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Brigante A, Isnardi CA, Gómez G, Quintana R, Haye M, Roberts K, García M, Gomez G, Gobbi C, Casado G, Rebak J, Dapeña JM, Berbotto G, Viola M, Saurit V, Petkovic IE, Bertoli A, Giorgis P, Diaz MP, Catay E, Exeni IE, Pons-Estel B, Paira S, Bovea Castelblanco G, De La Sota ME, Larroude MS, Pereira DA, Granel AB, Medina G, Pisoni C, Alvarez A, Aguero SE, Fernandez L, Sacnun M, Soares de Souza S, Velozo E, Aste N, Castro C, Lazaro A, Kerzberg E, Gallardo MDLÁ, Savio V, Gamba J, Secco A, Citera G, Soriano E, Graf C, Pons-Estel G, Delavega M. POS0655 SURVIVAL AND SAFETY OF BIOLOGICAL AND TARGETED SYNTHETIC THERAPIES AS REGARDS TO AGE GROUPS. BIOBADASAR 3.0 REGISTRY. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.3326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BackgroundAdvances in rheumatology and new therapeutic options have certainly impacted patient survival, changing the age range, from youth to seniors. The differences between the age groups could influence the evolution of the disease and the adverse events (AEs) related to the treatments. There are few real-world data on the safety and efficacy of treatments in different age groups.ObjectivesTo evaluate the frequency of AEs and the survival of treatments according to the age in patients with rheumatoid arthritis (RA), psoriatic arthritis (PsA) or ankylosing spondylitis (AS).MethodsRetrospective, observational, multicenter study of real-life data of patients included in the BIOBADASAR 3.0 registry; exposed and not exposed to original biological treatments (b-DMARDs), biosimilars, targeted synthetic drugs (ts-DMARDs). The unexposed group received treatment with conventional disease-modifying drugs (cDMARDs). A Kaplan-Meier and Log Rank Test analysis was performed to study AEs-free survival and treatment in different age groups (young people <25; young adults 25-34; mature adults 34-65; old adults >65). Factors related to treatment survival were evaluated using Cox regression models.Results5,297 patients were included, 80.3% female, mean age 43.7 years (SD 15.6) and median disease progression 14.3 [IQR 11.5]. RA 4658 (87.9%); APs 490 (9.25%) and EA 149 (2.8%). The main reason for treatment discontinuation was ineffectiveness, in 624 patients in the exposed group and in 53 (2.5%) patients in control group, followed by the presence of AEs in 352 (11.2%) and 83 (3.9%), respectively (p=0.001).A mean Charlson Score of 0.268 (SD 0.6) in the exposed group and 0.306 (SD 0.7) in the control group (p=0.095). Median EAs-free survival in the exposed group was 12.5 years [IQR 16.6] while in controls was 28 years [IQR 11], p<0.0001. Median AEs-free survival was 12 years (IQR 11) in young people, 11.5 years [IQR: 4.9] in young adults, 10 years [IQR: 3.25] in mature adults and 7.6 years [IQR: 6] in old adults with a difference statistically significant (p>0.017). The exposed group presented a median treatment survival in years of 11.25 years [IQR: 10] in young people; 12.5 years [IQR: 4.7] in young adults, 7.5 years [IQR: 12.1] in mature adults and 4.5 years [IQR: 1.14] in old adults (p>0.0001). Considering only the first line of treatment, a median survival of 11.5 years [IQR: 10] was evidenced in the age group <25; 12 years [IQR: 2.6] between 25-34 years old, 10 years [IQR: 12] in the group between 34-65 years old and 5.5 years [IQR: 1.14] in the group > 65 years old (p>0.004). (Figure 1). Considering the second line of treatment, the differences between the groups were not statistically significant (p=0.57). In the multivariate regression model for patients with RA, the factors with the greatest impact on treatment survival were female sex (HR 1.3, 95% CI 1.2-1.4), old age (HR 1.01, 95% CI 1.008-1.01), treatment with steroids (HR 1.19, 95% CI1.1-1.2) and longer disease duration (HR 1.01, 95% CI1.01 – 1.02).ConclusionIn the present study we were able to demonstrate a greater occurrence of AEs in old adults and mature adults compared to young people and young adults. Conversely, survival for b-DMARDs and ts-DMARDs were greater in youth and young adults. In patients with RA, female sex, corticosteroid therapy, old aged and longer disease duration were associated with treatment discontinuation.References[1]Souto A, et al. Rate of discontinuation and drug survival of biologic therapies in rheumatoid arthritis: a systematic review and meta-analysis of drug registries and health care databases. Rheumatology (Oxford). 2016;55(3):523–34.[2]Ray D, et al. Immune senescence, epigenetics and autoimmunity. Clin Immunol. 2018 Nov;196:59-63. doi: 10.1016/j.clim.2018.04.002. Epub 2018 Apr 11.[3]Vela P, et al. Influence of age on the occurrence of adverse events in rheumatic patients at the onset of biological treatment: data from the BIOBADASER III register. Arthritis Res Ther. 2020 Jun 15;22(1):143. doi: 10.1186/s13075-020-02231-x.Disclosure of InterestsNone declared
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Vergara F, Rosa J, Orozco C, Bertiller E, Gallardo MA, Bravo M, Catay E, Collado V, Gómez G, Sabelli M, García MV, Rosemffet MG, Citera G, Schneeberger EE, Catoggio LJ, Soriano ER. Evaluation of learned helplessness, self-efficacy and disease activity, functional capacity and pain in Argentinian patients with rheumatoid arthritis. Scand J Rheumatol 2016; 46:17-21. [DOI: 10.3109/03009742.2016.1155643] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- F Vergara
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
| | - J Rosa
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
- University School of Medicine, Hospital Italiano, and Dr Pedro M Catoggio Foundation, Buenos Aires, Argentina
| | - C Orozco
- Institute of Psychophysical Rehabilitation, Buenos Aires, Argentina
| | - E Bertiller
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
| | - MA Gallardo
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
| | - M Bravo
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
| | - E Catay
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
| | - V Collado
- The Alfred Lanari Medical Research Institute, Buenos Aires, Argentina
| | - G Gómez
- The Alfred Lanari Medical Research Institute, Buenos Aires, Argentina
| | - M Sabelli
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
| | - MV García
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
| | - MG Rosemffet
- Institute of Psychophysical Rehabilitation, Buenos Aires, Argentina
| | - G Citera
- Institute of Psychophysical Rehabilitation, Buenos Aires, Argentina
| | - EE Schneeberger
- Institute of Psychophysical Rehabilitation, Buenos Aires, Argentina
| | - LJ Catoggio
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
- University School of Medicine, Hospital Italiano, and Dr Pedro M Catoggio Foundation, Buenos Aires, Argentina
| | - ER Soriano
- Rheumatology Unit, Internal Medicine Service, Hospital Italiano, Buenos Aires, Argentina
- University School of Medicine, Hospital Italiano, and Dr Pedro M Catoggio Foundation, Buenos Aires, Argentina
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Acosta Felquer ML, Ferreyra Garrott L, Marin J, Catay E, Scolnik M, Scaglioni V, Ruta S, Rosa J, Soriano ER. Remission criteria and activity indices in psoriatic arthritis. Clin Rheumatol 2014; 33:1323-30. [DOI: 10.1007/s10067-014-2626-y] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2014] [Revised: 04/08/2014] [Accepted: 04/10/2014] [Indexed: 10/25/2022]
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Saurit V, De La Vega MC, Citera G, Catay E, Quinteros A, Rillo O, Gomez G, Gobbi C, Capuccio A, Exeni I, Eimon A, Mussano E, Alvarez A, Dubinsky D, Magri S, Pereira D, Quintana R, de la Sota M, Gomez G, Agüero S, Larroude M, Ortiz A, Scheines E, Bertoli A, Seleme G, Apaz M, Risueño F, Battagliotti C, Garrone N, Barreira J, Martinez L, Casado G. FRI0560 Argentinian register of biologics treatments (biobadasar). results. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.1687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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