METHODS: A retrospective study was conducted on the patients with RA, who were referred to our clinic without treatment between January 2021 and July 2022. Patients with grade ≥3 OA according to the Kellgren-Lawrence (K-L) classification either in the knee or hand were classified in the OA(+) group and others were in the OA(-) group. The clinical data were compared at the diagnosis and one year after the initial treatment between the groups for 74 LORA and 59 YORA patients, respectively.
RESULTS: One year after starting treatment in the LORA patients, the OA(+) group had poorer disease activity control and greater disability in the several activities of daily living (ADL) than the OA(-) group. In the YORA patients, there were no differences in ADL disability between the groups.
CONCLUSIONS: In the initial treatment of the LORA patients, the prevalence of OA was high, and impact of OA on LORA was larger than on YORA.
方法:对RA患者进行回顾性研究,他们在2021年1月至2022年7月期间被转诊到我们的诊所,没有接受治疗。根据Kellgren-Lawrence(K-L)分类,膝关节或手部的OA等级≥3的患者被分类为OA()组,其他患者被分类为OA(-)组。对74例LORA和59例YORA患者在诊断时和初始治疗后一年的临床数据进行了比较,分别。
结果:LORA患者开始治疗一年后,与OA(-)组相比,OA(+)组的疾病活动控制较差,而日常生活活动(ADL)的残疾程度更大.在YORA患者中,两组间ADL残疾无差异.
结论:在LORA患者的初始治疗中,OA的患病率很高,OA对LORA的影响大于对YORA的影响。