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N (%)
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|---|
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Practice Location
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|
Academic
|
55 (91)
|
|
Private
|
4 (7)
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Years in practice
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|
<5 years
|
18 (30)
|
|
5-10 years
|
17 (28)
|
|
11-15 years
|
9 (15)
|
|
> 15 years
|
16 (27)
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|
Training
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|
Pediatric Rheumatologist
|
56 (93)
|
|
Med/Peds Rheumatologist
|
3 (5)
|
|
Other
|
1 (2)
|
|
Number of JSpA patients seen annually
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|
< 5 patients
|
5 (8)
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|
5-10 patients
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16 (27)
|
|
>10 patients
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39 (65)
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Duration before deeming treatment failure
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|
2 months
|
4 (7)
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3 months
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36 (60)
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6 months
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14 (23)
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Have JSpA patients who failed TNFi therapy in last 2 yrs
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38 (63)
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Have switched back to same TNFi after failing
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10 (17)
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Reasons for change anti-TNF therapy:
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|
Secondary non-response
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43 (72)
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Primary non-response
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35 (58)
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Intolerance
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29 (48)
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Concomitant disease
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28 (47)
|
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Chronic pain
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15 (25)
|
|
Reasons for primary non-response
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|
Arthritis (Sacroiliac joints)
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27 (45)
|
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Arthritis (peripheral)
|
16 (27)
|
|
Enthesitis
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16 (27)
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|
Pain
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2 (1)
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Number of anti-TNF agents (total) tried before switching to another class
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|
1
|
1 (1.5)
|
|
2
|
37 (62)
|
|
3
|
21(35)
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>3
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1 (1.5)
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Other medications used after TNFi failure
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|
Abatacept
|
24 (40)
|
|
Tocilizumab
|
21 (35)
|
|
Ustekinumab
|
17 (28)
|
|
Secukinumab
|
16 (27)
|
|
Tofacitinib
|
8 (13)
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|
Rituximab
|
2 (3)
|
|
Other: Apremilast (1), Methotrexate (1), Steroids (1)
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