OMERACT Rheumatoid Arthritis Flare Questionnaire, RF Rheumatoid factor, SJC28 swollen joint count in 28 joints, TJC28 tender joint count in 28 joints, US ultrasonography, VAS visual analog scale; p value for paired data comparison between baseline and each follow-up visit assessed by paired t test or Wilcoxon signed-rank test, as appropriate
  2. ***p ≤ 0.001, **p ≤ 0.01, *p < 0.05
  3. aFor variable flare severity comparisons are made vs FV1, as no patient reported flare at baseline