How low to aim in rheumatoid arthritis? Learning from other disciplines

Porter, D., Dale, J. and Sattar, N. (2014) How low to aim in rheumatoid arthritis? Learning from other disciplines. Annals of the Rheumatic Diseases, 73(3), pp. 480-482. (doi: 10.1136/annrheumdis-2013-204339)

Abstract

Treat-to-target strategies have been widely adopted as the standard of care for the management of patients with rheumatoid arthritis. The concept of ‘tight control’ is prevalent in other disciplines, particularly in diabetes and cardiovascular risk management. In these disciplines, evidence has accumulated that the utility of tight control strategies must be carefully weighed against the disutility that may arise from multiple interventions, particularly in patients at low risk. There is a lively debate in rheumatology circles about whether treatment should be targeted at achieving low disease activity, clinical remission or imaging remission. As rheumatologists we should learn the lessons from other disciplines, and ensure that we expand the evidence base to ensure our recommendations are securely underpinned by robust evidence.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Dale, Dr James and Porter, Dr Duncan and Sattar, Professor Naveed
• Authors: Porter, D., Dale, J., and Sattar, N.
• College/School: College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health; College of Medical Veterinary and Life Sciences > School of Infection & Immunity
• Journal Name: Annals of the Rheumatic Diseases
• Publisher: B M J Group
• ISSN: 0003-4967
• ISSN (Online): 1468-2060