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Epidemiology and treatment patterns of rheumatoid arthritis in a large cohort of Arab patients

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Version 2 2024-02-29, 12:05
Version 1 2024-02-29, 06:18
journal contribution
revised on 2024-02-29, 12:04 and posted on 2024-02-29, 12:05 authored by Soha R. Dargham, Sumeja Zahirovic, Mohammed Hammoudeh, Samar Al Emadi, Basel K. Masri, Hussein Halabi, Humeira Badsha, Imad Uthman, Ziyad R. Mahfoud, Hadil Ashour, Wissam Gad El Haq, Karim Bayoumy, Marianthi Kapiri, Richa Saxena, Robert M. Plenge, Layla Kazkaz, Thurayya Arayssi


There is limited information on the epidemiology and treatment patterns of rheumatoid arthritis (RA) across the Arab region. We aim in this study to describe the demographic characteristics, clinical profile, and treatment patterns of patients of Arab ancestry with RA.


This is a cross sectional study of 895 patients with established rheumatoid arthritis enrolled from five sites (Jordan, Lebanon, Qatar, Kingdom of Saudi Arabia (KSA), and United Arab Emirates). Demographic characteristics, clinical profile, and treatment patterns are compared between the five countries.


The majority of our patients are women, have an average disease duration of 10 years, are married and non-smokers, with completed secondary education. We report a high (>80%) ever-use of methotrexate (MTX) and steroids among our RA population, while the ever-use of disease modifying anti-rheumatic drugs (DMARDs) and TNF-inhibitors average around 67% and 33%, respectively. There are variations in RA treatment use between the five country sites. Highest utilization of steroids is identified in Jordan and KSA (p-value < 0.001), while the highest ever-use of TNF-inhibitors is reported in KSA (p-value < 0.001).


Disparities in usage of RA treatments among Arab patients are noted across the five countries. National gross domestic product (GDP), as well as some other unique features in each country likely affect these. Developing treatment guidelines specific to this region could contribute in delivering standardized therapies to RA patients.

Other Information

Published in: PLOS ONE
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  • English


Public Library of Science (PLoS)

Publication Year

  • 2018

License statement

This Item is licensed under the Creative Commons Attribution 4.0 International License.

Institution affiliated with

  • Weill Cornell Medicine - Qatar
  • Hamad Medical Corporation
  • Hamad General Hospital - HMC

Geographic coverage

Jordan, Lebanon, Qatar, Kingdom of Saudi Arabia (KSA), and United Arab Emirates.

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