Quality of life and related variables in patients with ankylosing spondylitis

Objective: To conduct a cross-cultural adaptation of the Bath Ankylosing Spondylitis Functional Index (BASFI) into Brazilian-Portuguese language and to assess its measurement properties. Methods: The BASFI was translated by four rheumatologists and three English teachers. The translated questionnaire was applied to ankylosing spondylitis patients by trained observers, and self-administered in three moments: days 1, 2, and 14. The validity was assessed analyzing the association of BASFI and functional capacity measures (cervical rotation, intermalleolar distance, Schober's test and occiput-to-wall distance). The internal consistence was tested by Cronbach's α coeffi cient and the reliability by testretest (intraclass correlation coeffi cient -ICC). Results: A total of 60 patients with ankylosing spondylitis was included: 85% male, mean age 47 ± 12 years, and mean disease duration 20 ± 11 years. The intra-observer test-retest (two-week interval) reliability showed a high ICC (0.999, 95% CI: 0.997-0.999) and a high internal consistency (Cronbach's α coeffi cient: 0.86, CI 95%: 0.80-0.90). Considering the validity, the BASFI indices were correlated with cervical rotation (0.53, P < 0.001) and with intermalleolar distance (0.50, P < 0.001). Conclusion: The BASFI Brazilian-Portuguese version is reliable and valid for assessment of patients with ankylosing spondylitis.

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“…20,21 Furthermore, in our study the BASFI results had no correlation with age. This is in line with Turkish and Finnish studies.…”

Section: Discussioncontrasting

confidence: 76%

Adaptação cultural cruzada e validação da versão do Índice Funcional de Espondilite Anquilosante de Bath (BASFI) para o português do Brasil

Cusmanich

Kowalski²,

Gallinaro³

et al. 2012

Rev. Bras. Reumatol.

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“…[28][29][30][31][32][33][34] Bodur et al studied the quality of life and related variables in ninehundred and sixty-two patients with AS. 13 In conclusion, they have found in patients with AS that, the most significant variables associated with quality of life were BASDAI, BASFI, fatigue and pain. Analay et al investigated the effectiveness of intensive group exercise in 45 AS patients and found that group exercise in hospital could have been more effective than home-based exercises at reducing impairment associated with ankylosing spondylitis.…”

Section: Discussionmentioning

confidence: 83%

“…These results were found to be consistent with previous studies. 4,[6][7][8][9][10][11][12][13]25 A positive relation was found between duration of the disease and BASMI in patients with AS. As the duration of disease increased, the extent of its effect on the patient increased and it affected the patient's mobility negatively.…”

Section: Discussionmentioning

confidence: 99%

“…Age, duration of symptoms, pain severity, stiffness, peripheral arthritis, total hip arthroplasty, smoking habit of patient, having history of more physically demanding jobs and lower levels of education have been demonstrated as risk factors for functional limitations and quality of life in patients with AS. 4,[6][7][8][9][10][11][12][13] In other rheumatic diseases, level of education has been found to be possibly associated as a risk factor. [14][15][16] In this study, we planned to determine the possible risk factors affecting functional situation and quality of life in Turkish patients with AS.…”

Section: Introductionmentioning

confidence: 99%

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Which Factors Affect the Functional Situation and Quality of Life in Patients with Ankylosing Spondylitis?

Gürer¹,

Bozbaş²,

Ünübol³

et al. 2017

Ankara Medical Journal

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Objectives: This study was performed to determine the possible predictive factors affecting the functional situation and quality of life in patients with ankylosing spondylitis (AS). Materials and Methods: A total of 88 volunteer Turkish patients with AS were included in the study. We evaluated the Bath AS Functional Index (BASFI), Bath AS Disease Activity Index (BASDAI), Bath AS Metrology Index (BASMI) and AS Quality of Life Questionnaire (ASQoL) in patients. The ages, genders, levels of education, morning stiffness duration, smoking statuses, statues of doing the home exercises instructed were interrogated and mobility measurements of patients were performed and all of these values were recorded. Results: BASFI was found to be correlated with smoking (p=0.019), morning stiffness (p=0.001), BMI (p=0.020), exercise (p=0.002), BASMI (p0.001) and BASDAI (p0.001). According to the categorical regression, BASDAI (Beta=0.574, p0.001) was independently associated with the BASFI score. ASQoL was found to have correlation with the level of education (p=0.030), smoking (p=0.049), morning stiffness (p=0.004) and exercise (p=0.007), BASDAI (p0.001) and BASFI (p0.001). It was found that the effect of BASFI was significant on the ASQoL(p=0.007). Conclusion: Even though the duration of the disease appears to be an unchangeable factor, smoking, duration of morning stiffness, the compliance with home-based exercise program and mobility measurements appear to be relatively changeable factors. Therefore, we believe that specialists who follow patients with AS can influence quality of life and functions of the patients by educating and inspiring them at every visit. Gürer et al.

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“…But the major challenge is the widely observed fact that most AS patients do not exercise on a regular basis. Various researchers have reported that as many as 82%, 77% and 65.6% of AS patients do not do any regularly exercising [34][35][36][37]. The main challenge to the success of exercise programs is declining motivation, which leads to a loss of compliance [4,34].…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Exergames in Patients with Ankylosing Spondylitis: A Randomized Controlled Trial

Karahan¹,

Tok²,

Yıldırım³

et al. 2016

Adv Clin Exp Med

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Quality of life and related variables in patients with ankylosing spondylitis

Abstract: In patients with AS, the most significant variables associated with QoL were BASDAI, BASFI, fatigue and pain. ASQoL was noted to be a short, rapid and simple patient-reported outcome (PRO) instrument and strongly correlated with SF-36 subscales.

Cited by 109 publications

References 14 publications

Adaptação cultural cruzada e validação da versão do Índice Funcional de Espondilite Anquilosante de Bath (BASFI) para o português do Brasil

Adaptação cultural cruzada e validação da versão do Índice Funcional de Espondilite Anquilosante de Bath (BASFI) para o português do Brasil

Which Factors Affect the Functional Situation and Quality of Life in Patients with Ankylosing Spondylitis?

The Effectiveness of Exergames in Patients with Ankylosing Spondylitis: A Randomized Controlled Trial

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