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Table 3 Demographic and disease characteristics in Norwegian RA patients starting non-naïve on b/tsDMARDs during 2010–2019

From: Exploring drug cost and disease outcome in rheumatoid arthritis patients treated with biologic and targeted synthetic DMARDs in Norway in 2010–2019 – a country with a national tender system for prescription of costly drugs

Ten year period

2010

2011

2012

2013

2014

2015

2016

2017

2018

2019

Mean

Missing Data Mean, Range

P value

The annual number of patients

 All b/tsDMARDs starters

832

887

875

857

852

946

1671

1342

1068

1475

   

 Non-naïve starters, N (%)

454 (55)

463 (52)

454 (52)

471 (55)

496 (58)

579 (61)

1271 (76)

924 (69)

660 (62)

1066 (72)

61%

  

Demographics

 Age (years)

59 (14)

57 (14)

58 (14)

57 (15)

55 (14)

578 (15)

59 (14)

58 (14)

58 (15)

59 (14)

58

0.3%, 0–3%

< 0.001

 Female

75%

79%

78%

75%

790%

79%

71%

76%

75%

74%

76%

0.0%, 0–0%

0.002

 BMI (kg/m2)

26 (5.5)

25 (4.6)

26 (4.8)

26 (5.1)

26 (4.4)

26 (5.1)

26 (4.7)

26 (4.7)

26 (5.1)

27 (5.0)

26

19%, 6–65%

< 0.001

 Education (years)

12 (3.4)

12 (3.9)

12 (3.6)

12 (3.8)

13 (4.0)

12 (3.7)

12 (3.6)

13 (3.8)

13 (3.8)

13 (3.7)

13

29%, 18–59%

0.019

 Current Smokers

27%

26%

22.0%

17%

14%

19%

18%

16%

12%

14%

18%

28%, 18–58%

< 0.001

 Disease Duration

11 (10)

11 (9.8)

10 (8.6)

13 (11)

12 (9.7)

13 (10)

14 (11)

13 (10)

13 (11)

13 (11)

12

28%, 0–81%

0.001

 Enabled Workers

54%

51%

52%

63%

57%

54%

60%

59%

59%

58%

57%

26%, 15–54%

0.106

Disease Activity

 ESR (mm/h)

32 (24) [25 (33)]

28 (25) [21 (27)]

28 (23) [21 (27)]

30 (25) [21 (30)]

27 (22) [21 (28)]

24 (20) [19 (23)]

22 (21) [16 (20)]

22 (19) [15 (22)]

24 (23) [16 (25)]

20 (20) [13 (19)]

26

23%, 15–41%

< 0.001

 CRP (mg/L)

21 (23) [12 (24)]

18 (27) [8 (19)]

16 (21) [7 (17)]

17 (24) [7 (16)]

16 (27) [6 (14)]

14 (20) [5 (13)]

12 (19) [5 (11)]

12 (21) [5 (11)]

14 (22) [5 (15)]

11 (16) [5 (10)]

15

19%, 11–37%

< 0.001

 TJC28 (0–28)

9.3 (6.8) [8 (10)]

8.3 (7.0) [7 (9)]

7.3 (6.6) [5 (9)]

7.2 (6.4) [5 (8)]

6.7 (5.9) [5 (8)]

6.1 (6.3) [4 (8)]

4.6 (5.5) [2 (7)]

5.2 (5.5) [4 (7)]

5.7 (5.7) [4 (8)]

4.8 (5.8) [3 (7)]

6.5

15%, 7–37%

< 0.001

 SJC28 (0–28)

7.3 (5.3) [6 (8)]

6.2 (5.1) [5 (6)]

5.7 (5.1) [4 (6)]

5.2 (4.7) [4 (5)]

4.4 (4.5) [3 (5)]

4.0 (4.7) [3 (5)]

3.1 (4.1) [2 (5)]

3.6 (4) [3 (6)]

3.7 (4.0) [3 (5)]

2.9 (4.1) [1 (4)]

4.6

15%, 7–37%

< 0.001

 IGA (VAS, 0–100 mm)

45 (21)

40 (21)

38 (20)

40 (21)

37 (19)

37 (21)

27 (21)

32 (21)

31 (19)

28 (21)

36

34%, 22–50%

< 0.001

 DAS28

5.3 (1.4)

5.0 (1.4)

4.8 (1.4)

4.7 (1.5)

4.6 (1.4)

4.3 (1.5)

3.8 (1.6)

4.0 (1.5)

4.2 (1.6)

3.8 (1.6)

4.4

29%, 18–47%

< 0.001

Patient-Reported Outcome Measures

 PGA (VAS, 0–100 mm)

62 (22)

58 (25)

58 (25)

56 (24)

55 (24)

51 (26)

47 (28)

49 (28)

55 (27)

49 (28)

54

16%, 9–35%

< 0.001

 Pain (VAS, 0–100 mm)

57 (24)

54 (26)

54 (25)

53 (24)

51 (26)

48 (26)

45 (27)

47 (28)

52 (27)

47 (28)

51

23%, 13–52%

< 0.001

 MHAQ (0–3)

1.0 (0.6)

0.9 (0.6)

0.9 (0.5)

0.8 (0.5)

0.8 (0.6)

0.6 (0.6)

0.7 (0.6)

0.7 (0.6)

0.8 (0.6)

0.7 (0.6)

0.8

20%, 12–38%

< 0.001

 Fatigue (VAS, 0–100 mm)

58 (29)

55 (28)

57 (29)

53 (28)

56 (27)

51 (29)

48 (31)

52 (31)

54 (30)

51 (31)

54

38%, 15–56%

< 0.001

 Morning Stiffness (hr)

2.1 (1.7)

1.9 (1.7)

1.9 (1.7)

1.7 (1.6)

1.7 (1.7)

1.5 (1.6)

1.5 (1.6)

1.6 (1.6)

1.6 (1.7)

1.4 (1.6)

1.7

40%, 16–59%

< 0.001

  1. Note: Categorical variables are presented as percentages and continuous variables as mean with standard deviation (SD). Variables ESR, CRP, TJC28, and SJC28 also show median with interquartile range [Median (Interquartile Range)] below their Mean (SD). Missing data are presented as mean with range. χ2 test for categorical variables and one-way ANOVA for continuous variables was used to test for differences during follow-up of ten years
  2. Occupation Status: Enabled Workers (< 65 years old) = Full Job, Part-time Job, Student, Maternity Leave, Paternity leave, Sick Leave, Unemployed, Early Retirement, Part-time job/Sick Leave, Part-time job/Unemployed), Disabled Workers (< 65 years) = Part-time Job/Disabled Early Retirement, Early Retirement due to Disability, Early Retirement due to RA, Medical Rehabilitation, Occupational Rehabilitation
  3. Abbreviations: RA Rheumatoid Arthritis, b/tsDMARDs biologic and target synthetic Disease-Modifying Antirheumatic Drugs, BMI Body Mass Index, CCP Anti-cyclic citrullinated peptide, RF Rheumatoid Factor, ESR Erythrocyte Sedimentation Rate, CRP C-Reactive Protein, TJC28 Tender 28-Joint Count, SJC28 Swollen 28-Joint Count, IGA Investigators Global Assessment, VAS Visual Analog Scale (Measured 0–100), DAS28 Disease Activity Score, LDA Low Disease Activity, PGA Patient Global assessment, MHAQ Modified Health Assessment Questionnaire