A post hoc analysis using the Tukey-Kramer method revealed significant differences in the distribution of TJC in summer versus spring ( p = 0.001) and winter ( p < 0.001) as well as in fall versus winter ( p = 0.013); the difference between fall and spring did not reach statistical significance ( p = 0.054).
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Influence of seasonal changes on disease activity and distribution of affected joints in rheumatoid arthritis.
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