Impact of disease activity outcome measures reporting in the medical records of patients with axial spondyloarthritis on the retention rates of biological treatment: the example of secukinumab use in daily practice in France. Issue 1 (17th March 2022)

• Record Type: Journal Article
• Authors: Dougados, Maxime; Lucas, Julien; Desfleurs, Emilie; Lukas, Cédric; Saraux, Alain; Tournadre, Anne; Ruyssen-Witrand, Adeline; Wendling, Daniel; Goupille, Philippe; Claudepierre, Pascal
• Is Part Of: RMD open. Volume 8:Issue 1(2022)
• Publication Date: 2022-03-17
• Subjects: spondylitis -- ankylosing -- outcome and process assessment -- health care -- quality indicators -- health care; Musculoskeletal system -- Diseases -- Periodicals; Rheumatism -- Periodicals; 616.7005
• DOI: 10.1136/rmdopen-2021-002106
• Languages: English
• ISSNs: 2056-5933

Abstract

Abstract : Objectives: To estimate the frequency of reporting composite indices evaluating axial spondyloarthritis (axSpA) disease activity in daily practice and to assess its impact on the secukinumab (SEC) retention rate. Methods: Study design: Retrospective, multicentre. Data collected: (1) Recommended composite indices : Bath Ankylosing Spondyltitis Disease Activity Index (BASDAI) +C reactive protein or Ankylosing Spondylitis Disease Activity Score (ASDAS) at the time of initiation of SEC and at least once during the first year of follow-up; (2) Drug retention rate : percentage of patients still on SEC over time according to whether at least one recommended composite index had been optimally reported. Results: A recommended composite index has been collected in 22% of the 906 enrolled axSpA patients. The percentage of patients still on treatment after 1, 2 and 3 years of follow-up was greater in those for whom at least one composite index had been optimally reported (respectively, 64% (57–71) vs 57% (54–61), 55% (48–62) vs 41% (38–45) and 52% (44–59) vs 38% (34–42), log rank test, p=0.016) with a lower risk of SEC discontinuation for these patients (HR: 0.70 (95% CI 0.5 to 0.88), Cox model, p=0.003). Conclusion: This study suggests that reporting of recommended composites indices for monitoring axSpA might be associated with higher retention rates of biological therapies.