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EFFECT OF AGE ON THE EFFICACY AND TOLERANCE OF METHOTREXATE IN RHEUMATOID ARTHRITIS

Identifieur interne : 000917 ( Istex/Corpus ); précédent : 000916; suivant : 000918

EFFECT OF AGE ON THE EFFICACY AND TOLERANCE OF METHOTREXATE IN RHEUMATOID ARTHRITIS

Auteurs : C. Bologna ; P. Viu ; C. Jorgensen ; J. Sany

Source :

RBID : ISTEX:1780ED1EA69EA4451EAB1316322600274B78E03C

Abstract

The objective of this study was to assess the influence of age on the efficacy and toxicity of methotrexate in rheumatoid arthritis. Four hundred and sixty-nine patients were separated according to the age of onset of methotrexate treatment; before 65 yr (group l, n = 416) and after 65 yr (group 2, n = 53). No difference was found in the evolution of clinical and biological parameters between the two groups. The number of patients in remission at the end of the study was equal. The frequency and type of side-effects were similar. No significant difference was found in the frequency and reasons for methotrexate withdrawal. We noted a trend towards lower therapeutic maintenance of methotrexate when prescribed after the age of 65 yr (P = 0.07, actuarial method). In conclusion, the age at initiation of methotrexate treatment probably did not influence its efficacy and toxicity in rheumatoid arthritis.

Url:
DOI: 10.1093/rheumatology/35.5.453

Links to Exploration step

ISTEX:1780ED1EA69EA4451EAB1316322600274B78E03C

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<month>11</month>
<year>1995</year>
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<copyright-statement>© 1996 British Society for Rheumatology</copyright-statement>
<copyright-year>1996</copyright-year>
<abstract>
<p>The objective of this study was to assess the influence of age on the efficacy and toxicity of methotrexate in rheumatoid arthritis. Four hundred and sixty-nine patients were separated according to the age of onset of methotrexate treatment; before 65 yr (group l,
<italic>n</italic>
= 416) and after 65 yr (group 2,
<italic>n</italic>
= 53). No difference was found in the evolution of clinical and biological parameters between the two groups. The number of patients in remission at the end of the study was equal. The frequency and type of side-effects were similar. No significant difference was found in the frequency and reasons for methotrexate withdrawal. We noted a trend towards lower therapeutic maintenance of methotrexate when prescribed after the age of 65 yr (
<italic>P</italic>
= 0.07, actuarial method). In conclusion, the age at initiation of methotrexate treatment probably did not influence its efficacy and toxicity in rheumatoid arthritis.</p>
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<kwd>Age</kwd>
<kwd>Efficacy</kwd>
<kwd>Tolerance</kwd>
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<title>EFFECT OF AGE ON THE EFFICACY AND TOLERANCE OF METHOTREXATE IN RHEUMATOID ARTHRITIS</title>
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<title>EFFECT OF AGE ON THE EFFICACY AND TOLERANCE OF METHOTREXATE IN RHEUMATOID ARTHRITIS</title>
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<namePart type="given">C.</namePart>
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<affiliation>Service d'Immuno-Rhumatologie, CHU Gui-de-Chauliac, Montpellier, France</affiliation>
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<affiliation>Service d'Immuno-Rhumatologie, CHU Gui-de-Chauliac, Montpellier, France</affiliation>
<affiliation>Correspondence to: J. Sany, Service d'Immuno-Rhumatologie, CHU Gui-de-Chauliac, 34295 Montpellier Cedex 5, France.</affiliation>
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<abstract>The objective of this study was to assess the influence of age on the efficacy and toxicity of methotrexate in rheumatoid arthritis. Four hundred and sixty-nine patients were separated according to the age of onset of methotrexate treatment; before 65 yr (group l, n = 416) and after 65 yr (group 2, n = 53). No difference was found in the evolution of clinical and biological parameters between the two groups. The number of patients in remission at the end of the study was equal. The frequency and type of side-effects were similar. No significant difference was found in the frequency and reasons for methotrexate withdrawal. We noted a trend towards lower therapeutic maintenance of methotrexate when prescribed after the age of 65 yr (P = 0.07, actuarial method). In conclusion, the age at initiation of methotrexate treatment probably did not influence its efficacy and toxicity in rheumatoid arthritis.</abstract>
<note type="author-notes">Correspondence to: J. Sany, Service d'Immuno-Rhumatologie, CHU Gui-de-Chauliac, 34295 Montpellier Cedex 5, France.</note>
<subject>
<genre>keywords</genre>
<topic>Methotrexate</topic>
<topic>Age</topic>
<topic>Efficacy</topic>
<topic>Tolerance</topic>
<topic>Rheumatoid arthritis</topic>
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<topic>Clinical Papers</topic>
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<identifier type="ISSN">1462-0324</identifier>
<identifier type="eISSN">1462-0332</identifier>
<identifier type="PublisherID">brheum</identifier>
<identifier type="PublisherID-hwp">rheumatology</identifier>
<part>
<date>1996</date>
<detail type="volume">
<caption>vol.</caption>
<number>35</number>
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<detail type="issue">
<caption>no.</caption>
<number>5</number>
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<extent unit="pages">
<start>453</start>
<end>457</end>
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<identifier type="DOI">10.1093/rheumatology/35.5.453</identifier>
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<accessCondition type="use and reproduction" contentType="copyright">© 1996 British Society for Rheumatology</accessCondition>
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