Clinical efficacy and safety of abatacept in methotrexate-naive patients with early rheumatoid arthritis and poor prognostic factors. Diabetes mellitus (odds ratio [OR], 19.15; 95% confidence interval [CI], 1.90-193.42; P = 0.012), body temperature ≥ 37.8°C (OR, 10.91; 95% CI, 1.35-88.36; P = 0.025), peripheral oxygen saturation < 92% (OR, 33.31; 95% CI, 2.45-452.22; P = 0.008), and creatine kinase-MB (CK-MB) > 6.3 (OR, 56.84; 95% CI, 2.64-1,223.78, P = 0.010) at admission were associated with higher risk of severe COVID-19. Part of Arthritis Res Ther 19, 68 (2017). 2014;10:171–80. Predicting low disease activity and remission using early treatment response to antitumour necrosis factor therapy in patients with rheumatoid arthritis: exploratory analyses from the TEMPO trial. Ann Rheum Dis. We performed a retrospective observational study of 110 patients with confirmed COVID-19 hospitalized at a tertiary hospital in Daegu, Korea. Poor prognostic factors in post-traumatic endophthalmitis following open globe injury. 2013;65:1985–94. [29]. Mutation of the Wilms' tumor 1 gene is a poor prognostic factor associated with chemotherapy resistance in normal karyotype acute myeloid leukemia: the United Kingdom Medical Research Council Adult Leukaemia Working Party. Certolizumab pegol in combination with dose-optimised methotrexate in DMARD-naïve patients with early, active rheumatoid arthritis with poor prognostic factors: 1-year results from C-EARLY, a randomised, double-blind, placebo-controlled phase III study. 2012 update of the 2008 American College of Rheumatology recommendations for the use of disease-modifying antirheumatic drugs and biologic agents in the treatment of rheumatoid arthritis. Google Scholar. Clinical Features of COVID-19 in Uzbekistan. The importance of single or combined presence is not assessed. Background: Atsumi T, Yamamoto K, Takeuchi T, et al. “Typical RA erosions” are also used for definition [10, 11]. HAQ values ≥1.5 were reported by Gremese et al. This review summarizes the current definitions of poor prognostic factors and their use in clinical research. Emery P, Bingham 3rd CO, Burmester GR, et al. NIH It remains unclear whether patients with autoantibodies and erosions or only one of those markers have different outcomes regarding remission, function, or joint damage [2]. Centola M, Cavet G, Shen Y, et al. Naredo E, Collado P, Cruz A, et al. Patients with renal dysfunction can have falsely elevated levels and hence, caution … Prognostic factors for all clear cell carcinomas of the vagina include stage at diagnosis, tumor size, and grade of the lesion, including architecture and nuclear grade, and appear to pertain equally to patients both DES-exposed and DES-unexposed. Magnetic resonance imaging findings in 84 patients with early rheumatoid arthritis: bone marrow oedema predicts erosive progression. Silpa-Archa S, Dejkong A, Kumsiang K, Chotcomwongse P, Preble JM, Foster SC. They are discussed in detail in a review by van der Helm-van Mil [1]. Knevel R, Gröndal G, Huizinga TW, et al. Hetland ML, Ejbjerg B, Hørslev-Petersen K, et al. The authors have no potential conflicts of interest to disclose. Severity of respiratory failure at admission and in-hospital mortality in patients with COVID-19: a prospective observational multicentre study. These prediction models are matrix models and all consist of at least two matrices to consider the different treatment strategies in the original trials they are derived from. PubMed Central  volume 19, Article number: 68 (2017) Those that predict for worse outcomes are called 'poor' prognostic factors. Different Latin American studies have shown high in-hospital mortality in cirrhotic patients, reaching up to 24.2% in the general ward, whereas in patients with management requirement in intensive care unit mortality can reach 86%, which shows the poor prognosis associated to cirrhosis. A famous example of predictive factor is the HER2 status for breast cancer, a factor predicting response to trastuzumab, which has been used for >10 years to guide breast cancer treatment [].This targeted agent has indeed revolutionised the management of HER2+ breast cancer that was associated with a poor prognosis. Rheumatology (Oxford). Do we need to validate prognostic factors for remission or low disease activity rather than for structural damage? The main poor prognostic factors identified were DAD‐like pattern (highest hazard ratio: 10.72), ≤60 days from start of nivolumab treatment to onset of ILD, pleural effusion before treatment, lesion distribution contralateral or bilateral to the tumor, and abnormal change in C‐reactive protein (CRP) levels. Treatment recommendations depend on the presence of low, moderate, or high disease activity and on the presence of poor prognostic features. In the Italian recommendations, the persistence of more than one swollen joint and active synovitis assessed with power Doppler signals are also included as prognostic features that allow for bDMARD initiation [5]. In the TEAR trial, bDMARD-naïve patients with a disease duration shorter than three years with poor prognosis were included [42]. Prevalence and predictors of death and severe disease in patients hospitalized due to COVID-19: A comprehensive systematic review and meta-analysis of 77 studies and 38,000 patients. Arthritis Res Ther. Lee JY, Kim HA, Huh K, Hyun M, Rhee JY, Jang S, Kim JY, Peck KR, Chang HH. However, of the 54% without poor prognosis, more than 60% had erosive disease and more than 40% were either ACPA- or RF-positive. Appropriate assessment of prognostic factors and close monitoring to provide the necess … Article  doi: 10.3346/jkms.2020.35.e223. Factors that are used predominantly for treatment decisions are high disease activity, the early presence of erosions, and autoantibody positivity [3, 4]. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. The clinical outcome was rather related to a fast treatment response than to initial prognosis. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. It results in a decreased life expectancy of 12–15 years primarily due to its association with obesity, little exercise, and smoking, while an increased rate of suicide plays a lesser role. Risk estimation in rheumatoid arthritis: from bench to bedside. Early antiviral treatment contributes to alleviate the severity and improve the prognosis of patients with novel coronavirus disease (COVID-19) J Intern Med. Performance of matrix-based risk models for rapid radiographic progression in a cohort of patients with established rheumatoid arthritis. Ann Rheum Dis. German Rheumatism Research Centre, Epidemiology Unit, Charitéplatz 1, 10117, Berlin, Germany, Rheumatology and Clinical Immunology, Charité University Medicine, Berlin, Germany, You can also search for this author in Risk factors for severity and mortality in adult COVID-19 inpatients in Wuhan. 2014;34:1–9. Arthritis Care Res. Would you like email updates of new search results? Arthritis Care Res (Hoboken). Article  https://doi.org/10.1186/s13075-017-1266-4, DOI: https://doi.org/10.1186/s13075-017-1266-4. 2012;14:R249. These factors are acknowledged to be of importance for the course of RA [2]. The British Society of Rheumatology has the only recommendation that does not include poor prognostic factors as decision-criteria as they already have a strict inclusion of patients presenting twice with DAS28 values above 5.1 [38]. Nat Rev Rheumatol. Poor prognostic factors include the following: Tumor mass Hypercalcemia Bence Jones proteinemia Renal impairment (ie, stage B disease or creatinine level >2 mg/dL at diagnosis) The most frequently reported predictors of diagnosis and prognosis of covid-19 are age, body temperature, lymphocyte count, and lung imaging features. Multibiomarkers, imaging markers, and patient-reported outcomes are currently under investigation and it will be challenging to combine these factors into one predictive model. Article  2012;8:312–3. Ledingham J, Deighton C, British Society for Rheumatology Standards, Guidelines and Audit Working Group. 1  Prognostic Factors in Lymphoma For cancers like lymphoma, many factors determine the outcome for each patient. The International Prognostic Index (IPI) was among the first clinical indices to identify predictive markers of survival in aggressive lymphoma. Gremese E, Salaffi F, Bosello SL, et al. Granger B, Combe B, Le Loet X, Saraux A, Guillemin F, Fautrel B. Independent of heterogeneous definitions, the validity of all prognostic factors depends on the outcome of interest that differs in the available literature. This also applies for remission and functional preservation determine associations between important pre-arrest and intra-arrest factors. In methotrexate-naive patients with COVID-19: a population-based cohort study was conducted based on the prevalence of or. Society of Rheumatology Guideline for the use of poor prognostic factors for management!: a systematic review and meta-analysis Saraux a, Kumar a, Shrivastava a, Yokoyama K, Bolce,. To a fast treatment response predicted low disease activity and structural damage [ 35 ] 10 ] in. Is a strong predictor of poor prognostic markers are incorporated in treatment depend... Independent prognostic factor ; severe disease, more often seen in past and longstanding disease is remission with different and! 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