Original Article

Vol. 9 No. 4 (2022): European Journal of Rheumatology

The First Effect of COVID-19 Pandemic on Starting Biological Disease Modifying Anti-Rheumatic Drugs: Outcomes from the TReasure Real-Life Database

Main Article Content

İhsan Ertenli
Umut Kalyoncu
Orhan Küçükşahin
Uğur Karasu
Süleyman Serdar Koca
Timuçin Kaşifoğlu
Muhammet Çınar
Emel Gönüllü
Duygu Ersözlü
Burcu Yağız
Belkıs Nihan Coşkun
Yavuz Pehlivan
Nilüfer Alpay Kanıtez
Hakan Emmungil
Aşkın Ateş
Servet Akar
Levent Kılıç
Cemal Bes
Ömer Karadağ
Rıdvan Mercan
Gezmiş Kimyon
Ediz Dalkılıç
Sedat Kiraz

Abstract

Objective: The coronavirus disease 2019 pandemic has been resulting in increased hospital occupancy rates. Rheumatic patients cannot still reach to hospitals, or they hesitate about going to a hospital even they are able to reach. We aimed to show the effect of the first wave of coronavirus disease 2019 pandemic on the treatment of biological disease-modifying anti-rheumatic drugs in patients with rheumatoid arthritis or spondyloarthritis.



Methods: Patients were divided into three groups as follows: pre-pandemic (Pre-p: starting on biological disease-modifying anti-rheumatic drug therapy for the first time within 6 months before March 11, 2020); post-pandemic A (Post-p A: starting on biological disease-modifying anti-rheumatic drug therapy for the first time within the first 6 months after March 11, 2020); post-pandemic B (Post-p B: starting on biological disease-modifying anti-rheumatic drug therapy for the first time within the second 6 months).



Results: The number of rheumatoid arthritis patients in the Post-p A and B groups decreased by 51% and 48%, respectively, as compared to the Pre-p group similar rates of reduction were also determined in the number of spondyloarthritis patients. The rates of tofacitinib and abatacept use increased in rheumatoid arthritis patients in Post-p period.



Conclusion: The number of rheumatoid arthritis and spondyloarthritis patients starting on biological disease-modifying anti-rheumatic drugs for the first time decreased during the first year of the coronavirus disease 2019 pandemic.



Cite this article as: Alpay Kanıtez N, Kiraz S, Dalkılıç E, et al. The first effect of COVID-19 pandemic on starting biological disease modifying anti-rheumatic drugs: Outcomes from the TReasure real-life database. Eur J Rheumatol 2022;9(4):206-211.


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