Is the state of health of rheumatoid arthritis patients receiving adequate treatment, predictable? - Results of a survey

Puchner, Rudolf; Brezinschek, Hans‐Peter; Fritz, Josef; Herold, Manfred; Mustak, Monika; Nothnagl, Thomas; Puchner, Stefan; Studnicka-Benke, Andrea; Leeb, Burkhard F.

doi:10.1186/s12891-015-0567-5

Cited by 5 publications

(4 citation statements)

References 29 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…X-ray findings were suggestive of RA, but unusually, no symptoms to report and no tenderness of the affected joints. Joint pain affects the daily lives of the majority of patients with RA, even those established on treatment [ 9 ]. Cases of painless synovitis in RA are rare but have been reported and have been shown to follow a similar disease progression to those with pain [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

A Case of Painless Elderly-Onset Rheumatoid Arthritis

Hayes,

Haider

2024

Cureus

View full text Add to dashboard Cite

Rheumatoid arthritis (RA) has multiple manifestations. Patients present with a variety of symptoms and varying levels of severity. Elderly-onset rheumatoid arthritis (EORA) is described as RA with onset after 60 years of age. EORA can present with different clinical and laboratory findings compared to RA in a younger patient, making awareness of the condition important. Diagnosing inflammatory arthritis can be especially challenging in an elderly population where symptoms are poorly reported and communication is often difficult. We report the case of an elderly patient whose presentation with persistent tachycardia and raised inflammatory markers led to a diagnosis of EORA. This case details an atypical presentation of EORA with convincing diagnostic features for the disease without any joint symptoms reported. Clinicians should be aware of the differences in the typical presentation of EORA versus RA, the challenges of diagnosing inflammatory arthritis in elderly, isolated patients, and the importance of early diagnosis.

show abstract

Section: Discussionmentioning

confidence: 99%

A Case of Painless Elderly-Onset Rheumatoid Arthritis

Hayes,

Haider

2024

Cureus

View full text Add to dashboard Cite

show abstract

“…3 However, this frequency of visits may not always be possible due to specific barriers such as geographical and health-system-related constraints and, even in the case of high-quality care, patients' lives may not be predictable due to disease activity fluctuations. 21 Frequent remote patient monitoring could potentially lead to the early identification of disease flares, prioritisation of patients who may require a treatment review, and possibly reduced appointment frequency for those with stable disease. Evidence has shown that fluctuations in disease activity do have a direct effect on the destruction of joints.…”

Section: Key Messagesmentioning

confidence: 99%

Improving inflammatory arthritis management through tighter monitoring of patients and the use of innovative electronic tools

et al. 2016

View full text Add to dashboard Cite

Treating to target by monitoring disease activity and adjusting therapy to attain remission or low disease activity has been shown to lead to improved outcomes in chronic rheumatic diseases such as rheumatoid arthritis and spondyloarthritis. Patient-reported outcomes, used in conjunction with clinical measures, add an important perspective of disease activity as perceived by the patient. Several validated PROs are available for inflammatory arthritis, and advances in electronic patient monitoring tools are helping patients with chronic diseases to self-monitor and assess their symptoms and health. Frequent patient monitoring could potentially lead to the early identification of disease flares or adverse events, early intervention for patients who may require treatment adaptation, and possibly reduced appointment frequency for those with stable disease. A literature search was conducted to evaluate the potential role of patient self-monitoring and innovative monitoring of tools in optimising disease control in inflammatory arthritis. Experience from the treatment of congestive heart failure, diabetes and hypertension shows improved outcomes with remote electronic self-monitoring by patients. In inflammatory arthritis, electronic self-monitoring has been shown to be feasible in patients despite manual disability and to be acceptable to older patients. Patients' self-assessment of disease activity using such methods correlates well with disease activity assessed by rheumatologists. This review also describes several remote monitoring tools that are being developed and used in inflammatory arthritis, offering the potential to improve disease management and reduce pressure on specialists.

show abstract

“…Quality of life can change according to the environment and the experiences, as well as in response to certain diseases. 5 Pediatric Quality of life inventory version (pedsQL Generic Core Scale) Child -Report the PedsQL has 23 items and covers Physical, emotional, social, and school functioning and wellbeing. 6 We sought to measure the health-related quality of life of a group of children with juvenile idiopathic arthritis to reveal their main problems that hinder their wellbeing.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life assessment in a group of children with juvenile idiopathic arthritis

Hossny¹,

El-Hattab²,

Raouf³

et al. 2020

Egypt J Pediatr Allergy Immunol

View full text Add to dashboard Cite

Background: JIA is known to affect the physical and social wellbeing and impact scholastic achievement of children. Health-related quality of life (HRQOL) is an important outcome measure in understanding the impact of chronic illness. Objective: We sought to evaluate the HRQOL of a group of children with juvenile idiopathic arthritis (JIA) to uncover their main problems that might prevent them from leading a normal life. Methods: We consecutively enrolled 119 JIA patients who were classified according to the ILAR criteria into 16 cases with oligoarticular (13.4%), 36 with polyarticular (30.3%) and 67 with systemic JIA (56.3%). They were 62 (52.1%) males and 57 (47.9%) females with a mean age of 7.7 years. Patients were evaluated by the Pediatric Quality of Life Inventory TM Version 4.0 (PedsQLTM) questionnaire. Results: Physical and feeling problem scores were negatively correlated to age, age at onset, diagnostic lag and diseases duration. The learning problem score showed negative correlation with age, age at onset and receival of non-steroidal antiinflammatory drugs (NSAIDs) pointing to the favorable effect of pain control on the quality of life. Also, learning and social problem scores were positively correlated to the diagnostic lag. Total scores showed negative correlation with age and age at onset. Conclusion: JIA has an important impact on the HRQOL and normal development. Pain control is mandatory for reduction of learning problems via the judicious use of NSAIDs and the delay in diagnosis was associated with unfavorable learning and social outcome.

show abstract

Is the state of health of rheumatoid arthritis patients receiving adequate treatment, predictable? - Results of a survey

Cited by 5 publications

References 29 publications

A Case of Painless Elderly-Onset Rheumatoid Arthritis

A Case of Painless Elderly-Onset Rheumatoid Arthritis

Improving inflammatory arthritis management through tighter monitoring of patients and the use of innovative electronic tools

Health-related quality of life assessment in a group of children with juvenile idiopathic arthritis

Contact Info

Product

Resources

About