nothing lasts forever - a critical look at sustained remission没有什么可以天长地久,关键看持续缓解.pdfVIP

Aletaha Arthritis Research Therapy 2012, 14:116 /content/14/3/116 EDITORIAL Nothing lasts forever - a critical look at sustained remission Daniel Aletaha* See related research by Prince et al., /content/14/2/R68 (EULAR) [3], and fi nally culminated in the publication of Abstract new remission criteria by the American College of Remission is key to prevent progression of rheumatoid Rheumatology (ACR) and EULAR [4]. h roughout the arthritis, but it is still rarely seen in clinical practice, years, a central question in the defi nition of remission has not to speak of sustained remission, which is the best been whether it should be at a single point in time or possible disease outcome of rheumatoid arthritis. should include a time perspective. h e most recent New strategies and recommendations focus on decision on this in the aforementioned ACR/EULAR achievement of remission, but it is unclear how remission criteria was the former. long remission can actually be maintained in clinical h is single time point defi nition of remission may practice. A study by Prince and colleagues gives sound contradictory to the concept of RA being a insights into this question, and raises some other progressive and destructive disease, and disease activity questions for the future. over time being the most robust predictor of such pro-