Vice versa, Novella-Navarro reported concomitant use of MTX in 86% of D2T RA patients categorized as ‘treatment inefficacy’ which was higher than patients with D2T RA due to ‘other’ reason including comorbidities and side-effects (76%), however this difference did not reach statistical significance ( P = 0.28) [ 44 ].
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Difficult-to-treat rheumatoid arthritis: what have we learned and what do we still need to learn?
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