Impact of tight control strategy on rheumatoid arthritis in Sarawak
Identifieur interne : 000404 ( Istex/Corpus ); précédent : 000403; suivant : 000405Impact of tight control strategy on rheumatoid arthritis in Sarawak
Auteurs : Cheng Lay Teh ; Jin Shyan WongSource :
- Clinical Rheumatology [ 0770-3198 ] ; 2011-05-01.
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- KwdEn :
Abstract
Abstract: The aim of our study is to describe the impact of tight control strategy on the care of RA patients in Sarawak General Hospital. We performed a prospective study of all patients with a diagnosis of RA who received treatment at the Rheumatology Clinic in Sarawak General Hospital over a 1-year period. Systematic DAS-driven treatment adjustments aimed to achieve low disease activity (DAS 28-ESR <2.6) were carried out in the clinic over the 1-year period. Disease activity and treatment regimes of all 142 patients were collected for at baseline and 1 year later for statistical analysis. Our patients have a significantly lower DAS 28 with a mean of 2.99 ± 0.95 compared with baseline of 4.31 ± 1.34 (p < 0.000). More patients were in remission 1 year later compared to baseline (36.6% vs 11.3%). Tight control strategy has a positive impact on the care of RA patients in our centre. By optimising the care of RA through tight control strategy, RA can be better controlled in our centre.
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DOI: 10.1007/s10067-010-1583-3
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TocLevels="0"><ArticleID>1583</ArticleID><ArticleDOI>10.1007/s10067-010-1583-3</ArticleDOI><ArticleSequenceNumber>4</ArticleSequenceNumber><ArticleTitle Language="En">Impact of tight control strategy on rheumatoid arthritis in Sarawak</ArticleTitle><ArticleCategory>Original Article</ArticleCategory><ArticleFirstPage>615</ArticleFirstPage><ArticleLastPage>621</ArticleLastPage><ArticleHistory><RegistrationDate><Year>2010</Year><Month>9</Month><Day>23</Day></RegistrationDate><Received><Year>2010</Year><Month>3</Month><Day>5</Day></Received><Revised><Year>2010</Year><Month>8</Month><Day>16</Day></Revised><Accepted><Year>2010</Year><Month>9</Month><Day>15</Day></Accepted><OnlineDate><Year>2010</Year><Month>10</Month><Day>1</Day></OnlineDate></ArticleHistory><ArticleCopyright><CopyrightHolderName>Clinical Rheumatology</CopyrightHolderName><CopyrightYear>2010</CopyrightYear></ArticleCopyright><ArticleGrants Type="Regular"><MetadataGrant Grant="OpenAccess"></MetadataGrant><AbstractGrant 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Malaysia</Country></OrgAddress></Affiliation></AuthorGroup><Abstract ID="Abs1" Language="En" OutputMedium="All"><Heading>Abstract</Heading><Para>The aim of our study is to describe the impact of tight control strategy on the care of RA patients in Sarawak General Hospital. We performed a prospective study of all patients with a diagnosis of RA who received treatment at the Rheumatology Clinic in Sarawak General Hospital over a 1-year period. Systematic DAS-driven treatment adjustments aimed to achieve low disease activity (DAS 28-ESR <2.6) were carried out in the clinic over the 1-year period. Disease activity and treatment regimes of all 142 patients were collected for at baseline and 1 year later for statistical analysis. Our patients have a significantly lower DAS 28 with a mean of 2.99 ± 0.95 compared with baseline of 4.31 ± 1.34 (<Emphasis Type="Italic">p</Emphasis> < 0.000). More patients were in remission 1 year later compared to baseline (36.6% vs 11.3%). Tight control strategy has a positive impact on the care of RA patients in our centre. By optimising the care of RA through tight control strategy, RA can be better controlled in our centre.</Para></Abstract><KeywordGroup Language="En" OutputMedium="All"><Heading>Keywords</Heading><Keyword>DAS 28</Keyword><Keyword>Rheumatoid arthritis</Keyword><Keyword>Treatment regimes</Keyword></KeywordGroup></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Impact of tight control strategy on rheumatoid arthritis in Sarawak</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Impact of tight control strategy on rheumatoid arthritis in Sarawak</title></titleInfo><name type="personal" displayLabel="corresp"><namePart type="given">Cheng</namePart><namePart type="given">Lay</namePart><namePart type="family">Teh</namePart><affiliation>Unit of Rheumatology, Department of Medicine, Sarawak General Hospital, Jalan Hospital, 93450, Kuching, Sarawak, East Malaysia</affiliation><affiliation>E-mail: tehchenglay@yahoo.com</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jin</namePart><namePart type="given">Shyan</namePart><namePart type="family">Wong</namePart><affiliation>Unit of Rheumatology, Department of Medicine, Sarawak General Hospital, Jalan Hospital, 93450, Kuching, Sarawak, East Malaysia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="OriginalPaper" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Springer-Verlag</publisher><place><placeTerm type="text">London</placeTerm></place><dateCreated encoding="w3cdtf">2010-03-05</dateCreated><dateIssued encoding="w3cdtf">2011-05-01</dateIssued><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract lang="en">Abstract: The aim of our study is to describe the impact of tight control strategy on the care of RA patients in Sarawak General Hospital. We performed a prospective study of all patients with a diagnosis of RA who received treatment at the Rheumatology Clinic in Sarawak General Hospital over a 1-year period. Systematic DAS-driven treatment adjustments aimed to achieve low disease activity (DAS 28-ESR <2.6) were carried out in the clinic over the 1-year period. Disease activity and treatment regimes of all 142 patients were collected for at baseline and 1 year later for statistical analysis. Our patients have a significantly lower DAS 28 with a mean of 2.99 ± 0.95 compared with baseline of 4.31 ± 1.34 (p < 0.000). More patients were in remission 1 year later compared to baseline (36.6% vs 11.3%). Tight control strategy has a positive impact on the care of RA patients in our centre. 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