Treatment of rheumatoid arthritis: a global perspective on the use of antirheumatic drugs

被引:50
作者
Sokka, Tuulikki [1 ,2 ]
Envalds, Minja [3 ]
Pincus, Theodore [4 ]
机构
[1] Jyvaskyla Cent Hosp, Jyvaskyla 40620, Finland
[2] Medcare Oy, Aanekoski, Finland
[3] Univ Kuopio, Sch Med, FIN-70211 Kuopio, Finland
[4] NYU, Hosp Joint Dis, New York, NY USA
关键词
Rheumatoid arthritis; DMARDs; Methotrexate;
D O I
10.1007/s10165-008-0056-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Modern therapy for rheumatoid arthritis (RA) is based on knowledge of the severity of the natural history of the disease. RA patients are approached with early and aggressive treatment strategies, methotrexate as an anchor drug, biological targeted therapies in those with inadequate response to methotrexate, and "tight control,'' aiming for remission and low disease activity according to quantitative monitoring. This chapter presents a rationale for current treatment strategies for RA with antirheumatic drugs, a review of published reports concerning treatments in clinical cohorts outside of clinical trials, and current treatments at 61 sites in 21 countries in the QUEST-RA database.
引用
收藏
页码:228 / 239
页数:12
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