Table 5Number of studies included for each KQ, by drug therapy group, comparison type, and study design

Drug Therapy GroupComparison TypeOverall N of StudiesKQ 1 Intermediate OutcomesKQ 2 Final Health OutcomesKQ 3 HarmsKQ 4 Subpopulations
CorticosteroidsCorticosteroids vs. csDMARDs66 RCTs5 RCTs6 RCTsNone
CorticosteroidsHigh-dose corticosteroid vs. TNF biologic2a2 RCTs2 RCTs2 RCTsNone
CorticosteroidsCorticosteroid single-arm studies1NoneNone1 obsNone
csDMARDscsDMARD monotherapy vs. csDMARD monotherapy22 studies (1 RCT, 1 obs)2 studies (1 RCT, 1 obs)2 studies (1 RCT, 1 obs)None
csDMARDscsDMARD combination therapy vs. csDMARD monotherapy77 studies (6 RCTs, 1 obs)6 RCTs7 studies (6 RCTs, 1 obs)None
csDMARDscsDMARDs vs. TNF biologics1b1 RCT1 RCT1 RCTNone
csDMARDscsDMARDs vs. non-TNF biologics3c3 RCTs3 RCTs3 RCTsNone
csDMARDscsDMARDs vs. tsDMARDs11 RCT1 RCT1 RCTNone
csDMARDscsDMARD single-arm studies4NoneNone4 obsNone
BiologicsBiologics vs. csDMARD monotherapies16a,b,c16 RCTs16 RCTs15 RCTs3 RCTs
BiologicsBiologics vs. csDMARD combination therapies33 RCTs3 RCTs3 RCTs1 RCT
BiologicsBiologic head-to-head comparisons11 RCT1 RCT1 RCTNone
BiologicsBiologic single-arm studies1NoneNone1 obsNone
Combination and therapy strategiesN/A64 RCTs4 RCTs6 studies (4 RCTs, 2 obs)None
a

One study evaluated comparisons relevant to two categories: high-dose corticosteroid vs. TNF biologic and biologic vs. csDMARD monotherapies.18

b

One study evaluated comparisons relevant to two categories: csDMARD vs. TNF biologics and biologics vs. csDMARD monotherapies.15

c

Three studies evaluated comparisons relevant to two categories: csDMARD vs. non-TNF biologics and biologics vs. csDMARD monotherapies.7, 32, 33

csDMARD = conventional synthetic disease-modifying antirheumatic drug; KQ = Key Question; N = number; N/A = not applicable; obs = observational study(ies); RCT = randomized controlled trial; TNF = tumor necrosis factor; tsDMARD = targeted synthetic disease-modifying antirheumatic drug; vs. = versus.

From: Results

Cover of Drug Therapy for Early Rheumatoid Arthritis: A Systematic Review Update
Drug Therapy for Early Rheumatoid Arthritis: A Systematic Review Update [Internet].
Comparative Effectiveness Review, No. 211.
Donahue KE, Gartlehner G, Schulman ER, et al.

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