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Durability of treatment with methotrexate in Venezuelan patients with rheumatoid arthritis.
Sánchez, Gloris; Castro, Julio S; Snih, Soham Al; Blanco, Luísa Pérez; Esteva, María H; Macgregor, Ernesto García; González, Marielena; Granados, Ysabel; Marín, Francisco; Rosas, Alexis; Tristano, Antonio; Chirinos, Esther; Mundaraín, Luís; Sanoja, Gilberto; Zambrano-Marín, Guisela; Rodríguez, Martín A.
Afiliação
  • Sánchez G; Centro Nacional de Enfermedades Reumáticas, Ministerio de Salud, Servicio de Reumatología, Hospital Universitario de Caracas, Caracas, Venezuela.
Rheumatol Int ; 27(6): 531-6, 2007 Apr.
Article em En | MEDLINE | ID: mdl-17102944
A multicenter, national, retrospective, and cross-sectional study of 219 hospital-based Venezuelan patients with rheumatoid arthritis (RA) was aimed to evaluate the probability of continuity of treatment with oral methotrexate (MTX). Treatment survival decreased from 92% at 12 months to 42% at 180 months, as assessed by life table analysis and the Kaplan-Meier method. Forty-seven patients stopped treatment and adverse effects (29.7%) and lack of continuous access to medication (19.1%) were the most common causes for withdrawal. MTX survival was decreased in the group with combined MTX plus leflunomide therapy, as shown by the log-rank test. Venezuelan patients with RA have a probability of continuing treatment with oral MTX comparable to non-Hispanic patient populations. However, concomitant use of leflunomide may increase the risk of interruption of MTX treatment in this RA population.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artrite Reumatoide / Metotrexato / Antirreumáticos Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Venezuela Idioma: En Revista: Rheumatol Int Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Venezuela País de publicação: Alemanha
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artrite Reumatoide / Metotrexato / Antirreumáticos Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Venezuela Idioma: En Revista: Rheumatol Int Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Venezuela País de publicação: Alemanha