Epidemiology and treatment patterns of rheumatoid arthritis in a large cohort of Arab patients

<h3>Objectives</h3><p dir="ltr">There is limited information on the epidemiology and treatment patterns of rheumatoid arthritis (RA) across the Arab region. We aim in this study to describe the demographic characteristics, clinical profile, and treatment patterns of patie...

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Main Author: Soha R. Dargham (3613250) (author)
Other Authors: Sumeja Zahirovic (6103526) (author), Mohammed Hammoudeh (6103529) (author), Samar Al Emadi (18069328) (author), Basel K. Masri (6103535) (author), Hussein Halabi (6103538) (author), Humeira Badsha (6103541) (author), Imad Uthman (6103544) (author), Ziyad R. Mahfoud (6103547) (author), Hadil Ashour (6103550) (author), Wissam Gad El Haq (18069331) (author), Karim Bayoumy (3496688) (author), Marianthi Kapiri (6103556) (author), Richa Saxena (28290) (author), Robert M. Plenge (18069334) (author), Layla Kazkaz (6103559) (author), Thurayya Arayssi (521183) (author)
Published: 2018
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_version_ 1864513525975613440
author Soha R. Dargham (3613250)
author2 Sumeja Zahirovic (6103526)
Mohammed Hammoudeh (6103529)
Samar Al Emadi (18069328)
Basel K. Masri (6103535)
Hussein Halabi (6103538)
Humeira Badsha (6103541)
Imad Uthman (6103544)
Ziyad R. Mahfoud (6103547)
Hadil Ashour (6103550)
Wissam Gad El Haq (18069331)
Karim Bayoumy (3496688)
Marianthi Kapiri (6103556)
Richa Saxena (28290)
Robert M. Plenge (18069334)
Layla Kazkaz (6103559)
Thurayya Arayssi (521183)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Soha R. Dargham (3613250)
Sumeja Zahirovic (6103526)
Mohammed Hammoudeh (6103529)
Samar Al Emadi (18069328)
Basel K. Masri (6103535)
Hussein Halabi (6103538)
Humeira Badsha (6103541)
Imad Uthman (6103544)
Ziyad R. Mahfoud (6103547)
Hadil Ashour (6103550)
Wissam Gad El Haq (18069331)
Karim Bayoumy (3496688)
Marianthi Kapiri (6103556)
Richa Saxena (28290)
Robert M. Plenge (18069334)
Layla Kazkaz (6103559)
Thurayya Arayssi (521183)
author_role author
dc.creator.none.fl_str_mv Soha R. Dargham (3613250)
Sumeja Zahirovic (6103526)
Mohammed Hammoudeh (6103529)
Samar Al Emadi (18069328)
Basel K. Masri (6103535)
Hussein Halabi (6103538)
Humeira Badsha (6103541)
Imad Uthman (6103544)
Ziyad R. Mahfoud (6103547)
Hadil Ashour (6103550)
Wissam Gad El Haq (18069331)
Karim Bayoumy (3496688)
Marianthi Kapiri (6103556)
Richa Saxena (28290)
Robert M. Plenge (18069334)
Layla Kazkaz (6103559)
Thurayya Arayssi (521183)
dc.date.none.fl_str_mv 2018-12-19T03:00:00Z
dc.identifier.none.fl_str_mv 10.1371/journal.pone.0208240
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Epidemiology_and_treatment_patterns_of_rheumatoid_arthritis_in_a_large_cohort_of_Arab_patients/25304218
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Health sciences
Epidemiology
Rheumatoid arthritis
Arabic people
Qatar
Steroids
Lebanon
Smoking habits
Methotrexate
Rheumatology
dc.title.none.fl_str_mv Epidemiology and treatment patterns of rheumatoid arthritis in a large cohort of Arab patients
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Objectives</h3><p dir="ltr">There is limited information on the epidemiology and treatment patterns of rheumatoid arthritis (RA) across the Arab region. We aim in this study to describe the demographic characteristics, clinical profile, and treatment patterns of patients of Arab ancestry with RA.</p><h3>Methods</h3><p dir="ltr">This is a cross sectional study of 895 patients with established rheumatoid arthritis enrolled from five sites (Jordan, Lebanon, Qatar, Kingdom of Saudi Arabia (KSA), and United Arab Emirates). Demographic characteristics, clinical profile, and treatment patterns are compared between the five countries.</p><h3>Results</h3><p dir="ltr">The majority of our patients are women, have an average disease duration of 10 years, are married and non-smokers, with completed secondary education. We report a high (>80%) ever-use of methotrexate (MTX) and steroids among our RA population, while the ever-use of disease modifying anti-rheumatic drugs (DMARDs) and TNF-inhibitors average around 67% and 33%, respectively. There are variations in RA treatment use between the five country sites. Highest utilization of steroids is identified in Jordan and KSA (p-value < 0.001), while the highest ever-use of TNF-inhibitors is reported in KSA (p-value < 0.001).</p><h3>Conclusion</h3><p dir="ltr">Disparities in usage of RA treatments among Arab patients are noted across the five countries. National gross domestic product (GDP), as well as some other unique features in each country likely affect these. Developing treatment guidelines specific to this region could contribute in delivering standardized therapies to RA patients.</p><h2>Other Information</h2><p dir="ltr">Published in: PLOS ONE<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1371/journal.pone.0208240" target="_blank">https://dx.doi.org/10.1371/journal.pone.0208240</a></p>
eu_rights_str_mv openAccess
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identifier_str_mv 10.1371/journal.pone.0208240
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/25304218
publishDate 2018
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spelling Epidemiology and treatment patterns of rheumatoid arthritis in a large cohort of Arab patientsSoha R. Dargham (3613250)Sumeja Zahirovic (6103526)Mohammed Hammoudeh (6103529)Samar Al Emadi (18069328)Basel K. Masri (6103535)Hussein Halabi (6103538)Humeira Badsha (6103541)Imad Uthman (6103544)Ziyad R. Mahfoud (6103547)Hadil Ashour (6103550)Wissam Gad El Haq (18069331)Karim Bayoumy (3496688)Marianthi Kapiri (6103556)Richa Saxena (28290)Robert M. Plenge (18069334)Layla Kazkaz (6103559)Thurayya Arayssi (521183)Biomedical and clinical sciencesClinical sciencesHealth sciencesEpidemiologyRheumatoid arthritisArabic peopleQatarSteroidsLebanonSmoking habitsMethotrexateRheumatology<h3>Objectives</h3><p dir="ltr">There is limited information on the epidemiology and treatment patterns of rheumatoid arthritis (RA) across the Arab region. We aim in this study to describe the demographic characteristics, clinical profile, and treatment patterns of patients of Arab ancestry with RA.</p><h3>Methods</h3><p dir="ltr">This is a cross sectional study of 895 patients with established rheumatoid arthritis enrolled from five sites (Jordan, Lebanon, Qatar, Kingdom of Saudi Arabia (KSA), and United Arab Emirates). Demographic characteristics, clinical profile, and treatment patterns are compared between the five countries.</p><h3>Results</h3><p dir="ltr">The majority of our patients are women, have an average disease duration of 10 years, are married and non-smokers, with completed secondary education. We report a high (>80%) ever-use of methotrexate (MTX) and steroids among our RA population, while the ever-use of disease modifying anti-rheumatic drugs (DMARDs) and TNF-inhibitors average around 67% and 33%, respectively. There are variations in RA treatment use between the five country sites. Highest utilization of steroids is identified in Jordan and KSA (p-value < 0.001), while the highest ever-use of TNF-inhibitors is reported in KSA (p-value < 0.001).</p><h3>Conclusion</h3><p dir="ltr">Disparities in usage of RA treatments among Arab patients are noted across the five countries. National gross domestic product (GDP), as well as some other unique features in each country likely affect these. Developing treatment guidelines specific to this region could contribute in delivering standardized therapies to RA patients.</p><h2>Other Information</h2><p dir="ltr">Published in: PLOS ONE<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1371/journal.pone.0208240" target="_blank">https://dx.doi.org/10.1371/journal.pone.0208240</a></p>2018-12-19T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1371/journal.pone.0208240https://figshare.com/articles/journal_contribution/Epidemiology_and_treatment_patterns_of_rheumatoid_arthritis_in_a_large_cohort_of_Arab_patients/25304218CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/253042182018-12-19T03:00:00Z
spellingShingle Epidemiology and treatment patterns of rheumatoid arthritis in a large cohort of Arab patients
Soha R. Dargham (3613250)
Biomedical and clinical sciences
Clinical sciences
Health sciences
Epidemiology
Rheumatoid arthritis
Arabic people
Qatar
Steroids
Lebanon
Smoking habits
Methotrexate
Rheumatology
status_str publishedVersion
title Epidemiology and treatment patterns of rheumatoid arthritis in a large cohort of Arab patients
title_full Epidemiology and treatment patterns of rheumatoid arthritis in a large cohort of Arab patients
title_fullStr Epidemiology and treatment patterns of rheumatoid arthritis in a large cohort of Arab patients
title_full_unstemmed Epidemiology and treatment patterns of rheumatoid arthritis in a large cohort of Arab patients
title_short Epidemiology and treatment patterns of rheumatoid arthritis in a large cohort of Arab patients
title_sort Epidemiology and treatment patterns of rheumatoid arthritis in a large cohort of Arab patients
topic Biomedical and clinical sciences
Clinical sciences
Health sciences
Epidemiology
Rheumatoid arthritis
Arabic people
Qatar
Steroids
Lebanon
Smoking habits
Methotrexate
Rheumatology