Influencia de la estructura de los afectos en la evaluación de la artritis reumatoide mediante la escala visual analógica de dolor, el HAQ y el DAS28

Luna, Karina; Ortiz, Ana M.; Patiño, Esther; Aguilera, Carmen; Velasco, T.; Vicuña, Rosario García de; González‐Álvaro, Isidoro

doi:10.1016/j.reuma.2012.04.002

Cited by 8 publications

(7 citation statements)

References 28 publications

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“…The study showed that RA activity significantly affects the level of pain perceived by the patient. The increase of pain assessment in the DAS28 algorithm by 12.5 ±1.2 points was observed along with the progress of the disease [ 31 ].…”

Section: Quality Of Lifementioning

confidence: 99%

“…The results of studies carried out in Spain and Australia indicate that the quality of life of women suffering from RA is often low [ 31 , 33 ]. The results of Spanish studies did not show a relation between the level of education of patients and their quality of life [ 31 ]. The HAQ score of women with RA is 1.4 and that of men with RA is 0.9 [ 33 ].…”

Section: Quality Of Lifementioning

confidence: 99%

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Social implications of rheumatic diseases

Kłak¹,

Raciborski²,

Samel-Kowalik³

2016

Reumatologia

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Social consequences of a disease constitute limitations in performing roles relating to working life as well as family and social life caused by the disease, mainly chronic. The aim of the study was to analyze the social consequences of rheumatic diseases in the aspect of disability pensions with respect to incapacity for work and quality of life. The occurrence of rheumatic diseases is related not only to increased risk of different types of organic changes, but above all disability. In Europe almost 50% of persons suffering from diseases of the musculoskeletal system who are currently unemployed were breadwinners. Nearly 60% of them received legal disability status. The loss of work ability is, among other things, the consequence of progressive disability. In Europe 40% of persons suffering from rheumatoid arthritis (RA) had to stop working due to the disease. Most of the persons diagnosed with RA were of working age. It results in the decrease in the quality of life as well as economic difficulties (decreased incomes and increased disease-related costs). In Poland the results of the analysis of the Social Insurance Institution (ZUS) of first-time disability recognition issued for the purpose of disability pensions in 2014 showed that the incapacity for work was caused by diseases relating to general health condition (65.5%). Diseases of the musculoskeletal system were the cause of partial inability to work of 21.6% of persons who received a disability pension for the first time (as many as 5,349 certificates were issued). Early diagnosis and implementation of effective treatment are the necessary conditions for a patient to sustain activity, both professional and social, which is of crucial importance to reduce the negative effects of the disease.

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Section: Quality Of Lifementioning

confidence: 99%

Section: Quality Of Lifementioning

confidence: 99%

Social implications of rheumatic diseases

Kłak¹,

Raciborski²,

Samel-Kowalik³

2016

Reumatologia

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“…The disease activity of rheumatoid arthritis (RA) is routinely evaluated by disease activity score in 28 joints (DAS28) (1). The goal of RA treatment is to maintain the disease activity in clinical remission (DAS28 ≤ 2.6) because a complete cure is difficult to achieve (2). However, according to a study performed by Peluso et al (3), about 47.1% of RA patients would recur after remission.…”

Section: Introductionmentioning

confidence: 99%

Role of 7-Joint Ultrasonic Score in Predicting the Prognosis of Rheumatoid Arthritis

Zou

Guo

et al. 2020

Iran J Radiol

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Background: There is a higher possibility for rheumatoid arthritis (RA) recurrence if patients have subclinical synovitis. Seven-joint ultrasonic score (US7 score) allows an accurate detection of subclinical synovitis, but its predictive role in the recurrence of RA patients in remission is uncertain. Objectives: The goal of this study was to explore the role of US7 score in predicting the recurrence of RA patients with disease in clinical remission. Patients and Methods: Totally, 186 RA patients in clinical remission were recruited and their demographic and clinicobiologic characteristics were collected. The US7 score and disease activity score in 28 joints (DAS28) were recorded as baseline indicators for a 1-year follow-up. Patients were divided into the recurrence group and non-recurrence group according to their recurrent results. The clinical indicators and US7 scores before the follow-up were compared and analyzed between the two groups. Kaplan-Meier and univariate COX regression analysis were used to analyze the effect of US7 score on the recurrence of RA. Receiver-operating characteristics (ROC) curves were established to evaluate the predictive accuracy of DAS 28 and US7 score for the outcome of RA. Results: Of the 186 RA patients, 55.9% received conventional disease-modifying antirheumatic drugs (cDMARDs) and 44.1% received biologic disease-modifying antirheumatic drugs (bDMARDs). Totally, 60 patients (32.3%) suffered from recurrence and were included in the recurrence group, and the remaining 126 patients were included in the non-recurrence group. The recurrence rate of patients without subclinical synovitis (10.26%) was lower than that of patients with subclinical synovitis (48.15%, χ2 = 27.556, P < 0.001). US7 score was associated with an increased risk of recurrence in RA patients after successful treatment (P < 0.001, hazard ratio = 1.363, 95% CI = 1.247 - 1.488). The area under the curve of the prediction model with combined US7 score and DAS 28 was higher (0.904) compared to that of US7 score or DAS 28 (P < 0.05). Conclusion: The US7 score is capable of predicting the recurrence of RA patients because of its advantages in identifying subclinical synovitis. The combined model of DAS28 and US7 score was accurate for predicting the recurrence of RA patients in clinical remission.

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“…In many cases, its loosely defined character could undermine its construct validity and contribute to heterogeneity among patients' ratings [4,20]. For instance, it has been found that cognition and mood influence VAS results significantly [20][21][22]. Furthermore, certain groups of patients have problems with using the VAS correctly [4,9,19,23].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the construct validity and reproducibility of four different types of patient-reported outcome measures (PROMs) in patients with rheumatoid arthritis

Renskers¹,

Uden²,

Huis³

et al. 2018

Clin Rheumatol

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Patient-reported outcome measures (PROMs) are increasingly used in the assessment of patients with rheumatoid arthritis (RA). The aim of this study was to assess the construct validity and reproducibility of four types of PROMs (numerical rating scale (NRS), visual analogue scale (VAS), verbal rating scale (VRS), and Likert scale). In addition, patients' preference for one of these PROMs was measured. Patients with stable RA and no change in pain medication or steroid medication (n = 211) were asked to complete a questionnaire directly following, and 5 days after their outpatient visit. The questionnaire measured the validity of the PROMs in four domains (pain, fatigue, experienced disease activity, and general well-being). To assess construct validity, Pearson correlation coefficients were calculated using the Disease Activity Score-3. To assess reproducibility, intraclass correlation coefficients (ICCs) were calculated. Correlation coefficients between the different PROMs within each domain were compared. There were no differences regarding construct validity between the different PROM scale types. Regarding reproducibility, VAS and NRS scored better in the domains pain and experienced disease activity. Patients chose NRS as preferred measurement method, with the VAS in second place. The four scale types of PROMs appeared to be equally valid to assess pain, fatigue, experienced disease activity, and general well-being. VAS and NRS appeared to be more reliable for measuring pain and experienced disease activity. The patients favoured NRS. In combination with other practical advantages of NRS over VAS, we do advise the NRS as the preferred scale type for PROMs.

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Influencia de la estructura de los afectos en la evaluación de la artritis reumatoide mediante la escala visual analógica de dolor, el HAQ y el DAS28

Cited by 8 publications

References 28 publications

Social implications of rheumatic diseases

Social implications of rheumatic diseases

Role of 7-Joint Ultrasonic Score in Predicting the Prognosis of Rheumatoid Arthritis

Comparison of the construct validity and reproducibility of four different types of patient-reported outcome measures (PROMs) in patients with rheumatoid arthritis

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