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Research Output at NOVA 1984 2019

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Article
2019
1 Citation (Scopus)

Algorithm for the Use of Biochemical Markers of Bone Turnover in the Diagnosis, Assessment and Follow-Up of Treatment for Osteoporosis

Lorentzon, M., Branco, J., Brandi, M. L., Bruyère, O., Chapurlat, R., Cooper, C., Cortet, B., Diez-Perez, A., Ferrari, S., Gasparik, A., Herrmann, M., Jorgensen, N. R., Kanis, J., Kaufman, J. M., Laslop, A., Locquet, M., Matijevic, R., McCloskey, E., Minisola, S., Pikner, R. & 5 others, Reginster, J. Y., Rizzoli, R., Szulc, P., Vlaskovska, M. & Cavalier, E., Oct 2019, In : Advances In Therapy. 36, 10

Research output: Contribution to journalArticle

Bone Remodeling
Osteoporosis
Biomarkers
Bone and Bones
Diphosphonates
3 Citations (Scopus)

A new decision tree for diagnosis of osteoarthritis in primary care: international consensus of experts

Martel-Pelletier, J., Maheu, E., Pelletier, J. P., Alekseeva, L., Mkinsi, O., Branco, J., Monod, P., Planta, F., Reginster, J. Y. & Rannou, F., 25 Jan 2019, In : Aging Clinical and Experimental Research. 31, 1, p. 19-30

Research output: Contribution to journalArticle

Decision Trees
Osteoarthritis
Primary Health Care
Guidelines
General Practitioners

Food Insecurity in Portugal Among Middle- and Older-Aged Adults at a Time of Economic Crisis Recovery: Prevalence and Determinants

Maia, I., Monjardino, T., Frias, B., Canhão, H., Cunha Branco, J., Lucas, R. & Santos, A. C., 1 Dec 2019, In : Food and nutrition bulletin. 40, 4, p. 504-513 10 p.

Research output: Contribution to journalArticle

Portugal
Food Supply
nutrition situation
food security
economic crisis
1 Downloads (Pure)

Interdisciplinary stratified care for low back pain: A qualitative study on the acceptability, potential facilitators and barriers to implementation

Caeiro, C., Canhão, H., Paiva, S., Gomes, L. A., Fernandes, R., Rodrigues, A. M., Sousa, R., Pimentel-Santos, F., Branco, J., Fryxell, A. C., Vicente, L. & Cruz, E. B., 2019, In : PLoS ONE. 14, 11, p. e0225336

Research output: Contribution to journalArticle

Open Access
File
focus groups
back (body region)
Low Back Pain
Focus Groups
pain

Is a combined programme of manual therapy and exercise more effective than usual care in patients with non-specific chronic neck pain? A randomized controlled trial

Domingues, L., Pimentel-Santos, F. M., Cruz, E. B., Sousa, A. C., Santos, A., Cordovil, A., Correia, A., Torres, L. S., Silva, A., Branco, P. S. & Branco, J. C., Dec 2019, In : Clinical Rehabilitation. 33, 12, p. 1908-1918

Research output: Contribution to journalArticle

Musculoskeletal Manipulations
Neck Pain
Chronic Pain
Patient Care
Randomized Controlled Trials
1 Downloads (Pure)

Low persistence with oral biphosphonate treatment in postmenopausal osteoporosis

Torre, C., Guerreiro, J., Mendes, Z., Miranda, A., Bragança, F., Cristino, J., Canhão, H. & Branco, J. C., 8 Jul 2019, In : Acta reumatologica portuguesa. 44, 2, p. 114-125 12 p.

Research output: Contribution to journalArticle

Open Access
File
Postmenopausal Osteoporosis
Diphosphonates
Therapeutics
Osteoporotic Fractures
Medication Adherence

Non-supervised breathing exercise regimen in women with fibromyalgia: A quasi-experimental exploratory study

Tomas-Carus, P., Garrido, M., Branco, J. C., Castaño, M. Y., Gómez, M. Á. & Biehl-Printes, C., 1 May 2019, In : Complementary Therapies in Clinical Practice. 35, p. 170-176 7 p.

Research output: Contribution to journalArticle

Breathing Exercises
Fibromyalgia
Pain Threshold
Pain
Self Care

Novel Approach to Estimate Osteoarthritis Progression: Use of the Reliable Change Index in the Evaluation of Joint Space Loss

Parsons, C. M., Judge, A., Leyland, K., Bruyère, O., Petit Dop, F., Chapurlat, R., Reginster, J. Y., Edwards, M. H., Dennison, E. M., Cooper, C., Inskip, H., Christiansen, C., Delmas, P., Genant, H., Zacher, J., Bellamy, N., Speirs, C., Bréart, G., Meyer, O., Gensburger, D. & 29 others, Arlot, M., Roux, J. P., Deroisy, R., Sambrook, P., Leeb, B., Verbruggen, A., Bensen, W., Hala, T., Holm-Bentzen, M., Valter, I., Chevalier, X., Swoboda, B., Adami, S., Kloppenburg, M., Grazuleviciute, E., Badurski, J., Branco, J., Nasonov, E., Navarro, F., Spector, T., Barnsley, L., Hall, S., Jones, G., Klestov, A., March, L., Nash, P., Romas, E., Will, R. & Erlacher, L., 1 Feb 2019, In : Arthritis Care and Research. 71, 2, p. 300-307 8 p.

Research output: Contribution to journalArticle

Osteoarthritis
Joints
Knee Osteoarthritis
strontium ranelate
Placebos
2 Citations (Scopus)

Patients’ preferences for osteoarthritis treatment: the value of stated-preference studies

Hiligsmann, M., Pinto, D., Dennison, E., Al-Daghri, N., Beaudart, C., Branco, J., Bruyère, O., Conaghan, P. G., Cooper, C., Herrero-Beaumont, G., Jiwa, F., Lems, W., Rizzoli, R., Thomas, T., Veronese, N. & Reginster, J. Y., 2019, In : Aging Clinical and Experimental Research. 31, 1, p. 1-3

Research output: Contribution to journalArticle

1 Citation (Scopus)
Referral and Consultation
Population
Musculoskeletal Diseases
Rheumatic Diseases
Epidemiologic Studies
2 Downloads (Pure)

POEMS Syndrome: a puzzling case

Lopes, C., Costa, T., Mateus, M. & Branco, J. C., Jan 2019, In : Acta reumatologica portuguesa. 44, 1, p. 84-85 2 p.

Research output: Contribution to journalArticle

Open Access
File

Predictors and causes of first-line biologic agent discontinuation in rheumatoid arthritis: data from Reuma.pt

Gomes, J. L., Sepriano, A., Eusébio, M., Serra, S., Fonseca, J. E., Saavedra, M. J., Cunha-Miranda, L., Silva, C., Bernardes, M., Rosa-Gonçalves, D., Costa, J., Castelão, W., Branco, J. C. & Santos, M. J., Jan 2019, In : Acta reumatologica portuguesa. 44, 1, p. 57-64 8 p.

Research output: Contribution to journalArticle

Open Access
File
Antirheumatic Agents
Biological Factors
Rheumatoid Arthritis
ametantrone
Therapeutics
1 Citation (Scopus)
Osteoporosis
Logistic Models
Population
Densitometry
Minerals

Translation, cross-cultural adaptation and validation of the Osteoarthritis Quality of Life (OAQoL) questionnaire for use in Portugal

Gomes, J. L., Águeda, A. F., Heaney, A., Duarte, C., Lopes, C., Costa, T., Marona, J., Rodrigues-Manica, S., Maia, S., Costa, M., Branco, J. C., McKenna, S. P., Barcelos, A. & Pimentel-Santos, F. M., Apr 2019, In : Rheumatology International. 39, 4, p. 715-722

Research output: Contribution to journalArticle

Portugal
Osteoarthritis
Quality of Life
Surveys and Questionnaires
Interviews
6 Citations (Scopus)

Type 2 diabetes mellitus and osteoarthritis

Veronese, N., Cooper, C., Reginster, J. Y., Hochberg, M., Branco, J., Bruyère, O., Chapurlat, R., Al-Daghri, N., Dennison, E., Herrero-Beaumont, G., Kaux, J. F., Maheu, E., Rizzoli, R., Roth, R., Rovati, L. C., Uebelhart, D., Vlaskovska, M. & Scheen, A., Aug 2019, In : Seminars in Arthritis and Rheumatism. 49, 1, p. 9-19

Research output: Contribution to journalArticle

Osteoarthritis
Type 2 Diabetes Mellitus
Safety
Joints
Glucosamine
2018
2 Citations (Scopus)
Sjogren's Syndrome
B-Lymphocytes
Lymphocyte Subsets
ROC Curve
Flow Cytometry
4 Citations (Scopus)

Breathing Exercises Must Be a Real and Effective Intervention to Consider in Women with Fibromyalgia: A Pilot Randomized Controlled Trial

Tomás-Carús, P., Branco, J. C., Raimundo, A., Parraca, J. A., Batalha, N. & Biehl-Printes, C., Aug 2018, In : Journal of alternative and complementary medicine (New York, N.Y.). 24, 8, p. 825-832

Research output: Contribution to journalArticle

Breathing Exercises
Fibromyalgia
Randomized Controlled Trials
Pain Threshold
Fatigue

Breathing Exercises Must Be a Real and Effective Intervention to Consider in Women with Fibromyalgia: A Pilot Randomized Controlled Trial

Tomas-Carus, P., Branco, J. C., Raimundo, A., Parraca, J. A., Batalha, N. & Biehl-Printes, C., Aug 2018, In : Journal of alternative and complementary medicine (New York, N.Y.). 24, 8, p. 825-832

Research output: Contribution to journalArticle

10 Citations (Scopus)
45 Downloads (Pure)
Open Access
File
Portugal
Comorbidity
Azores
Life Style
Chronic Disease
6 Citations (Scopus)
12 Downloads (Pure)

Common evaluations of disease activity in rheumatoid arthritis reach discordant classifications across different populations.

Canhao, H., Rodrigues, A. M. F., Gregório, M. J. B., Dias, S. A. F. M. S., Gomes, J. A., Santos, M. J., Faustino, A., Costa, J. A., Aliaart, C., Gvozdenovic, E., van der Heijde, D., Machado, P., Branco, J. C., Fonseca, J. E. & Silva, J. A., 8 Mar 2018, In : Frontiers in medicine. 5, p. 40

Research output: Contribution to journalArticle

Open Access
File
31 Downloads (Pure)
Open Access
File
Mediterranean Diet
Food Supply
Health
Food
Portugal
12 Citations (Scopus)

Inequity in access to bDMARD care and how it influences disease outcomes across countries worldwide: results from the METEOR-registry

Bergstra, S. A., Branco, J. C., Vega-Morales, D., Salomon-Escoto, K., Govind, N., Allaart, C. F. & Landewé, R. B. M., Oct 2018, In : Annals of the rheumatic diseases. 77, 10, p. 1413-1420

Research output: Contribution to journalArticle

Antirheumatic Agents
Registries
Social Class
Prescriptions
ametantrone
4 Downloads (Pure)

More than Ankylosing Spondylitis

Costa, T., Falcao, S., Mateus, M. & Branco, J., Jan 2018, In : Acta reumatologica portuguesa. 43, 1, p. 66-67 2 p.

Research output: Contribution to journalArticle

Open Access
File
158 Downloads (Pure)

Ozonoterapia na Osteoartrose do Joelho: Revisão Sistemática

Translated title of the contribution: Ozone Therapy in Knee Osteoarthritis: A Systematic ReviewCosta, T., Rodrigues-Manica, S., Lopes, C., Gomes, J., Marona, J., Falcão, S. & Branco, J., 31 Oct 2018, In : Acta medica portuguesa. 31, 10, p. 576-580 5 p.

Research output: Contribution to journalArticle

Open Access
File
Knee Osteoarthritis
Ozone
Therapeutics
Hyaluronic Acid
PubMed
1 Citation (Scopus)
28 Downloads (Pure)

Portuguese recommendations for the prevention, diagnosis and management of primary osteoporosis-2018 update

Rodrigues, A. M., Canhao, H., Marques, A., Ambrosio, C., Borges, J., Coelho, P., Costa, L., Fernandes, S., Goncalves, I., Goncalves, M. J., Guerra, M., Marques, M. L., Pimenta, S., Pinto, P., Sequeira, G., Simoes, E., Teixeira, L., Vaz, C., Vieira-Sousa, E., Vieira, R. & 35 others, Alvarenga, F., Araujo, F., Barcelos, A., Barcelos, F., Barros, R., Bernardes, M., Canas da Silva, J., Cordeiro, A., Costa, M., Cunha-Miranda, L., Cruz, M., Duarte, A. C., Duarte, C., Faustino, A., Figueiredo, G., Fonseca, J. E., Furtado, C., Gomes, J., Lopes, C., Mourao, A. F., Oliveira, M., Pimentel-Santos, F. M., Ribeiro, A., Sampaio da Novoa, T., Santiago, M., Silva, C., Silva-Dinis, Sousa, S., Tavares-Costa, J., Terroso, G., Vilar, A., Branco, J. C., Tavares, V., Romeu, J. C. & da Silva, J. A. P., Feb 2018, In : Acta reumatologica portuguesa. 43, 1, p. 123-144 22 p.

Research output: Contribution to journalArticle

Open Access
File
2 Downloads (Pure)

Prognostic factors for recovery and non-recovery in patients with non-specific neck pain: a protocol for a systematic literature review

Domingues, L., Cruz, E. B., Pimentel-Santos, F. M., Ramiro, S., Donato, H., Manica, S. R., Hayden, J. A., Buchbinder, R. & Branco, J. C., 25 Nov 2018, In : BMJ open. 8, 11, p. e023356

Research output: Contribution to journalArticle

Open Access
File
Neck Pain
pain
disability
Library Science
Databases
4 Citations (Scopus)
1 Downloads (Pure)

Sleep duration, lifestyles and chronic diseases: A cross-sectional population-based study

Reis, C., Dias, S., Rodrigues, A. M., Sousa, R. D., Gregório, M. J., Branco, J., Canhão, H. & Paiva, T., 1 Jan 2018, In : Sleep Science. 11, 4, p. 217-230 14 p.

Research output: Contribution to journalArticle

Open Access
File
Silver Sulfadiazine
Life Style
Sleep
Chronic Disease
Lysergic Acid Diethylamide
2 Citations (Scopus)

The burden and undertreatment of fragility fractures among senior women

Rodrigues, A. M., Eusébio, M., Santos, M. J., Gouveia, N., Tavares, V., Coelho, P. S., Mendes, J. M., Branco, J. C. & Canhão, H., 1 Dec 2018, In : Archives of Osteoporosis. 13, 1, 22.

Research output: Contribution to journalArticle

Osteoporosis
Wrist
Therapeutics
ametantrone
Quality of Life
4 Citations (Scopus)
10 Downloads (Pure)

The impact of osteoarthritis on early exit from work: results from a population-based study

Laires, P. A., Canhão, H., Rodrigues, A. M., Eusébio, M., Gouveia, M. & Branco, J. C., 11 Apr 2018, In : BMC Public Health. 18, 1, p. 472

Research output: Contribution to journalArticle

Open Access
File
Osteoarthritis
Population
Economics
Pain
Gross Domestic Product
6 Citations (Scopus)
Ultrasonics
Throughput
Mass spectrometry
Ultrasonic devices
Proteins
2017
11 Citations (Scopus)
10 Downloads (Pure)
Open Access
File
Anxiety
Depression
ametantrone
Cohort Studies
Quality of Life
5 Citations (Scopus)

Can health care providers recognise a fibromyalgia personality?

Da Silva, J. A. P., Jacobs, J. W. G., Branco, J., Canaipa, R., Gaspar, M. F., Griep, E. N., van Helmond, T., Oliveira, P. J., Zijlstra, T. R. & Geenen, R., 2017, In : Clinical and Experimental Rheumatology. 35, p. 43-49 7 p.

Research output: Contribution to journalArticle

Fibromyalgia
Health Personnel
Personality
ROC Curve
7 Downloads (Pure)
Open Access
File
20 Downloads (Pure)

Doença intersticial pulmonar grave e mania induzida por corticosteróides em doente com lúpus eritematoso sistémico e síndrome de Sjögren secundária

Translated title of the contribution: Severe interstitial lung disease and manic symptoms secondary to corticosteroids in a patient with systemic lupus erythematosus and secondary Sjögren’s syndromeSerra, S. S., Pedrosa, T., Falcão, S. & Branco, J., 1 Mar 2017, In : Acta medica portuguesa. 30, 3, p. 246-250 5 p.

Research output: Contribution to journalArticle

Open Access
File
Interstitial Lung Diseases
Systemic Lupus Erythematosus
Adrenal Cortex Hormones
Prednisolone
Mycophenolic Acid
3 Citations (Scopus)

Effects of a respiratory functional training program on pain and sleep quality in patients with fibromyalgia: A pilot study

Garrido, M., Castaño, M. Y., Biehl-Printes, C., Gomez, M. A., Branco, J., Tomas-Carus, P. & Rodriguez, A. B., 1 Aug 2017, In : Complementary Therapies in Clinical Practice. 28, p. 116-121 6 p.

Research output: Contribution to journalArticle

Fibromyalgia
Sleep
Education
Pain
Actigraphy
196 Citations (Scopus)

EULAR revised recommendations for the management of fibromyalgia

Macfarlane, G. J., Kronisch, C., Dean, L. E., Atzeni, F., Häuser, W., Flub, E., Choy, E., Kosek, E., Amris, K., Branco, J., Dincer, F., Leino-Arjas, P., Longle, K., McCarthy, G. M., Makri, S., Perrot, S., Sarzi-Puttini, P., Taylor, A. & Jones, G. T., Feb 2017, In : Annals of the rheumatic diseases. 76, 2, p. 318-328 11 p.

Research output: Contribution to journalArticle

Fibromyalgia
Meta-Analysis
Expert Testimony
Sleep
Drug therapy
2 Citations (Scopus)
3 Downloads (Pure)

Health and Lifestyles Factors Associated With Osteoarthritis among Older Adults in Portugal

Duarte, N., Rodrigues, A. M., Branco, J. D. C., Canhão, H., Hughes, S. L. & Paúl, C., 8 Nov 2017, In : Frontiers in medicine. 4, p. Online 7 p.

Research output: Contribution to journalArticle

Open Access
File
Portugal
Osteoarthritis
Life Style
Health
Exercise
21 Downloads (Pure)
Open Access
File
Food Supply
Randomized Controlled Trials
Food
Population
Economics
1 Citation (Scopus)

Impaired Pain Modulation in Fibromyalgia Patients in Response to Social Distress Manipulation

Canaipa, R., Castro-Caldas, A., Moreira, J. M., Pimentel-Santos, F., Branco, J. & Treister, R., Jul 2017, In : The Clinical journal of pain. p. 611-619 9 p.

Research output: Contribution to journalArticle

Fibromyalgia
Pain
Rheumatoid Arthritis
Chronic Pain
Hot Temperature
1 Citation (Scopus)
1 Downloads (Pure)

Portuguese translation, cross-cultural adaptation and reliability of the questionnaire «Start Back Screening Tool» (SBST)

Raimundo, A., Parraça, J., Batalha, N., Tomas-Carus, P., Branco, J., Hill, J. & Gusi, N., Jan 2017, In : Acta reumatologica portuguesa. 42, 1, p. 38-46 9 p.

Research output: Contribution to journalArticle

Open Access
File
Low Back Pain
Portugal
Semantics
Interviews
Psychometrics
4 Citations (Scopus)

Potential role of age, sex, body mass index and pain to identify patients with knee osteoarthritis

Pereira, D., Severo, M., Ramos, E., Branco, J., Santos, R. A., Costa, M. L., Lucas, M. R. & Barros, H., Feb 2017, In : International Journal of Rheumatic Diseases. 20, 2, p. 190-198 9 p.

Research output: Contribution to journalArticle

Knee Osteoarthritis
Body Mass Index
Pain
Osteoarthritis
Knee
6 Citations (Scopus)

The challenge of the definition of early symptomatic knee osteoarthritis: a proposal of criteria and red flags from an international initiative promoted by the Italian Society for Rheumatology

Migliore, A., Scirè, C. A., Carmona, L., Beaumont, G. H., Bizzi, E., Branco, J., Carrara, G., Chevalier, X., Collaku, L., Aslanidis, S., Denisov, L., Di Matteo, L., Bianchi, G., Diracoglu, D., Frediani, B., Maheu, E., Martusevich, N., Bagnato, G. F., Scarpellini, M., Minisola, G. & 9 others, Akkoc, N., Ramonda, R., Barskova, T., Babic-Naglic, D., Muelas, J. V. M., Ionescu, R., Rashkov, R., Damjanov, N. & Cerinic, M. M., Aug 2017, In : Rheumatology International. 37, 8, p. 1227-1236 10 p.

Research output: Contribution to journalArticle

Knee Osteoarthritis
Rheumatology
Knee
Wounds and Injuries
Pain
5 Citations (Scopus)
Low Back Pain
Analgesics
Pain
Odds Ratio
Anti-Inflammatory Agents

Translation, adaptation and psychometric evaluation of the instrument Activity Record (ACTRE)

Quaresma, C., Silva, C., Secca, M. F., O'Neill, J. G., Branco, J. & Marques, A., 1 Apr 2017, In : Acta reumatologica portuguesa. 42, 2, p. 168-175 8 p.

Research output: Contribution to journalArticle

1 Citation (Scopus)

Translation and cross-cultural adaptation of the ASAS Health Index and ASAS environmental factors item set into European Portuguese language

Cruz, E. B., Ramiro, S., Machado, P., Sousa, S., Aguiar, R., Sepriano, A., Rodrigues-Manica, S., Kiltz, U., Branco, J. & Pimentel-Santos, F. M., 2017, In : Acta reumatologica portuguesa. 2017, 3, p. 256-262 7 p.

Research output: Contribution to journalArticle

Open Access
File
Language
Health
International Classification of Functioning, Disability and Health
Process Assessment (Health Care)
Linguistics
2016
3 Citations (Scopus)

Assessing quality of life of self-reported rheumatic patients

Ferreira, P. L., Gonçalves, S. P., Ferreira, L. N., Pereira, L. N., Antunes, P., Gouveia, N., Rodrigues, A., Canhão, H. & Branco, J., 1 Sep 2016, In : Rheumatology International. 36, 9, p. 1265-1274 10 p.

Research output: Contribution to journalArticle

Rheumatic Diseases
Quality of Life
Health Status
Population
Surveys and Questionnaires
2 Downloads (Pure)

Construção e validação da Tabela Nacional de Funcionalidade para as Doenças Crónicas

Translated title of the contribution: Development and Validation of the National Functionality Table for Chronic DiseasesPereira, C. S., Branco, J. C., Lopes, M., Escoval, A., Nogueira, P., Diniz, J. A., Guerra, F. & Coelho, A., Feb 2016, In : Acta Médica Portuguesa. 29, 2, p. 114-22 9 p.

Research output: Contribution to journalArticle

Open Access
File
Chronic Disease
Psychometrics
International Classification of Functioning, Disability and Health
Health
Public Policy
12 Citations (Scopus)

Effectiveness and long-term retention of anti-tumour necrosis factor treatment in juvenile and adult patients with juvenile idiopathic arthritis: data from Reuma.pt

Mourao, A. F., Santos, M. J., Melo Gomes, J. A., Martins, F. M., Mendonca, S. C., Ramos, F. O., Fernandes, S., Salgado, M., Guedes, M., Carvalho, S., Costa, J. A., Brito, I., Duarte, C., Furtado, C., Lopes, A., Rodrigues, A., Sequeira, G., Branco, J., Fonseca, J. E. & Canhao, H., Apr 2016, In : Rheumatology. 55, 4, p. 697-703 7 p.

Research output: Contribution to journalArticle

Juvenile Arthritis
Biological Therapy
Tumor Necrosis Factor-alpha
ametantrone
Biological Factors
13 Citations (Scopus)

Effect of Comedication With Conventional Synthetic Disease-Modifying Antirheumatic Drugs on Retention of Tumor Necrosis Factor Inhibitors in Patients With Spondyloarthritis: A Prospective Cohort Study

Sepriano, A., Ramiro, M. S. A. D. C. O., van der Heijde, D., Ávila-Ribeiro, P., Fonseca, R. C., Borges, J., Teixeira, L., Carvalho, P. D., Cerqueira, M., Neves, J., Meirinhos, T., Barcelos, A., Sequeira, G., Salvador, M. J., Canas da Silva, J., Santos, H., Bernardes, M., Vieira-Sousa, E., Canhão, H., Branco, J. & 2 others, Pimentel-Santos, F. & Landewé, R., 1 Nov 2016, In : Arthritis & rheumatology. 68, 11, p. 2671-2679 9 p.

Research output: Contribution to journalArticle

Antirheumatic Agents
Cohort Studies
Tumor Necrosis Factor-alpha
Prospective Studies
Propensity Score