Influence of pain score measured by a visual analog scale (<scp>PS</scp>‐<scp>VAS</scp>) on the Health Assessment Questionnaire Disability Index and 28‐joint Disease Activity Index with C‐reactive protein in rheumatoid arthritis patients

Yoshii, Ichiro; Chijiwa, Tatsumi; Sawada, Naoya

doi:10.1111/1756-185x.13351

Cited by 13 publications

(6 citation statements)

References 22 publications

(25 reference statements)

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“… 22 Unless it is treated early, it induces the deformity of joints and bones. 23 , 24 In this study, 73 RA patients and 40 age-sex matched apparently healthy study subjects were involved. Of the total RA patients, 9 (12.4%) and 64 (87.6%) were males and females, respectively ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of C-Reactive Protein and Associated Factors Among Patients Suffering from Rheumatoid Arthritis at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

Dessie

Tadesse

Demelash

et al. 2021

OARRR

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Section: Discussionmentioning

confidence: 99%

“…22 Unless it is treated early, it induces the deformity of joints and bones. 23,24 In this study, 73 RA patients and 40 age-sex matched apparently healthy study subjects were involved.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of C-Reactive Protein and Associated Factors Among Patients Suffering from Rheumatoid Arthritis at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

Dessie

Tadesse

Demelash

et al. 2021

OARRR

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“…A statistically significant positive correlation between age and functionality HAQ-DI was observed in other studies. (26,27) Worse functionality in patients with rheumatic diseases may be associated with sociodemographic factors, such as advanced age, being female, low education level, and longer disease duration. (28) Other authors describe female sex, smoking, low socioeconomic status, and disease onset at an early age as factors related to greater functional impairment in patients with RA.…”

Section: ❚ Discussionmentioning

confidence: 99%

Functionality assessment in patients with rheumatic diseases undergoing treatment in the Public Health System

Souza¹,

Silva²,

Santos³

et al. 2022

Einstein (São Paulo)

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Objective: To evaluate the therapeutic response (functionality) and its associated factors in patients on biological drugs on the Public Health System for treatment of rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis. Methods: An open prospective cohort was carried out from 2011 to 2019, in Belo Horizonte (MG). Functionality was assessed using the Health Assessment Questionnaire Disability-Index at baseline, and after 6 and 12 months of follow-up. Factors associated with poor functionality were identified through logistic regression. Results: The median Health Assessment Questionnaire Disability-Index at baseline was 1.5 (interquartile range of 0.8-1.9), with poor functionality observed in patients with rheumatoid arthritis. Improved functionality was seen at 6 months of treatment for the three diseases. The predictors of poor functionality at 6 months for psoriatic arthritis and ankylosing spondylitis were female sex, low education levels, and high disease activity; and for rheumatoid arthritis and psoriatic arthritis were female sex, advanced age, and high disease activity. In 12 months, the three diseases had predictors of worse functionality: female sex, low education, and high disease activity. Conclusion: There was a significant improvement in functionality during the follow-up, with better response at 6 months of treatment. Poor functionality was observed in older, female patients, with low education and high disease activity.

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“…Pain can affect physical function, but there were no differences in HAQ between those reporting CWP2019 or not in this study. However, worse physical function could be caused by pain with and without inflammation [33]. There are also studies reporting that FM interferes with disease activity and thereby also with treatment outcomes both cross-sectional and longitudinal [34,35].…”

Section: Discussionmentioning

confidence: 99%

Comparison of chronic widespread pain prevalence with different criteria in two cohorts of rheumatoid arthritis

et al. 2021

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Objective This study aims to investigate chronic widespread pain with the 1990 (CWP1990) and 2019 (CWP2019) definitions 6 years after the onset of rheumatoid arthritis (RA), in one patient cohort with tight controls and one conventional cohort, and factors associated with reporting CWP1990 and CWP2019, respectively. Methods A cohort of 80 RA patients with monthly visits to the physician the first 6 months was compared to a cohort of 101 patients from the same clinic with conventional follow-up. Both cohorts had early RA (< 13 months). The prevalence of CWP1990 and the more stringent CWP2019 were in a 6-year follow-up investigated with a questionnaire, including a pain mannequin and a fear-avoidance beliefs questionnaire. Results In the tight control cohort, 10% reported CWP2019 after 6 years compared to 23% in the conventional cohort (p = 0.026). There was no difference when using the CWP1990 definition (27% vs 31%, p = 0.546). When adjusted for important baseline data, the odds ratio for having CWP2019 was 2.57 (95% CI 1.02–6.50), in the conventional group compared to the tight control group (p = 0.046). A high level of fear-avoidance behaviour towards physical activity was associated with CWP2019, OR 10.66 (95% CI 1.01–112.14), but not with CWP1990 in the tight control cohort. Conclusion A more stringent definition of CWP identifies patients with a more serious pain condition, which potentially could be prevented by an initial tight control management. Besides tight control, caregivers should pay attention to fear-avoidance behaviour and tailor treatment. Key Points • CWP2019 is a more stringent definition of chronic widespread pain and identifies patients with a more serious pain condition. • Patients with a serious pain condition could be helped by frequent follow-ups. • This study suggests that a special attention of fear-avoidance behaviour towards physical activity in patients with RA is needed.

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Influence of pain score measured by a visual analog scale (PS‐VAS) on the Health Assessment Questionnaire Disability Index and 28‐joint Disease Activity Index with C‐reactive protein in rheumatoid arthritis patients

Abstract: These results suggested that HAQ-DI is deeply influenced by PS-VAS. The effect of DAS28-CRP overlapped with the effect of PS-VAS in a major way. Pain control for RA patients is the most important factor contributing to activities of daily living, as well as disease activity control.

Cited by 13 publications

References 22 publications

Evaluation of C-Reactive Protein and Associated Factors Among Patients Suffering from Rheumatoid Arthritis at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

Evaluation of C-Reactive Protein and Associated Factors Among Patients Suffering from Rheumatoid Arthritis at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

Functionality assessment in patients with rheumatic diseases undergoing treatment in the Public Health System

Comparison of chronic widespread pain prevalence with different criteria in two cohorts of rheumatoid arthritis

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