Abstract

BackgroundGuidelines suggest treatment in rheumatoid arthritis (RA) to target remission, in close consultation with the patient. Our recent qualitative study of the patients' perspective on remission in RA identified 26...

Highlights

  • Guidelines suggest treatment in rheumatoid arthritis(RA) to target remission, in close consultation with the patient

  • Concordance was good only in one direction: of patients in ACR/EULAR remission 86% were in self-reported remission and 97% were in Routine Assessment of Patient Index Data 3 (RAPID3) remission; but only 50% of patients in self-reported remission and 56% of patients in RAPID3 remission were in ACR/EULAR remission (Table 2)

  • All patients were in RAPID3 remission, 80% was in self-perceived remission and 70% in ACR/EULAR remission

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Summary

Introduction

Guidelines suggest treatment in rheumatoid arthritis(RA) to target remission, in close consultation with the patient. Our recent qualitative study of the patients’ perspective on remission in RA identified 26 domains. Methods RA patients from the Netherlands, the United Kingdom, Austria, Denmark, France, and the United States completed a survey that contained all domains identified in our qualitative study. They rated domains for importance (‘not important’, ‘important’, or ‘essential’ to characterise a period of remission) and if important or essential, whether this domain needs to be 'less', 'almost gone', or 'gone' to reflect remission. Conclusions Patients identified pain, fatigue and independence as the most important domains of RA disease activity that need to be improved in order to reflect remission.

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