Espondiloartrites: análise de uma série Brasileira comparada a uma grande casuística Ibero-Americana (estudo RESPONDIA)

Gallinaro, Andréa Lopes; Ventura, Camila V.; Barros, Percival Degrava Sampaio; Gonçalves, Célio Roberto

doi:10.1590/s0482-50042010000500009

Cited by 31 publications

(11 citation statements)

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“…Clinimetric values, such as BASFI, HAQ-S and BASDAI, were similar to those reported in the literature. 19,21,22 The HAQ-S scores were lower than those reported in another national study. 4 The fact that patients with active sexual life are likely to have better HAQ-S scores emphasizes that individuals with better physical function are more likely to have a more complete sexual life.…”

Section: Discussionmentioning

confidence: 55%

Atividade sexual na espondilite anquilosante

Gallinaro¹,

Akagawa²,

Otuzi³

et al. 2012

Rev. Bras. Reumatol.

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Objective: To assess the sexual activity of patients with ankylosing spondylitis, correlating it with disease activity and functional indices. Patients and methods: Thirty-two patients with ankylosing spondylitis and 32 healthy controls were assessed regarding pain, fatigue, sexual activity (by use of pictures of seven sexual positions), disease activity (by use of Bath Ankylosing Spondylitis Disease Activity Index-BASDAI), and functional capacity (by use of Bath Ankylosing Spondylitis Functional Index-BASFI). After the interview, the patients were divided into two groups: group A (with sexual activity) and group B (no sexual activity). Results: Group B showed statistical association with longer disease duration (P = 0.01), and higher BASFI (P = 0.0007) and BASDAI (P = 0.03) scores. No correlation was observed between age and functional capacity. Man lying on his back and woman on top was the most frequent, enjoyable and least painful position. The position with the woman on her back and a man lying on top was the least chosen. Control individuals reported a higher frequency of sexual activity, longer duration of intercourse, and less pain and fatigue; the reported frequency of orgasms, however, was similar in both groups. Conclusion: The chronic nature of ankylosing spondylitis, with poor functional capacity and higher disease activity, interferes with sexual intercourse. When sexual activity was possible, orgasm and sexual satisfaction did not differ from those of healthy controls.

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Section: Discussionmentioning

confidence: 55%

Atividade sexual na espondilite anquilosante

Gallinaro¹,

Akagawa²,

Otuzi³

et al. 2012

Rev. Bras. Reumatol.

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“…In view of the fact that BASDAI evaluate "axial" (question 2) and "peripheral" (questions 3 and 4) components, an important finding in this study was represented by the highest mean scores in patients who had an involvement described as "combined" (where the "axial" and "peripheral" components are observed in the same patient) -a common characteristic of Brazilian patients. 20 Similarly, an European multicenter 3) compared to patients with an isolated axial component (3.1 ± 1.9) (P < 0.001). 21 Also important was the fact that the mean values of BASDAI were significantly elevated, both in presence of axial (inflammatory low back pain, buttock pain, neck pain and hip pain) and peripheral (lower and upper joints) clinical variables, in addition to enthesitis.…”

Section: Discussionmentioning

confidence: 89%

Evaluation of performance of BASDAI (Bath Ankylosing Spondylitis Disease Activity Index) in a Brazilian cohort of 1492 patients with spondyloarthritis: data from the Brazilian Registry of Spondyloarthritides (RBE)

Costa

Bortoluzzo

Gonçalves

et al. 2015

Revista Brasileira de Reumatologia (English Edition)

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r e v b r a s r e u m a t o l . 2 0 1 5;5 5(1):48-54 REVISTA BRASILEIRA DE REUMATOLOGIA w w w . r e u m a t o l o g i a . c o m . b r r e v b r a s r e u m a t o l . 2 0 1 5;5 5(1):48-54 a b s t r a c t Objective: To analyze the results of the application of the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) in a large series of Brazilian patients with the diagnosis of SpA and establish its correlations with specific variables into the group.Methods: A common protocol of investigation was prospectively applied to 1492 Brazilian patients classified as SpA according to the European Spondyoarthropathies Study Group (ESSG), attended at 29 referral centers of Rheumatology in Brazil. Clinical and demographic variables, and disease indices (BASDAI, Basfi, Basri, Mases, ASQol) were applied. The total values of BASDAI were compared to the presence of the different variables. Results: The mean score of BASDAI was 4.20 ± 2.38. The mean scores of BASDAI were higher in patients with the combined (axial + peripheral + entheseal) (4.54 ± 2.38) clinical presentation, compared to the pure axial (3.78 ± 2.27) or pure peripheral (4.00 ± 2.38) clinicalpresentations (P < 0.001). BASDAI also presented higher scores associated with the female gender (P < 0.001) and patients who did not practice exercises (P < 0.001). Regarding the axial component, higher values of BASDAI were significantly associated with inflammatory low back pain (P < 0.049), alternating buttock pain (P < 0.001), cervical pain (P < 0.001) and hip involvement (P < 0.001). There was also statistical association between BASDAI scores and the peripheral involvement, related to the lower (P = 0.004) and upper limbs (P = 0.025). The presence of enthesitis was also associated to higher scores of BASDAI (P = 0.040). Positive HLA-B27 and the presence of cutaneous psoriasis, inflammatory bowel disease, uveitis and urethritis were not correlated with the mean scores of BASDAI. Lower scores of BASDAI were associated with the use of biologic agents (P < 0.001). Conclusion:In this heterogeneous Brazilian series of SpA patients, BASDAI was able to demonstrate "disease activity" in patients with axial as well as peripheral disease. Palavras-chave: EspondiloartritesAtividade de doença a b s t r a c t Objetivo: Avaliar os resultados da aplicação do Índice de Atividade de Doença da Espondilite Anquilosante de Bath (BASDAI) numa série de pacientes brasileiros com EpA e estabelecer suas correlaç ões com as variáveis específicas do grupo. 50 r e v b r a s r e u m a t o l . 2 0 1 5;5 5(1):48-54 BASDAI Epidemiologia Métodos: Um protocolo comum de investigação foi prospectivamente aplicado em 1.492 pacientes brasileiros classificados como EpA pelos critérios do Grupo Europeu de Estudo das Espondiloartropatias (ESSG), acompanhados em 29 centros de referência em reumatologia no Brasil. Variáveis clínicas, demográficas e índices de doença foram colhidos. Os valores totais do BASDAI foram comparados com a presença das diferentes variáveis. Resultados: O valor médio do BASDAI foi de ...

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“…Особенно важно это для планирования таких дорогостоящих лечебных мероприятий, как эндопротезирование суставов или терапия ингибиторами ФНОα. Поэтому в других странах в последнее время особое внимание уделяется исследованиям, основанным на выборках больных из реальной клинической практики [8][9][10][11]. Анализ таких когорт больных АС дает информацию не только об эпидемиологических аспектах болезни, но и о многообразии клинической картины, медико-социальной значимости, позволяет проводить оценку эффективности терапии и планировать систему медицинских затрат на будущее.…”

Section: Discussionunclassified