PMID- 30160189 OWN - NLM STAT- MEDLINE DCOM- 20200129 LR - 20200129 IS - 2295-3337 (Electronic) IS - 1784-3286 (Linking) VI - 74 IP - 5 DP - 2019 Oct TI - Improvements in productivity and increased participation in daily activities over 52 weeks of certolizumab pegol treatment of rheumatoid arthritis: results of a Belgian observational study. PG - 342-350 LID - 10.1080/17843286.2018.1509923 [doi] AB - Objectives: To report changes in productivity and social participation - alongside clinical and patient-reported outcomes (PROs) - in patients with rheumatoid arthritis (RA) receiving certolizumab pegol (CZP) during routine clinical practice in Belgium. Methods: This was a prospective, non-interventional study, in which patients were prescribed CZP at their physicians' discretion and followed during routine clinical visits. The primary outcomes were household productivity and social participation at the last visit (~52 weeks), measured through responses to the Work Productivity Survey. Secondary outcomes included workplace productivity and achievement of DAS28(ESR) clinical response, low disease activity and remission at the last visit. Baseline demographics and adverse events (AEs) were recorded for all patients who received >/=1 dose CZP. Results: A total of 141 patients were enrolled in the study, of whom 119 (84.4%) formed the full analysis set (received >/=1 dose CZP and had >/=1 post-baseline measurement for >/=1 primary outcome). At Visit 1 (baseline), patients reported an average of 11.0 paid work days, 16.8 household work days and 5.5 days of social participation affected by their disease over the previous month. Rapid improvements in household productivity and social participation were evident from Visit 2 (2-8 weeks). By the final visit, mean improvements were observed for all aspects of productivity, participation and clinical/PROs. A total of 24 AEs were reported. Conclusion: CZP has a positive impact on productivity and social participation in patients with RA in the Belgian daily practice setting, with safety and efficacy profiles that mirror those observed in the trial setting. FAU - Westhovens, Rene AU - Westhovens R AD - Department of Development and Regeneration, Skeletal Biology and Engineering Research Center, KU Leuven , Leuven , Belgium. AD - Rheumatology, University Hospitals Leuven , Leuven , Belgium. FAU - Ravelingien, Isabelle AU - Ravelingien I AD - Department of Rheumatology, Onze-Lieve-Vrouw Ziekenhuis Aalst , Asse, Aalst , Belgium. FAU - Vandevyvere, Klaas AU - Vandevyvere K AD - Reumakliniek MedSeen , Houthulst , Belgium. FAU - Pansar, Ingrid AU - Pansar I AD - UCB Pharma , Brussels , Belgium. FAU - Purcaru, Oana AU - Purcaru O AD - UCB Pharma , Brussels , Belgium. FAU - Kumke, Thomas AU - Kumke T AD - UCB Pharma , Monheim am Rhein , Germany. FAU - Gyselbrecht, Lieve AU - Gyselbrecht L AD - Algemeen Stedelijk Ziekenhuis , Aalst , Belgium. LA - eng PT - Journal Article PT - Observational Study DEP - 20180830 PL - England TA - Acta Clin Belg JT - Acta clinica Belgica JID - 0370306 RN - 0 (Antirheumatic Agents) RN - UMD07X179E (Certolizumab Pegol) SB - IM MH - Activities of Daily Living MH - Adult MH - Aged MH - Antirheumatic Agents/*therapeutic use MH - Arthritis, Rheumatoid/*drug therapy MH - Belgium MH - Certolizumab Pegol/*therapeutic use MH - Drug Therapy, Combination MH - Efficiency MH - Female MH - Humans MH - Male MH - Middle Aged MH - Patient Reported Outcome Measures MH - Prospective Studies MH - Social Participation MH - Treatment Outcome OTO - NOTNLM OT - Rheumatoid arthritis OT - certolizumab pegol OT - non-interventional OT - productivity OT - social participation EDAT- 2018/08/31 06:00 MHDA- 2020/01/30 06:00 CRDT- 2018/08/31 06:00 PHST- 2018/08/31 06:00 [pubmed] PHST- 2020/01/30 06:00 [medline] PHST- 2018/08/31 06:00 [entrez] AID - 10.1080/17843286.2018.1509923 [doi] PST - ppublish SO - Acta Clin Belg. 2019 Oct;74(5):342-350. doi: 10.1080/17843286.2018.1509923. Epub 2018 Aug 30.