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Lau AN, Wong-Pack M, Rodjanapiches R, Ioannidis G, Wade S, Spangler L, Balasubramanian A, Pannacciulli N, Lin CJF, Roy-Gayos P, Bensen WG, Bensen R, Adachi JD. Occurrence of Serious Infection in Patients with Rheumatoid Arthritis Treated with Biologics and Denosumab Observed in a Clinical Setting. J Rheumatol 2017; 45:170-176. [PMID: 29142041 DOI: 10.3899/jrheum.161270] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/11/2017] [Indexed: 01/22/2023]
Abstract
OBJECTIVE Previous studies combining biologic disease-modifying antirheumatic drugs (bDMARD) to treat rheumatoid arthritis (RA) have shown an increased risk of infection. However, the risk of infection with concurrent use of denosumab, a biologic agent for the treatment of osteoporosis, and a bDMARD remains unclear. Here, we evaluated the incidence of serious and opportunistic infections in patients treated concurrently with denosumab and a bDMARD and patients treated with a bDMARD alone. METHODS A chart review of patients with RA from 2 Canadian rheumatology practices between July 1, 2010, and July 31, 2014, identified 2 groups of patients: those taking denosumab and a bDMARD concurrently (concurrent group) and those taking only a bDMARD (biologic-alone group). Patients were followed from the time of initiation of denosumab, or a matched index date for the biologic-alone group, to the end of the study or loss to followup. Instances of serious or opportunistic infections were recorded. RESULTS A total of 308 patients (n = 102 for the concurrent group and n = 206 for the biologic-alone group) were evaluated. Within the concurrent group, 3 serious infection events occurred. Within the biologic-alone group, 4 serious infection events and 1 opportunistic infection event occurred. In both groups, all patients with serious or opportunistic infection recovered, and there were no instances of death during the study period. CONCLUSION This study demonstrated a low occurrence of serious and opportunistic infections in patients with RA taking bDMARD, including patients with concurrent denosumab use.
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Affiliation(s)
- Arthur N Lau
- From the Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, Faculty of Science, and Geriatric Education and Research in Aging Sciences Centre, McMaster University; Charlton Healthcare and St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada; Wade Outcomes Research and Consulting, Salt Lake City, Utah; Global Health Economics, Clinical Development, Amgen Inc., Thousand Oaks, California, USA. .,A.N. Lau, MD, Assistant Professor, Division of Rheumatology, McMaster University; M. Wong-Pack, BHSc, Faculty of Health Sciences, McMaster University; R. Rodjanapiches, BHSc, Faculty of Health Sciences, McMaster University; G. Ioannidis, MSc, PhD, GERAS Scientist, Geriatric Education and Research in Aging Sciences Centre and Assistant Professor (part-time), divisions of Rheumatology and Geriatrics, McMaster University and Hamilton Health Sciences, St. Peter's Hospital; S. Wade, MPH, Consultant, Wade Outcomes Research and Consulting; L. Spangler, VMD, PhD, Senior Manager, Global Health Economics, Amgen Inc.; A. Balasubramanian, MPH, PhD, Observational Research Senior Manager, Center for Observational Research, Amgen Inc.; N. Pannacciulli, MD, PhD, Clinical Research Medical Director, Clinical Development, Amgen Inc.; C.J. Lin, MD, currently Genentech, South San Francisco, California, USA; P. Roy-Gayos, BSc, Faculty of Science, McMaster University; W.G. Bensen, MD, Clinical Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton; R. Bensen, MSc, Charlton Healthcare Hamilton and St. Joseph's Healthcare Hamilton; J.D. Adachi, MD, Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton.
| | - Matthew Wong-Pack
- From the Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, Faculty of Science, and Geriatric Education and Research in Aging Sciences Centre, McMaster University; Charlton Healthcare and St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada; Wade Outcomes Research and Consulting, Salt Lake City, Utah; Global Health Economics, Clinical Development, Amgen Inc., Thousand Oaks, California, USA.,A.N. Lau, MD, Assistant Professor, Division of Rheumatology, McMaster University; M. Wong-Pack, BHSc, Faculty of Health Sciences, McMaster University; R. Rodjanapiches, BHSc, Faculty of Health Sciences, McMaster University; G. Ioannidis, MSc, PhD, GERAS Scientist, Geriatric Education and Research in Aging Sciences Centre and Assistant Professor (part-time), divisions of Rheumatology and Geriatrics, McMaster University and Hamilton Health Sciences, St. Peter's Hospital; S. Wade, MPH, Consultant, Wade Outcomes Research and Consulting; L. Spangler, VMD, PhD, Senior Manager, Global Health Economics, Amgen Inc.; A. Balasubramanian, MPH, PhD, Observational Research Senior Manager, Center for Observational Research, Amgen Inc.; N. Pannacciulli, MD, PhD, Clinical Research Medical Director, Clinical Development, Amgen Inc.; C.J. Lin, MD, currently Genentech, South San Francisco, California, USA; P. Roy-Gayos, BSc, Faculty of Science, McMaster University; W.G. Bensen, MD, Clinical Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton; R. Bensen, MSc, Charlton Healthcare Hamilton and St. Joseph's Healthcare Hamilton; J.D. Adachi, MD, Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton
| | - Rod Rodjanapiches
- From the Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, Faculty of Science, and Geriatric Education and Research in Aging Sciences Centre, McMaster University; Charlton Healthcare and St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada; Wade Outcomes Research and Consulting, Salt Lake City, Utah; Global Health Economics, Clinical Development, Amgen Inc., Thousand Oaks, California, USA.,A.N. Lau, MD, Assistant Professor, Division of Rheumatology, McMaster University; M. Wong-Pack, BHSc, Faculty of Health Sciences, McMaster University; R. Rodjanapiches, BHSc, Faculty of Health Sciences, McMaster University; G. Ioannidis, MSc, PhD, GERAS Scientist, Geriatric Education and Research in Aging Sciences Centre and Assistant Professor (part-time), divisions of Rheumatology and Geriatrics, McMaster University and Hamilton Health Sciences, St. Peter's Hospital; S. Wade, MPH, Consultant, Wade Outcomes Research and Consulting; L. Spangler, VMD, PhD, Senior Manager, Global Health Economics, Amgen Inc.; A. Balasubramanian, MPH, PhD, Observational Research Senior Manager, Center for Observational Research, Amgen Inc.; N. Pannacciulli, MD, PhD, Clinical Research Medical Director, Clinical Development, Amgen Inc.; C.J. Lin, MD, currently Genentech, South San Francisco, California, USA; P. Roy-Gayos, BSc, Faculty of Science, McMaster University; W.G. Bensen, MD, Clinical Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton; R. Bensen, MSc, Charlton Healthcare Hamilton and St. Joseph's Healthcare Hamilton; J.D. Adachi, MD, Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton
| | - George Ioannidis
- From the Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, Faculty of Science, and Geriatric Education and Research in Aging Sciences Centre, McMaster University; Charlton Healthcare and St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada; Wade Outcomes Research and Consulting, Salt Lake City, Utah; Global Health Economics, Clinical Development, Amgen Inc., Thousand Oaks, California, USA.,A.N. Lau, MD, Assistant Professor, Division of Rheumatology, McMaster University; M. Wong-Pack, BHSc, Faculty of Health Sciences, McMaster University; R. Rodjanapiches, BHSc, Faculty of Health Sciences, McMaster University; G. Ioannidis, MSc, PhD, GERAS Scientist, Geriatric Education and Research in Aging Sciences Centre and Assistant Professor (part-time), divisions of Rheumatology and Geriatrics, McMaster University and Hamilton Health Sciences, St. Peter's Hospital; S. Wade, MPH, Consultant, Wade Outcomes Research and Consulting; L. Spangler, VMD, PhD, Senior Manager, Global Health Economics, Amgen Inc.; A. Balasubramanian, MPH, PhD, Observational Research Senior Manager, Center for Observational Research, Amgen Inc.; N. Pannacciulli, MD, PhD, Clinical Research Medical Director, Clinical Development, Amgen Inc.; C.J. Lin, MD, currently Genentech, South San Francisco, California, USA; P. Roy-Gayos, BSc, Faculty of Science, McMaster University; W.G. Bensen, MD, Clinical Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton; R. Bensen, MSc, Charlton Healthcare Hamilton and St. Joseph's Healthcare Hamilton; J.D. Adachi, MD, Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton
| | - Sally Wade
- From the Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, Faculty of Science, and Geriatric Education and Research in Aging Sciences Centre, McMaster University; Charlton Healthcare and St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada; Wade Outcomes Research and Consulting, Salt Lake City, Utah; Global Health Economics, Clinical Development, Amgen Inc., Thousand Oaks, California, USA.,A.N. Lau, MD, Assistant Professor, Division of Rheumatology, McMaster University; M. Wong-Pack, BHSc, Faculty of Health Sciences, McMaster University; R. Rodjanapiches, BHSc, Faculty of Health Sciences, McMaster University; G. Ioannidis, MSc, PhD, GERAS Scientist, Geriatric Education and Research in Aging Sciences Centre and Assistant Professor (part-time), divisions of Rheumatology and Geriatrics, McMaster University and Hamilton Health Sciences, St. Peter's Hospital; S. Wade, MPH, Consultant, Wade Outcomes Research and Consulting; L. Spangler, VMD, PhD, Senior Manager, Global Health Economics, Amgen Inc.; A. Balasubramanian, MPH, PhD, Observational Research Senior Manager, Center for Observational Research, Amgen Inc.; N. Pannacciulli, MD, PhD, Clinical Research Medical Director, Clinical Development, Amgen Inc.; C.J. Lin, MD, currently Genentech, South San Francisco, California, USA; P. Roy-Gayos, BSc, Faculty of Science, McMaster University; W.G. Bensen, MD, Clinical Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton; R. Bensen, MSc, Charlton Healthcare Hamilton and St. Joseph's Healthcare Hamilton; J.D. Adachi, MD, Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton
| | - Leslie Spangler
- From the Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, Faculty of Science, and Geriatric Education and Research in Aging Sciences Centre, McMaster University; Charlton Healthcare and St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada; Wade Outcomes Research and Consulting, Salt Lake City, Utah; Global Health Economics, Clinical Development, Amgen Inc., Thousand Oaks, California, USA.,A.N. Lau, MD, Assistant Professor, Division of Rheumatology, McMaster University; M. Wong-Pack, BHSc, Faculty of Health Sciences, McMaster University; R. Rodjanapiches, BHSc, Faculty of Health Sciences, McMaster University; G. Ioannidis, MSc, PhD, GERAS Scientist, Geriatric Education and Research in Aging Sciences Centre and Assistant Professor (part-time), divisions of Rheumatology and Geriatrics, McMaster University and Hamilton Health Sciences, St. Peter's Hospital; S. Wade, MPH, Consultant, Wade Outcomes Research and Consulting; L. Spangler, VMD, PhD, Senior Manager, Global Health Economics, Amgen Inc.; A. Balasubramanian, MPH, PhD, Observational Research Senior Manager, Center for Observational Research, Amgen Inc.; N. Pannacciulli, MD, PhD, Clinical Research Medical Director, Clinical Development, Amgen Inc.; C.J. Lin, MD, currently Genentech, South San Francisco, California, USA; P. Roy-Gayos, BSc, Faculty of Science, McMaster University; W.G. Bensen, MD, Clinical Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton; R. Bensen, MSc, Charlton Healthcare Hamilton and St. Joseph's Healthcare Hamilton; J.D. Adachi, MD, Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton
| | - Akhila Balasubramanian
- From the Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, Faculty of Science, and Geriatric Education and Research in Aging Sciences Centre, McMaster University; Charlton Healthcare and St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada; Wade Outcomes Research and Consulting, Salt Lake City, Utah; Global Health Economics, Clinical Development, Amgen Inc., Thousand Oaks, California, USA.,A.N. Lau, MD, Assistant Professor, Division of Rheumatology, McMaster University; M. Wong-Pack, BHSc, Faculty of Health Sciences, McMaster University; R. Rodjanapiches, BHSc, Faculty of Health Sciences, McMaster University; G. Ioannidis, MSc, PhD, GERAS Scientist, Geriatric Education and Research in Aging Sciences Centre and Assistant Professor (part-time), divisions of Rheumatology and Geriatrics, McMaster University and Hamilton Health Sciences, St. Peter's Hospital; S. Wade, MPH, Consultant, Wade Outcomes Research and Consulting; L. Spangler, VMD, PhD, Senior Manager, Global Health Economics, Amgen Inc.; A. Balasubramanian, MPH, PhD, Observational Research Senior Manager, Center for Observational Research, Amgen Inc.; N. Pannacciulli, MD, PhD, Clinical Research Medical Director, Clinical Development, Amgen Inc.; C.J. Lin, MD, currently Genentech, South San Francisco, California, USA; P. Roy-Gayos, BSc, Faculty of Science, McMaster University; W.G. Bensen, MD, Clinical Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton; R. Bensen, MSc, Charlton Healthcare Hamilton and St. Joseph's Healthcare Hamilton; J.D. Adachi, MD, Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton
| | - Nicola Pannacciulli
- From the Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, Faculty of Science, and Geriatric Education and Research in Aging Sciences Centre, McMaster University; Charlton Healthcare and St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada; Wade Outcomes Research and Consulting, Salt Lake City, Utah; Global Health Economics, Clinical Development, Amgen Inc., Thousand Oaks, California, USA.,A.N. Lau, MD, Assistant Professor, Division of Rheumatology, McMaster University; M. Wong-Pack, BHSc, Faculty of Health Sciences, McMaster University; R. Rodjanapiches, BHSc, Faculty of Health Sciences, McMaster University; G. Ioannidis, MSc, PhD, GERAS Scientist, Geriatric Education and Research in Aging Sciences Centre and Assistant Professor (part-time), divisions of Rheumatology and Geriatrics, McMaster University and Hamilton Health Sciences, St. Peter's Hospital; S. Wade, MPH, Consultant, Wade Outcomes Research and Consulting; L. Spangler, VMD, PhD, Senior Manager, Global Health Economics, Amgen Inc.; A. Balasubramanian, MPH, PhD, Observational Research Senior Manager, Center for Observational Research, Amgen Inc.; N. Pannacciulli, MD, PhD, Clinical Research Medical Director, Clinical Development, Amgen Inc.; C.J. Lin, MD, currently Genentech, South San Francisco, California, USA; P. Roy-Gayos, BSc, Faculty of Science, McMaster University; W.G. Bensen, MD, Clinical Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton; R. Bensen, MSc, Charlton Healthcare Hamilton and St. Joseph's Healthcare Hamilton; J.D. Adachi, MD, Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton
| | - Celia J F Lin
- From the Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, Faculty of Science, and Geriatric Education and Research in Aging Sciences Centre, McMaster University; Charlton Healthcare and St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada; Wade Outcomes Research and Consulting, Salt Lake City, Utah; Global Health Economics, Clinical Development, Amgen Inc., Thousand Oaks, California, USA.,A.N. Lau, MD, Assistant Professor, Division of Rheumatology, McMaster University; M. Wong-Pack, BHSc, Faculty of Health Sciences, McMaster University; R. Rodjanapiches, BHSc, Faculty of Health Sciences, McMaster University; G. Ioannidis, MSc, PhD, GERAS Scientist, Geriatric Education and Research in Aging Sciences Centre and Assistant Professor (part-time), divisions of Rheumatology and Geriatrics, McMaster University and Hamilton Health Sciences, St. Peter's Hospital; S. Wade, MPH, Consultant, Wade Outcomes Research and Consulting; L. Spangler, VMD, PhD, Senior Manager, Global Health Economics, Amgen Inc.; A. Balasubramanian, MPH, PhD, Observational Research Senior Manager, Center for Observational Research, Amgen Inc.; N. Pannacciulli, MD, PhD, Clinical Research Medical Director, Clinical Development, Amgen Inc.; C.J. Lin, MD, currently Genentech, South San Francisco, California, USA; P. Roy-Gayos, BSc, Faculty of Science, McMaster University; W.G. Bensen, MD, Clinical Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton; R. Bensen, MSc, Charlton Healthcare Hamilton and St. Joseph's Healthcare Hamilton; J.D. Adachi, MD, Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton
| | - Patrick Roy-Gayos
- From the Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, Faculty of Science, and Geriatric Education and Research in Aging Sciences Centre, McMaster University; Charlton Healthcare and St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada; Wade Outcomes Research and Consulting, Salt Lake City, Utah; Global Health Economics, Clinical Development, Amgen Inc., Thousand Oaks, California, USA.,A.N. Lau, MD, Assistant Professor, Division of Rheumatology, McMaster University; M. Wong-Pack, BHSc, Faculty of Health Sciences, McMaster University; R. Rodjanapiches, BHSc, Faculty of Health Sciences, McMaster University; G. Ioannidis, MSc, PhD, GERAS Scientist, Geriatric Education and Research in Aging Sciences Centre and Assistant Professor (part-time), divisions of Rheumatology and Geriatrics, McMaster University and Hamilton Health Sciences, St. Peter's Hospital; S. Wade, MPH, Consultant, Wade Outcomes Research and Consulting; L. Spangler, VMD, PhD, Senior Manager, Global Health Economics, Amgen Inc.; A. Balasubramanian, MPH, PhD, Observational Research Senior Manager, Center for Observational Research, Amgen Inc.; N. Pannacciulli, MD, PhD, Clinical Research Medical Director, Clinical Development, Amgen Inc.; C.J. Lin, MD, currently Genentech, South San Francisco, California, USA; P. Roy-Gayos, BSc, Faculty of Science, McMaster University; W.G. Bensen, MD, Clinical Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton; R. Bensen, MSc, Charlton Healthcare Hamilton and St. Joseph's Healthcare Hamilton; J.D. Adachi, MD, Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton
| | - William G Bensen
- From the Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, Faculty of Science, and Geriatric Education and Research in Aging Sciences Centre, McMaster University; Charlton Healthcare and St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada; Wade Outcomes Research and Consulting, Salt Lake City, Utah; Global Health Economics, Clinical Development, Amgen Inc., Thousand Oaks, California, USA.,A.N. Lau, MD, Assistant Professor, Division of Rheumatology, McMaster University; M. Wong-Pack, BHSc, Faculty of Health Sciences, McMaster University; R. Rodjanapiches, BHSc, Faculty of Health Sciences, McMaster University; G. Ioannidis, MSc, PhD, GERAS Scientist, Geriatric Education and Research in Aging Sciences Centre and Assistant Professor (part-time), divisions of Rheumatology and Geriatrics, McMaster University and Hamilton Health Sciences, St. Peter's Hospital; S. Wade, MPH, Consultant, Wade Outcomes Research and Consulting; L. Spangler, VMD, PhD, Senior Manager, Global Health Economics, Amgen Inc.; A. Balasubramanian, MPH, PhD, Observational Research Senior Manager, Center for Observational Research, Amgen Inc.; N. Pannacciulli, MD, PhD, Clinical Research Medical Director, Clinical Development, Amgen Inc.; C.J. Lin, MD, currently Genentech, South San Francisco, California, USA; P. Roy-Gayos, BSc, Faculty of Science, McMaster University; W.G. Bensen, MD, Clinical Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton; R. Bensen, MSc, Charlton Healthcare Hamilton and St. Joseph's Healthcare Hamilton; J.D. Adachi, MD, Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton
| | - Robert Bensen
- From the Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, Faculty of Science, and Geriatric Education and Research in Aging Sciences Centre, McMaster University; Charlton Healthcare and St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada; Wade Outcomes Research and Consulting, Salt Lake City, Utah; Global Health Economics, Clinical Development, Amgen Inc., Thousand Oaks, California, USA.,A.N. Lau, MD, Assistant Professor, Division of Rheumatology, McMaster University; M. Wong-Pack, BHSc, Faculty of Health Sciences, McMaster University; R. Rodjanapiches, BHSc, Faculty of Health Sciences, McMaster University; G. Ioannidis, MSc, PhD, GERAS Scientist, Geriatric Education and Research in Aging Sciences Centre and Assistant Professor (part-time), divisions of Rheumatology and Geriatrics, McMaster University and Hamilton Health Sciences, St. Peter's Hospital; S. Wade, MPH, Consultant, Wade Outcomes Research and Consulting; L. Spangler, VMD, PhD, Senior Manager, Global Health Economics, Amgen Inc.; A. Balasubramanian, MPH, PhD, Observational Research Senior Manager, Center for Observational Research, Amgen Inc.; N. Pannacciulli, MD, PhD, Clinical Research Medical Director, Clinical Development, Amgen Inc.; C.J. Lin, MD, currently Genentech, South San Francisco, California, USA; P. Roy-Gayos, BSc, Faculty of Science, McMaster University; W.G. Bensen, MD, Clinical Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton; R. Bensen, MSc, Charlton Healthcare Hamilton and St. Joseph's Healthcare Hamilton; J.D. Adachi, MD, Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton
| | - Jonathan D Adachi
- From the Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, Faculty of Science, and Geriatric Education and Research in Aging Sciences Centre, McMaster University; Charlton Healthcare and St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada; Wade Outcomes Research and Consulting, Salt Lake City, Utah; Global Health Economics, Clinical Development, Amgen Inc., Thousand Oaks, California, USA.,A.N. Lau, MD, Assistant Professor, Division of Rheumatology, McMaster University; M. Wong-Pack, BHSc, Faculty of Health Sciences, McMaster University; R. Rodjanapiches, BHSc, Faculty of Health Sciences, McMaster University; G. Ioannidis, MSc, PhD, GERAS Scientist, Geriatric Education and Research in Aging Sciences Centre and Assistant Professor (part-time), divisions of Rheumatology and Geriatrics, McMaster University and Hamilton Health Sciences, St. Peter's Hospital; S. Wade, MPH, Consultant, Wade Outcomes Research and Consulting; L. Spangler, VMD, PhD, Senior Manager, Global Health Economics, Amgen Inc.; A. Balasubramanian, MPH, PhD, Observational Research Senior Manager, Center for Observational Research, Amgen Inc.; N. Pannacciulli, MD, PhD, Clinical Research Medical Director, Clinical Development, Amgen Inc.; C.J. Lin, MD, currently Genentech, South San Francisco, California, USA; P. Roy-Gayos, BSc, Faculty of Science, McMaster University; W.G. Bensen, MD, Clinical Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton; R. Bensen, MSc, Charlton Healthcare Hamilton and St. Joseph's Healthcare Hamilton; J.D. Adachi, MD, Professor, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton
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