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The EM group (n=437) was more youthful than the UM group (n=2441), however the RA length of time was comparable between your two groups. The EM group was more educated and more probably be seronegative at enrolment. Moreover, the EM team demonstrated greater disease activity and worse advantages for international evaluation, weakness, sleep disturbance and health-related total well being (HRQoL) (all p0.05) at standard. The GEE design revealed that EM significantly influenced the rate of SDAI modifi