Table 7

Impact of TNFi use within a 2-year radiographic interval on sacroiliac joint radiographic progression defined as a change of at least one grade in at least one SIJ and ignoring a change from 0 to 1

VariableOR95% CIP value
TNFi use during X-ray interval ≥1 year (ref: no TNFi use during interval)0.210.08 to 0.550.001
TNFi use during X-ray interval <1 year (ref: no TNFi use during interval)0.380.04 to 3.390.39
Baseline sacroiliac damage at start of each X-ray interval (0–7)1.331.00 to 1.770.047
Female sex0.270.07 to 1.000.05
Symptom duration1.051.01 to 1.100.02
Current smoking2.210.71 to 6.890.17
HLA-B27 negative0.710.14 to 3.810.70
NSAID use at start of each X-ray interval0.930.26 to 3.370.91
ASDAS at start of each X-ray interval1.300.75 to 2.270.35
  • 302 patients and 483 intervals (22 events).

  • ASDAS, Ankylosing Spondylitis Disease Activity Score; BASDAI, Bath Ankylosing Spondylitis Disease Activity Index; CRP, C-reactive protein; HLA-B27, human leucocyte antigen B27; NSAID, non-steroidal anti-inflammatory drug; SIJ, sacroiliac joint; TNFi, tumour necrosis factor inhibitor.