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Visser, K. (2011, December 8). Towards improved treatment of undifferentiated and rheumatoid arthritis. Retrieved from https://hdl.handle.net/1887/18197

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/18197

Note: To cite this publication please use the final published version (if

applicable).

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Towards Improved Treatment of

Undifferentiated and Rheumatoid Arthritis

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Towards Improved Treatment of Undifferentiated and Rheumatoid Arthritis

PROEFSCHRIFT ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof. mr. P.F. van der Heijden,

volgens besluit van het College voor Promoties te verdedigen op donderdag 8 december 2011

klokke 13.45 uur

door Karen Visser geboren te Uburu, Nigerië

in 1980

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COPROMOTOR dr. C.F. Allaart OVERIGE LEDEN Prof. dr. R. Brand

Prof. dr. F.W. Dekker Prof. dr. J.W.J. Bijlsma

Utrecht Medisch Centrum, Utrecht Prof. dr. R.B.M. Landewé

Academisch Medisch Centrum, Amsterdam

The research presented in this thesis was performed at the Rheumatology Department of the Leiden University Medical Center, Leiden, The

Netherlands. The research was financially supported by the Dutch College of Health Insurances, the Dutch Arthritis Foundation and by the Netherlands Organisation for Scientific Research, with additional funding by Schering-Plough B.V., Centocor Inc and ABBOTT B.V.

© Karen Visser, 2011.

karenvisser@hotmail.com

All rights reserved. No part of this thesis may be reproduced in any form without written permission from the author or, when appropriate, of the publishers of the publications.

ISBN 978-90-818281-0-9

Vormgeving: J.L.M de Veld, MediaCenter Rotterdam Druk: MediaCenter Rotterdam

The publication of this thesis was financially supported by ABBOTT B.V., Apotheekzorg, AstraZeneca B.V., Janssen Biologics B.V. (former Centocor B.V.), Merck Sharp & Dohme B.V., Novartis Pharma B.V., het Reumafonds, Roche Nederland B.V., Sandoz B.V., Sectra dxr-online, Schering-Plough B.V., Teva Pharma Nederland.

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Contents

Chapter 1. General introduction

Part I. Improved treatment of undifferentiated arthritis Chapter 2. Efficacy of methotrexate treatment in patients with probable

rheumatoid arthritis: a double-blind, randomized, placebo-controlled trial

Chapter 3. Disease activity, joint damage and functional disability and the effect of methotrexate treatment in patients with undifferentiated arthritis with or without anti-citrullinated protein antibodies

Chapter 4. Drug-free remission, relapse or persistent disease after discontinuation of methotrexate or placebo therapy in patients with undifferentiated arthritis

Chapter 5. Validity of the disease activity score in undifferentiated arthritisVV

Part II. Methotrexate in rheumatoid arthritis

Chapter 6. Multinational evidence-based recommendations for the use of methotrexate in rheumatic disorders with a focus on rheumatoid arthritis: integrating systematic literature research and expert opinion of a broad international panel of rheumatologists in the

3E initiative

Chapter 7. Optimal dosage and route of administration of methotrexate in rheumatoid arthritis: a systematic review of the literature

Chapter 8. Risk and management of liver toxicity during methotrexate treatment in rheumatoid and psoriatic arthritis: a systematic review of the literature

Part III. Improved treatment of rheumatoid arthritis

Chapter 9. A matrix risk model for the prediction of rapid radiographic progression in rheumatoid arthritis patients receiving different dynamic treatment strategies: Post-hoc analyses from the BeSt study Chapter 10. Sustained drug-free remission in rheumatoid arthritis after DAS-driven

or non-DAS-driven therapy: a comparison of two cohort studies Chapter 11. General discussion and conclusions

Nederlandse samenvatting Role of the funding source Acknowledgements List of publications Curriculum Vitae Dankwoord

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