Chronic low back pain in patients with systemic lupus erythematosus: prevalence and predictors of back muscle strength and its correlation with disability

Cezarino, Raíssa Sudré; Cardoso, Jefferson Rosa; Rodrigues, Kedma Neves; Magalhães, Yasmin Santana; Souza, Talita Yokoy de; Mota, Lícia Maria Henrique da; Bonini-Rocha, Ana Clara; McVeigh, JG; Martins, Wagner Rodrigues

doi:10.1016/j.rbre.2017.03.003

Cited by 6 publications

(6 citation statements)

References 28 publications

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“…This finding was consistent across rheumatic diseases, by sex, and in stricter case definitions. Our findings are also consistent with the levels of concomitant diagnosis of CLBP, migraine, and FM in autoimmune rheumatic diseases found in other studies ( 13 , 14 , 15 , 16 ). In SjS, we also found a significant burden for endometriosis and vulvodynia compared with other rheumatic conditions.…”

Section: Discussionsupporting

confidence: 93%

The Problem of Pain in Rheumatology: Clinical Profiles Associated With Concomitant Diagnoses With Chronic Overlapping Pain Conditions

Falasinnu

Nguyen

Jiang

et al. 2022

ACR Open Rheumatology

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Objective The chronification of pain is heterogeneous in rheumatology. Chronic overlapping pain conditions (COPCs) such as fibromyalgia, endometriosis, migraine, and back pain may co‐occur with one another and in rheumatic diseases. We describe the sociodemographic and clinical profiles associated with concomitant COPCs among patients with rheumatic diseases. Methods We retrospectively identified patients visiting rheumatology clinics at a single institution from 2010 to 2020 for five common rheumatic conditions: psoriatic arthritis (PsA), rheumatoid arthritis (RA), Sjögren syndrome (SjS), systemic lupus erythematosus (SLE), and systemic sclerosis (SSc). We compared sociodemographic, clinical, and lifestyle factors by rheumatic condition and by COPC status. We also report sex‐stratified diagnosis of COPCs. The primary outcome was diagnostic validation of one or more COPCs. Results We identified 5992 rheumatology patients: 846 with PsA, 2605 with RA, 956 with SjS, 975 with SLE, and 610 with SSc. Approximately 36–62% of patients had a concomitant COPC diagnosis. Patients with SjS had the highest prevalence (62%). Diagnosis of one or more COPCs was highest among Black patients and lowest among Asian patients. Patients using public insurance had a higher prevalence of one or more COPCs compared with those with private insurance. Patients with one or more COPCs had more depression and anxiety and more frequent emergency department visits, surgeries, and hospitalizations. Conclusion Our findings suggest that COPCs are strikingly common among patients with rheumatic disease and are associated with lower quality of life and greater health care needs. Future research may elucidate drivers of chronic pain and how to best address the unique analgesic needs of this multimorbid population.

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Section: Discussionsupporting

confidence: 93%

The Problem of Pain in Rheumatology: Clinical Profiles Associated With Concomitant Diagnoses With Chronic Overlapping Pain Conditions

Falasinnu

Nguyen

Jiang

et al. 2022

ACR Open Rheumatology

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“…Cezarino et al used TSK to assess kinesiophobia and found 42 points as mean value, which shows a high score. However, they did not classify the patients according to scores and did not determine the level of relationship between various factors that may affect kinesiophobia [20]. In our study, we used TSK, one of the two scales evaluating pain and fear associated with injury.…”

Section: Discussionmentioning

confidence: 99%

Kinesiophobia and related factors in systemic lupus erythematosus patients

Yentür¹,

Karatay²,

Oskay³

et al. 2019

Turk J Med Sci

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Background/aim: This study was designed to investigate the relationship between kinesiophobia and the level of physical activity, depression, disease activity, fatigue, pain, and quality of life in female patients with systemic lupus erythematosus (SLE). Materials and methods: Seventy volunteer female patients were included in the study. Kinesiophobia, physical activity level, disease activity, fatigue, depression, pain, and quality of life were assessed using the Tampa Scale for Kinesiophobia (TSK),

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“…Two studies aimed to determine the relationship between muscle strength and fatigue in SLE. One study demonstrated decreased strength with increased fatigue 32 , while the other was unable to establish this relationship 33 . Three studies demonstrated a clinically significant association between work disability and fatigue in patients with SLE 34,35,36 .…”

Section: Resultsmentioning

confidence: 97%

Fatigue Measurements in Systemic Lupus Erythematosus

Barbacki

Petri²,

Aviña‐Zubieta³

et al. 2019

J Rheumatol

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Objective.Fatigue is a frequent, disabling issue in systemic lupus erythematosus (SLE). It is, however, difficult to quantify. The Ad Hoc Committee on SLE Response Criteria for Fatigue in 2007 recommended using the Krupp Fatigue Severity Scale (FSS). Since then, the Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale has also been validated in SLE. We performed a review of instruments used to measure fatigue in adult SLE patients from 2007 onward.Methods.We searched PubMed, Medline, and Embase (January 2008–October 2017), identifying clinical trials and observational studies in adult SLE, where fatigue was a specifically measured outcome. All English and French studies were reviewed to determine fatigue measures and results.Results.Thirty-seven studies met inclusion criteria. Eight scales were used. The visual analog scale (VAS), FSS, and FACIT-Fatigue Scale were most frequent. FSS was the most often used instrument in both clinical trials and observational studies. Twenty-five of the 37 studies demonstrated a difference in fatigue that was statistically significant and clinically meaningful. Of the 12 studies that did not, 6 used FSS, 3 used VAS, 2 used the Multidimensional Assessment of Fatigue, and 1 used the Brief Fatigue Index. All 6 studies using the FACIT-Fatigue Scale detected clinically meaningful and statistically significant differences.Conclusion.VAS, FSS, and FACIT-Fatigue Scale were the most frequently used instruments in adult SLE studies from 2008 to 2017. Many studies detected clinically important changes in fatigue. Fatigue remains a key measure in both clinical trials and observational SLE studies.

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Chronic low back pain in patients with systemic lupus erythematosus: prevalence and predictors of back muscle strength and its correlation with disability

Cited by 6 publications

References 28 publications

The Problem of Pain in Rheumatology: Clinical Profiles Associated With Concomitant Diagnoses With Chronic Overlapping Pain Conditions

The Problem of Pain in Rheumatology: Clinical Profiles Associated With Concomitant Diagnoses With Chronic Overlapping Pain Conditions

Kinesiophobia and related factors in systemic lupus erythematosus patients

Fatigue Measurements in Systemic Lupus Erythematosus

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