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Table 4 Patient-reported severity of adverse events associated with biologic therapies, subcutaneous methotrexate, and oral methotrexate

From: Patient’s experience with subcutaneous and oral methotrexate for the treatment of rheumatoid arthritis

  

Severity of hair loss

Therapy, n (%)

N

No

Trivial

Mild

Moderate

Marked

Severe

So severe I had to stop

Biologic therapies

218

197 (90)

2 (1)

4 (2)

12 (6)

0 (0)

3 (1)

0 (0)

SQ MTX

49

32 (65)

1 (2)

9 (18)

2 (4)

5 (10)

0 (0)

0 (0)

Oral MTX

115

80 (70)

2 (2)

10 (9)

8 (7)

13 (11)

2 (2)

0 (0)

P value for row mean score < 0.0001

P value for row mean score differs (excluding “No” responses) = 0.37

  

Severity of diarrhea

Therapy, n (%)

N

No

Trivial

Mild

Moderate

Marked

Severe

So severe I had to stop

Biologic therapies

218

210 (96)

1 (.5)

1 (.5)

3 (1.5)

1 (.5)

2 (1)

0 (0)

SQ MTX

49

43 (88)

0

3 (6)

0 (0)

2 (4)

1 (2)

0 (0)

Oral MTX

115

89 (77)

2 (2)

9 (8)

11 (10)

1 (1)

3 (2)

0 (0)

P value for row mean score < 0.0001

P value for row mean score differs (excluding “No” responses) = 0.50

  

Severity of vomiting

Therapy, n (%)

N

No

Trivial

Mild

Moderate

Marked

Severe

So severe I had to stop

Biologic therapies

218

210 (96)

0

5 (2)

1 (.5)

1 (.5)

1 (.5)

0 (0)

SQ MTX

49

45 (91)

2 (4)

1 (2)

0

1 (2)

0 (0)

0 (0)

Oral MTX

115

107 (93)

1 (1)

2 (1)

4 (4)

1 (1)

0 (0)

0 (0)

P value for row mean score = 0.63

P value for row mean score differs (excluding “No” responses) = 0.15

  

Severity of nausea

Therapy, n (%)

N

No

Trivial

Mild

Moderate

Marked

Severe

So severe I had to stop

Biologic therapies

218

190 (87)

0 (0)

7 (3)

11 (5)

6 (3)

2 (1)

2 (1)

SQ MTX

49

22 (45)

0 (0)

7 (14)

11 (22)

4 (8)

3 (6)

2 (4)

Oral MTX

115

76 (66)

12 (10)

17 (15)

10 (9)

0 (0)

0 (0)

0 (0)

P value for row mean score < 0.0001

P value for row mean score differs (excluding “No” responses) = 0.21

  

Severity of other stomach problems

Therapy, n (%)

N

No

Trivial

Mild

Moderate

Marked

Severe

So severe I had to stop

Biologic therapies

218

204 (94)

0 (0)

3 (1)

4 (2)

5 (2)

2 (1)

0 (0)

SQ MTX

49

46 (94)

0 (0)

1 (2)

0

0

2 (4)

0 (0)

Oral MTX

115

108 (94)

0 (0)

1 (1)

5 (4)

0

1 (1)

0 (0)

P value for row mean score = 0.87

P value for row mean score differs (excluding “No” responses) = 0.50

  

Severity of fatigue

Therapy, n (%)

N

No

Trivial

Mild

Moderate

Marked

Severe

So severe I had to stop

Biologic therapies

218

170 (78)

1 (.5)

5 (2)

17 (8)

10 (4.5)

13 (6)

2 (1)

SQ MTX

49

13 (27)

0

4 (8)

16 (33)

5 (10)

10 (20)

1 (2)

Oral MTX

115

51 (44)

0

5 (4)

25 (22)

23 (20)

10 (9)

1 (1)

P value for row mean score = <0.0001

P value for row mean score differs (excluding “No” responses) = 0.90

  

Severity of malaise

Therapy, n (%)

N

No

Trivial

Mild

Moderate

Marked

Severe

So severe I had to stop

Biologic therapies

218

187 (86)

2 (1)

3 (1)

13 (6)

9 (4)

3 (1)

1 (1)

SQ MTX

49

26 (53)

1 (2)

4 (8)

12 (24)

5 (10)

1 (2)

0 (0)

Oral MTX

115

77 (67)

0

12 (10)

20 (17)

5 (4)

1 (1)

0 (0)

P value for row mean score = <0.0001

P value for row mean score differs (excluding “No” responses) = 0.09

  

Severity of mental fog

Therapy, n (%)

N

No

Trivial

Mild

Moderate

Marked

Severe

So severe I had to stop

Biologic therapies

218

185 (85)

0

7 (3)

15 (7)

7 (3)

2 (1)

2 (1)

SQ MTX

49

31 (63)

0

4 (8)

11 (22)

3 (6)

0

0 (0)

Oral MTX

115

82 (71)

2 (2)

15 (13)

9 (8)

6 (5)

1 (1)

0 (0)

P value for row mean score = 0.01

P value for row mean score differs (excluding “No” responses) = 0.03

  

Severity of infection

Therapy, n (%)

N

No

Trivial

Mild

Moderate

Marked

Severe

So severe I had to stop

Biologic therapies

218

195 (95)

0 (0)

3 (1)

8 (1)

3 (1)

5 (2)

4 (2)

SQ MTX

49

45 (92)

0 (0)

1 (2)

2 (4)

1 (2)

0 (0)

0 (0)

Oral MTX

115

110 (96)

0 (0)

1 (1)

3 (2)

1 (1)

0 (0)

0 (0)

P value for row mean score = 0.06

P value for row mean score differs (excluding “No” responses) = 0.16