Between 1975 and 2014, there has been a more than 50 percent drop in radiographic evidence of joint damage in RA, according to a comprehensive review by rheumatologist Adam Young, MD, of St. Albans Hospital, England. Potential theories for the reduction include aggressive treatment that has become the standard of care for early RA over the past 25 years and practice changes. Eric M. Ruderman, MD of Northwestern University said the study supports early, aggressive RA treatment, but also suggested that other factors such as changes in RA itself could have contributed to the drop.

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