
Resumen: Arch Med Interna 2012 - 34(2): 38-41 La Artritis Reumatoidea (AR) es una enfermedad sistémica autoinmune, que se asocia a afectación en la calidad de vida y a un incremento de la morbimortalidad. Los tratamientos remisivos de la AR incluyen fármacos antiartríticos modificadores de le enfermedad (FAME) y terapias con biológicos. En marzo 2010 se incorpora a las prestaciones del Fondo Nacional de Recursos (FNR) el tratamiento con Antifactor de necrosis tumoral (Anti-TNF). Se realiza evaluación de la cohorte de pacientes que iniciaron tratamiento antes del 01/05/2011. Objetivos: caracterizar la población y evaluar resultado de la eficacia del tratamiento, según evolución de puntuación de DAS 28. Resultados: se incluyeron 69 pacientes. Las medias de DAS 28 pre y postratamiento evidenciaron una mejoría (p < 0,05). Criterio de mejoría en 76,4% (bajo grado de actividad 37,3% y remisión 14,9%). Efectos adversos en 20 pacientes (en 3 casos motivó suspensión de la terapia). Cambio de droga, principal causa: falla de tratamiento (8/9). Conclusiones: Más de 70% obtiene criterio de mejoría por lo cual los resultados en esta primera evaluación de respuesta pueden calificarse como buenos, aunque deberán monitorizarse en el tiempo. Abstract: Arch Med Interna 2012 - 34(2): 38-41 Rheumatoid Arthritis (RA) is a systemic autoimmune disease, associated to an impairment of quality of life and increased morbimortality. Remissive therapies of RA include therapies with Disease Modifying Anti Rheumatic Drugs (DMARDs) and Biologic Agents. Therapy with the Anti-Tumor Necrosis Factor (Anti-TNF) was incorporated to the drugs reimbursed by the National Resource Fund (FNR) in March 2010. The study assessed a cohort of patients that started therapy before May 1 2011. Objectives: to characterize the population and to evaluate the efficacy outcomes of therapy, based on the evolution of DAS 28 scores. Results: 69 patients were enrolled. The mean pre and post therapy DAS 28 scores showed improvement (p < 0.05). Improvement criteria in 76.4% (low grade activity 37.3% and remission 14.9%). Adverse effects in 20 patients (in 3 cases it led to discontinuation of therapy). Drug changes, primary cause: treatment failure (8/9). Conclusions: Over 70% achieve improvement criteria; hence, although the results in this first evaluation of the response may be classified as good, they need to be monitored with time.
Rheumatoid arthritis, AntiTNF, DAS28, Adalimumab, Etanercept, Infliximab. [Keywords], Artritis Reumatoidea, AntiTNF, DAS28, Adalimumab, Etanercept, Infliximab [Palabras clave]
Rheumatoid arthritis, AntiTNF, DAS28, Adalimumab, Etanercept, Infliximab. [Keywords], Artritis Reumatoidea, AntiTNF, DAS28, Adalimumab, Etanercept, Infliximab [Palabras clave]
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