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All Journal Indonesian Journal of Rheumatology Jurnal Penyakit Dalam Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Sumariyono Sumariyono
Internal Medicine Department, Faculty of Medicine Universitas Indonesia/ Cipto Mangunkusumo Hospital, Jakarta
Health Professions Medicine & Pharmacology Public Health

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Achieving and Sustaining Treatment Targets in Rheumatoid Arthritis: A Retrospective Cohort Analysis in Indonesia Fauzia, Fara; Hidayat, Rudy; Kusumo Wibowo, Suryo Anggoro; Sumariyono, Sumariyono; Parlindungan, Faisal; Ariane, Anna; Damanik, Johanda; Araminta, Abirianty Priandani; Damaratri, Suci
Kesmas Vol. 21, No. 1
Publisher : UI Scholars Hub

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Abstract

Achieving and sustaining low disease activity (LDA) and remission in rheumatoid arthritis (RA) remains challenging. This study examined the rates and predictors of LDA/remission and sustained LDA/remission in an Indonesian RA cohort. A retrospective study of newly diagnosed adult patients attending a rheumatology clinic in 2020-2021 was conducted. Patients were followed for 12 months to evaluate achievement of LDA/remission, defined as DAS28-ESR ≤3.2, and those meeting the target were observed for an additional 12 months to evaluate sustained LDA/remission. Cox regression was used to identify predictors of time to LDA/remission and loss of LDA/remission. Of 166 participants, 91 (54.8%) achieved LDA/remission, with a median time of 10 months. Among these, 39 (41.8%) maintained LDA/remission for 12 months. The median time to loss of LDA/remission was also 10 months. In multivariate analysis, no baseline variables (age, sex, rheumatoid factor (RF) positivity, disease activity, obesity, or disease duration) predicted achieving or sustaining LDA/remission. In this Indonesian cohort, over half of patients reached LDA/remission within 12 months. However, fewer than half sustained it over the following year, highlighting the need for ongoing monitoring and timely treatment adjustments, even after remission is achieved.
Co-Authors Aji, G Akil, Natsir Anna Ariane, Anna Araminta, Abirianty Priandani Bambang Setiyohadi Chen, K Damanik, Johanda Damaratri, Suci E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Faisal, Edward Fauzia, Fara Giri Aji, Giri Harry Isbagio Isbagio, H Kahar Kusumawidjaja, Kahar Kasjmir, Yoga I Kusumo Wibowo, Suryo Anggoro Murdani Abdullah Ongkowijaya, Jeffrey A Parlindungan, Faisal Pramono, A Rudi Putranto Rudy Hidayat Sihwastuti, Sihwastuti Wirawan Hambali, Wirawan Wulyo Rajabto