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Baseline predictors of response and discontinuation of tumor necrosis factor-alpha blocking therapy in ankylosing spondylitis: a prospective longitudinal observational cohort study
Authors:Suzanne Arends  Elisabeth Brouwer  Eveline van der Veer  Henk Groen  Martha K Leijsma  Pieternella M Houtman  Tim L Th A Jansen  Cees GM Kallenberg  Anneke Spoorenberg
Institution:(1) Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700, RB, Groningen, Netherlands;(2) Laboratory Medicine, University Medical Center Groningen, P.O. Box 30.001, 9700, RB, Groningen, Netherlands;(3) Epidemiology, University Medical Center Groningen, P.O. Box 30.001, 9700, RB, Groningen, Netherlands;(4) Rheumatology, Medical Center Leeuwarden, P.O. Box 888, 8901, BR, Leeuwarden, Netherlands
Abstract:

Introduction  

Identifying ankylosing spondylitis (AS) patients who are likely to benefit from tumor necrosis factor-alpha (TNF-α) blocking therapy is important, especially in view of the costs and potential side effects of these agents. Recently, the AS Disease Activity Score (ASDAS) has been developed to assess both subjective and objective aspects of AS disease activity. However, data about the predictive value of the ASDAS with respect to clinical response to TNF-α blocking therapy are lacking. The aim of the present study was to identify baseline predictors of response and discontinuation of TNF-α blocking therapy in AS patients in daily clinical practice.
Keywords:
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