000000568 001__ 568 000000568 005__ 20260224131432.0 000000568 0247_ $$2DOI$$a10.6083/M4G73BPT 000000568 037__ $$aETD 000000568 245__ $$aRisk of serious skin & soft tissue infections in rheumatoid arthritis patients taking anti-TNF drugs 000000568 260__ $$bOregon Health and Science University 000000568 269__ $$a2010 000000568 336__ $$aThesis 000000568 502__ $$bM.P.H. 000000568 520__ $$aSerious infections are a known concern for rheumatoid arthritis (RA) patients treated with anti‑TNF drugs, which suppress immune function. This study examined whether anti‑TNF therapy increases the risk of serious skin and soft tissue infections (SSSTIs) requiring hospitalization. Using a nested case‑control design within a validated cohort of RA patients in the Veterans Integrated Service Network 20, we identified SSSTI cases and matched controls by index date and VA hospital site. Multivariate conditional logistic regression was used to assess risk while adjusting for demographics, immunosuppressant use, comorbidities, and other autoimmune conditions. This study evaluates whether anti‑TNF therapy is associated with higher SSSTI risk compared to non‑use. 000000568 540__ $$fCC BY 000000568 542__ $$fIn copyright - single owner 000000568 650__ $$aDrug Therapy$$018086 000000568 650__ $$aTumor Necrosis Factor-alpha$$027502 000000568 650__ $$aBiological Products$$015564 000000568 650__ $$aSoft Tissue Infections$$030818 000000568 650__ $$aSkin Diseases, Infectious$$026050 000000568 650__ $$aArthritis, Rheumatoid$$015096 000000568 650__ $$aAutoimmune Diseases$$015237 000000568 650__ $$aImmunosuppressive Agents$$020723 000000568 650__ $$aTumor Necrosis Factor Inhibitors$$013007 000000568 650__ $$aCase-Control Studies$$028826 000000568 6531_ $$aanti-tnf drugs 000000568 691__ $$aSchool of Medicine$$041369 000000568 692__ $$aDepartment of Public Health and Preventive Medicine$$041444 000000568 7001_ $$aWasson, Ngoc$$uOregon Health and Science University$$041354 000000568 8564_ $$9a8e891bf-964e-46ab-9a1f-2be710ef59ff$$s1097532$$uhttps://digitalcollections.ohsu.edu/record/568/files/569_etd.pdf$$ePublic$$2a35bbff22553dc568b902ba220a515fe$$31 000000568 905__ $$a/rest/prod/df/65/v7/84/df65v784d 000000568 909CO $$ooai:digitalcollections.ohsu.edu:568$$pstudent-work 000000568 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument 000000568 980__ $$aTheses and Dissertations