Contribution of ethnic group and socioeconomic status to degree of disability in rheumatoid arthritis in Chilean patients

Alarcón, Ana; Muñoz, Sergio; Kaufman, Jay S.; Martínez, Carlos; Riedemann, Pablo; Kaliski, Sonia

doi:10.1007/s00296-014-3123-y

Cited by 14 publications

(17 citation statements)

References 9 publications

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“…While several studies in this review reported lower education and income levels in rural settings, most eligible studies did not adjust for socioeconomic status. Those that did (8) were underpowered to examine multivariable relationships. It is therefore difficult to determine, based on existing evidence, whether rurality is an independent predictor of poor outcome in RMD or a surrogate marker for socioeconomic status.…”

Section: Discussionmentioning

confidence: 99%

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Association of Rural Setting With Poorer Disease Outcomes for Patients With Rheumatic Diseases: Results From a Systematic Review of the Literature

Hollick

Macfarlane

2021

Arthritis Care & Research

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Objective To assess whether clinical and patient‐reported outcomes are poorer for individuals with inflammatory and noninflammatory rheumatic diseases living in rural locations. Methods We searched 6 databases for articles that reported on primary peer‐reviewed research, published in English between 1990 and 2019, that focused on selected rheumatic diseases (rheumatoid arthritis [RA], psoriatic arthritis, axial spondyloarthritis, or osteoarthritis [OA]) and quantified either patient‐reported or clinically measured outcomes by a measure of rurality or remoteness. Selected articles were synthesized narratively. Results Eight eligible publications, including 753 rural and 929 urban patients, evaluated outcomes in RA (5 studies) and OA (3 studies). Studies were small, single center, and rarely provided a definition of rurality. Aspects relating to rurality, such as access to services, were not measured. In RA, some studies suggested greater functional disability and disease activity in rural dwellers. In OA, there was some evidence to suggest that rural dwellers presented with more advanced degenerative hip changes, and that illness perceptions and coping differed between rural and urban dwellers. No studies examined work outcomes. Potentially important confounding factors such as socioeconomic status were rarely considered. Conclusion There remains considerable uncertainty whether outcomes differ for patients with rheumatic disease in rural settings. There is a need for larger scale studies characterizing participants in relation to place of residence in order to determine whether rurality is an independent predictor of outcome or a surrogate marker for socioeconomic factors.

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Section: Discussionmentioning

confidence: 99%

“…However, education level and household income was not adjusted for in the analysis. Alarcón et al (8) recruited 189 patients from the rheumatology clinic of a referral center in 1 region of Chile. This center also acted as a referral center for other regions.…”

Section: Significance and Innovationsmentioning

confidence: 99%

Association of Rural Setting With Poorer Disease Outcomes for Patients With Rheumatic Diseases: Results From a Systematic Review of the Literature

Hollick

Macfarlane

2021

Arthritis Care & Research

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“…Finding out causes of disability in patients with RA may facilitate development of measures to preserve independency in these patients. There is a recent trend toward exploring factors underlying disability in patients with RA [1][2][3][4][5][6][7][8][9][10]. Older adults are at a high risk for disability and in ammatory rheumatic disorders such as RA may further increase this risk.…”

Section: Introductionmentioning

confidence: 99%

Younger Patients With Rheumatoid Arthritis Are as Dependent in Activities of Daily Living as Their Older Counterparts

Tufan¹,

Tufan²,

Öksüz³

et al. 2020

Preprint

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Background: Rheumatoid arthritis is an important cause of disability and dependency in older adults. We aimed to assess dependency in activities of daily living in younger and older patients with rheumatoid arthritis and to seek factors underlying dependency in activities of daily living.Methods: In this cross-sectional study, we assessed dependency in basic and instrumental activities of daily living; disease activity; quality of life; depression; anxiety; and fatigue in the rheumatology clinic of a university hospital. Univariate analyses and a logistic regression analysis were performed to determine factors associated with dependency.Results: We enrolled 76 patients with a mean age of 57±11.1 (range 31-78). The rate of dependency in instrumental activities of daily living was high in younger (56.1%) and older (51.4%) patients. The rate of dependency in basic activities of daily living was 14.6% in younger and 14.3% in older patients. A higher depression score and female gender had significant associations with dependency in instrumental activities of daily living.Conclusion: The rate of dependency in basic and instrumental activities of daily living is high in younger and older patients with rheumatoid arthritis. Depression seems to be an independent and important factor underlying dependency. Further studies are needed to investigate the mechanisms of this association and test the effect of antidepressant treatment on dependency in rheumatoid arthritis.

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“…The prevalence and severity of rheumatic diseases and musculoskeletal (MSK) disorders may vary according to ethnicity and socioeconomic conditions [ 1 , 2 ]. Genetic and epidemiological studies have indicated that certain rheumatic conditions may have greater prevalence and severity in specific indigenous groups [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of musculoskeletal disorders and rheumatic disease in the Warao, Kari’ña, and Chaima indigenous populations of Monagas State, Venezuela

et al. 2016

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This study aimed to estimate the prevalence of musculoskeletal disorders and rheumatic diseases in the Warao, Kari’ña, and Chaima indigenous populations of Monagas State, Venezuela. A cross-sectional, analytical, community-based study was conducted in 1537 indigenous subjects ≥18 years old (38.6 % male, mean age 41.4 ± 17.5 years). The cross-culturally validated Community Oriented Program for the Control of Rheumatic Diseases (COPCORD) diagnostic questionnaire was applied. Subjects with a positive COPCORD diagnosis (either historic or current pain) were evaluated by primary care physicians and rheumatologists. A descriptive analysis was performed and comparisons made using analysis of variance and the chi-square test. Pain in the last 7 days was reported by 32.9 %, with pain intensity, according to a Likert-type scale [no pain, 195 (38.5 %); minimal pain, 231 (45.6 %); strong pain, 68 (13.4 %); intense pain, 5 (0.9 %)], 38.0 % reported historical pain, and 641 (41.7 %) had either historic or current pain. Of the COPCORD-positive subjects, pain most frequently occurred in the knee, back, and hands. Musculoskeletal and rheumatic diseases included osteoarthritis (14.1 %), back pain (12.4 %), rheumatic regional pain syndromes (RRPS) (9.7 %), undifferentiated arthritis (1.5 %), rheumatoid arthritis (1.1 %), and fibromyalgia (0.5 %). Chaima (18.3 %) and Kari’ña (15.6 %) subjects had a high prevalence of osteoarthritis, and Warao subjects had a high prevalence of low back pain (13.8 %). The prevalence of RRPS was high in all three ethnic groups. The Chaima group had the highest prevalence of rheumatic diseases, with 2.0 % having rheumatoid arthritis. This study provides useful information for health care policy-making in indigenous communities.

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Contribution of ethnic group and socioeconomic status to degree of disability in rheumatoid arthritis in Chilean patients

Cited by 14 publications

References 9 publications

Association of Rural Setting With Poorer Disease Outcomes for Patients With Rheumatic Diseases: Results From a Systematic Review of the Literature

Association of Rural Setting With Poorer Disease Outcomes for Patients With Rheumatic Diseases: Results From a Systematic Review of the Literature

Younger Patients With Rheumatoid Arthritis Are as Dependent in Activities of Daily Living as Their Older Counterparts

Prevalence of musculoskeletal disorders and rheumatic disease in the Warao, Kari’ña, and Chaima indigenous populations of Monagas State, Venezuela

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