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We recruited 90 RA patients and followed them over a median of 6.4 (IQR 5.8-7.0) years. During follow-up, six patients died and 10 patients were lost to follow-up. Of these 10, three patients exhibited the onset of diseases that could be confounding factors, four declined to present to follow-up and three moved away from the study region or could not be contacted (Fig. 1). Fig. 1 Flow diagram of the study population.
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