| First anti-TNF | Subsequent anti-TNF |  |  | ||||
---|---|---|---|---|---|---|---|---|
 | Etanercept (N = 1593) | Adalimumab (N = 1040) | Infliximab (N = 584) | Etanercept (N = 258) | Adalimumab (N = 353) | Infliximab (N = 156) | Abatacept (N = 418) | Rituximab (N = 239) |
Age; mean (SD) | 49.9 (12.4) | 50.1 (12.0) | 52.8 (11.4) | 50.0 (10.9) | 49.9 (11.2) | 49.1 (11.6) | 52.8 (11.8) | 52.7 (11.3) |
Male; n (%) | 346 (21.7) | 245 (23.6) | 145 (24.8) | 56 (21.7) | 64 (18.1) | 31 (19.9) | 69 (16.5) | 48 (20.1) |
Quan-Charlson score; mean (SD) | 1.3 (0.8) | 1.3 (0.9) | 1.4 (0.9) | 1.4 (0.8) | 1.4 (0.9) | 1.3 (0.8) | 1.5 (1.0) | 1.7 (1.1) |
Medications; n (%) | Â | Â | Â | Â | Â | Â | Â | Â |
   Oral and injectable corticosteroids | 946 (59.4) | 665 (63.9) | 413 (70.7) | 189 (73.3) | 249 (70.5) | 109 (69.9) | 313 (74.9) | 177 (74.1) |
   Methotrexate | 833 (52.3) | 606 (58.3) | 401 (68.7) | 142 (55.0) | 177 (50.1) | 89 (57.1) | 213 (51.0) | 120 (50.2) |
   NSAIDs | 739 (46.4) | 522 (50.2) | 291 (49.8) | 126 (48.8) | 188 (53.3) | 75 (48.1) | 209 (50.0) | 104 (43.5) |
   Antimalarials | 274 (17.2) | 192 (18.5) | 104 (17.8) | 41 (15.9) | 65 (18.4) | 23 (14.7) | 41 (9.8) | 26 (10.9) |
   Other DMARDsa | 263 (16.5) | 169 (16.3) | 93 (15.9) | 49 (19.0) | 57 (16.1) | 21 (13.5) | 78 (18.7) | 42 (17.6) |
   Immunosuppressants | 22 (1.4) | 14 (1.3) | 3 (0.5) | 2 (0.8) | 7 (2.0) | 6 (3.8) | 22 (5.3) | 7 (2.9) |
   Gold salt | 1 (0.1) | 1 (0.1) | 0 (0) | 1 (0.4) | 1 (0.3) | 1 (0.6) | 2 (0.5) | 1 (0.4) |
Biologics; n (%) | Â | Â | Â | Â | Â | Â | Â | Â |
   Etanercept | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 276 (78.2) | 81 (51.9) | 71 (17.0) | 38 (15.9) |
   Adalimumab | 0 (0) | 0 (0) | 0 (0) | 166 (64.3) | 0 (0) | 62 (39.7) | 60 (14.4) | 42 (17.6) |
   Infliximab | 0 (0) | 0 (0) | 0 (0) | 57 (22.1) | 55 (15.6) | 0 (0) | 141 (33.7) | 54 (22.6) |
   Abatacept | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 1b (0.6) | 0 (0) | 31 (13.0) |
   Rituximab | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 11 (2.6) | 0 (0) |
Follow-up (days); mean (SD) | 656.9 (219.1) | 664.1 (215.8) | 685.4 (210.2) | 677.9 (191.1) | 691.1 (207.9) | 675.2 (216.0) | 636.4 (190.2) | 617.0 (178.9) |