Difficult-to-treat rheumatoid arthritis: Current concept and unsolved problems

R Watanabe, T Okano, T Gon, N Yoshida… - Frontiers in …, 2022 - frontiersin.org
Over the past several decades, the treatment of rheumatoid arthritis (RA) has advanced
significantly, and clinical, structural, and functional remission are achievable therapeutic …

Difficult-to-treat rheumatoid arthritis: contributing factors and burden of disease

NMT Roodenrijs, MC van der Goes… - …, 2021 - academic.oup.com
Objectives Treatment of difficult-to-treat (D2T) RA patients is generally based on trial-and-
error and can be challenging due to a myriad of contributing factors. We aimed to identify …

A review of difficult-to-treat rheumatoid arthritis: definition, clinical presentation, and management

C Conran, J Kolfenbach, K Kuhn, C Striebich… - Current Rheumatology …, 2023 - Springer
Purpose of Review A subset of patients with rheumatoid arthritis (RA) who fail multiple
biologic therapies are deemed to have “difficult-to-treat”(D2T) RA. In 2021, a European …

Comorbidities and extra-articular manifestations in difficult-to-treat rheumatoid arthritis: different sides of the same coin?

M Dey, G Nagy, E Nikiphorou - Rheumatology, 2023 - academic.oup.com
Despite the improvement in treatment for people with RA,∼ 30% of patients remain
symptomatic in the presence of optimized medical therapy, described as having 'difficult-to …

Mechanisms underlying DMARD inefficacy in difficult-to-treat rheumatoid arthritis: a narrative review with systematic literature search

NMT Roodenrijs, PMJ Welsing, J van Roon… - …, 2022 - academic.oup.com
Management of RA patients has significantly improved over the past decades. However, a
substantial proportion of patients is difficult-to-treat (D2T), remaining symptomatic after …

Difficult-to-treat rheumatoid arthritis (D2T RA): clinical issues at early stages of disease

L Leon, A Madrid-Garcia, P Lopez-Viejo… - RMD open, 2023 - rmdopen.bmj.com
Objectives Most studies on difficult-to-treat rheumatoid arthritis (D2T RA) have focused on
established RA. Here, we analyse whether disease activity in the early stages of RA could …

Rheumatoid arthritis treatment. A back to the drawing board project or high expectations for low unmet needs?

AA Drosos, E Pelechas, PV Voulgari - Journal of clinical medicine, 2019 - mdpi.com
Despite the significant progress in Rheumatoid Arthritis (RA) therapeutics, there are several
reports in the literature claiming that the size of unmet needs in RA is large. In the era before …

Clinical characteristics and variants that predict prognosis of difficult-to-treat rheumatoid arthritis

I Yoshii, N Sawada, T Chijiwa - Rheumatology International, 2022 - Springer
Factors influencing prognosis after administration of the last biologic or targeted synthetic
disease-modifying antirheumatic drug (b/tsDMARD) to patients with difficult-to-treat …

Prevalence and predictive factors of difficult-to-treat rheumatoid arthritis: the KURAMA cohort

R Watanabe, M Hashimoto, K Murata… - Immunological …, 2022 - Taylor & Francis
Difficult-to-treat rheumatoid arthritis (D2T RA) is a multifactorial condition in which disease
activity of RA persists despite consecutive treatment with biological or targeted synthetic …

'Difficult to treat'rheumatoid arthritis: current position and considerations for next steps

Y Tan, MH Buch - RMD open, 2022 - rmdopen.bmj.com
The European Alliance of Associations for Rheumatology recently defined difficult to treat
(D2T) rheumatoid arthritis (RA) and provided points to consider in its management. This …