Impact of rheumatic diseases and chronic joint symptoms on quality of life in the elderly

Falsarella, Gláucia Regina; Coimbra, Ibsen Bellini; Néri, Anita Liberalesso; Barcelos, Caroline Coutinho de; Costallat, Lílian Tereza Lavras; Carvalho, Olga Maria Fernandes de; Coimbra, Arlete Maria Valente

doi:10.1016/j.archger.2011.06.038

Cited by 25 publications

(26 citation statements)

References 36 publications

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“…Joint stiffness has rarely been addressed for its unique contribution to mobility disability; elderly adults and their healthcare providers often attribute stiffness to normal aging, missing its potentially deleterious effects on function and quality of life . The results of the current study suggest that multisite joint stiffness is a clinically relevant symptom and that common stiffness‐associated conditions do not always explain it.…”

Section: Resultsmentioning

confidence: 80%

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A Stiff Price to Pay: Does Joint Stiffness Predict Disability in an Older Population?

Thakral

Shi

Shmerling

et al. 2014

J American Geriatrics Society

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Objectives To describe the prevalence of joint stiffness and associated comorbidities in community-living older adults; and to determine whether joint stiffness, independent of pain, contributes to new and worsening disability. Design Population-based cohort Setting Urban and suburban communities in the Boston, Massachusetts area. Participants 765 adults aged ≥70 years underwent a baseline home interview and clinic exam, 680 participants completed the 18-month follow up. Measurements Morning joint stiffness on most days in the past month was assessed in the arms, back, hips and knees. Mobility limitations were measured using self-reported difficulty and the Short Physical Performance Battery (SPPB). The home interview and clinic exam included extensive health measures. Results About half of the sample reported morning joint stiffness (n=401), 26% with one site of stiffness and 26% with multisite stiffness. Twenty percent of participants with multisite stiffness and 50% with single site stiffness did not have a major stiffness-associated condition. After adjustment for pain severity and other covariates, multisite stiffness was associated with a 64% increased risk for developing new or worsening mobility difficulty (RR 1.64, 95% CI 1.05-2.79). Those with multisite stiffness exhibited an accelerated decline in physical performance over the 18 month follow up. Conclusion Older adults with multisite stiffness are more likely to be at risk for disability than those without joint stiffness after accounting for pain severity and the presence of stiffness-associated conditions. Better assessment, along with strategies to prevent and treat multisite joint stiffness is needed to prevent or slow the progression of disability in elders.

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Section: Resultsmentioning

confidence: 80%

“…Most research addressing the problem of joint stiffness has focused on the combined effect of pain and stiffness . At times, joint stiffness has been described as a precursor to pain in the progression of arthritis, yet few studies have considered stiffness as a distinct health problem or determined its unique risks in relation to disability .…”

mentioning

confidence: 99%

A Stiff Price to Pay: Does Joint Stiffness Predict Disability in an Older Population?

Thakral

Shi

Shmerling

et al. 2014

J American Geriatrics Society

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“…Falsarella et al, étudiant à l'aide de la SF-36 la qualité de vie de sujets de plus de 60 ans ayant recours à des soins de premier niveau, montrent que les pathologies rhumatologiques affectent particulièrement la dimension physique [11] ; ce que nous retrouvons aussi dans notre échantillon, les sujets concernés étant significativement plus souvent des femmes et plus âgées, en concordance avec la littérature selon laquelle la prévalence et l'incidence des pathologies des systèmes ostéoarticulaire et musculaire sont significativement plus élevées chez les femmes plus âgées [12,13].…”

Section: Discussionunclassified

Évaluation de la qualité de vie liée à la santé de sujets âgés de 65ans et plus vivant à domicile en région Auvergne

Jalenques¹,

Auclair²,

Rondepierre³

et al. 2015

Revue d'Épidémiologie et de Santé Publique

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“…The experience of frequent severe and moderate pain has a significant deficit impact on HRQoL, both on a physical as well as a mental level [28]. This is particularly true in musculoskeletal disorders as shown by Falsarella et al [29] who analyzed the influence of rheumatic diseases and chronic joint symptoms on the quality of life of the 2209 patients aged 60 years or over. There was a significant impact of rheumatic diseases on physical health.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore joint symptoms affected self-evaluations of physical and mental health. Rheumatic diseases affected functional capacity and pain and joint symptoms relevantly affected all components of the SF-36 [29]. Thus choosing the SF-36 as outcome parameter for the present analysis is conclusive.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Integrative In-Patient Treatment on Patients’ Quality of Life: A Meta-Analysis

Ostermann

Langhorst²,

Beer³

2013

Evidence-Based Complementary and Alternative Medicine

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Background. In the last decades, several hospitals have adopted this concept of integrative medicine for the treatment of chronic and acute states of illnesses in in-patient treatment. The aim of this paper was to summarize the current evidence for a possible effectiveness of integrative on-patient treatment in patients' quality of life by means of a meta-analysis. Material and Methods. The databases MEDLINE, EMBASE, AMED, PsycInfo, PsycLit CCMED, and CAMbase were screened to find articles. We also screened publisher databases to find relevant information. Articles were included if patients were treated in a hospital. To guarantee comparability SF-36 was the predefined outcome measure for patients' quality of life. Data of pre/posteffects on the mental and physical scores of the SF-36 were extracted and effect sizes were calculated and entered into a random effect meta-analysis. Results. Eight articles published between 2003 and 2010 were included in the final meta-analysis. Random effect meta-analysis of the eight studies revealed an overall effect size of 0.37 (95% CI: [0.28; 0.45]) in the physical score and 0.38 (95% CI: [0.30; 0.45]) in the mental score of the SF-36. I 2 statistics indicate a high heterogeneity in the effects in both the physical and mental scores of the SF-36 (I 2 = 91.8%, P < 0.001, resp.; I 2 = 86.7%, P < 0.001). Discussion. This meta-analysis might help to rediscover the importance of integrative in-patient treatment for patients, physicians, and stakeholders.

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Impact of rheumatic diseases and chronic joint symptoms on quality of life in the elderly

Cited by 25 publications

References 36 publications

A Stiff Price to Pay: Does Joint Stiffness Predict Disability in an Older Population?

A Stiff Price to Pay: Does Joint Stiffness Predict Disability in an Older Population?

Évaluation de la qualité de vie liée à la santé de sujets âgés de 65ans et plus vivant à domicile en région Auvergne

The Effects of Integrative In-Patient Treatment on Patients’ Quality of Life: A Meta-Analysis

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