Systematic review of the psychometric properties of patient-reported outcome measures for rheumatoid arthritis in the foot and ankle

Ortega-Ávila, Ana Belén; Ramos‐Petersen, Laura; Cervera‐Garvi, Pablo; Nester, Christopher; Morales‐Asencio, José Miguel; Gijón-Noguerón, Gabriel

doi:10.1177/0269215519862328

Cited by 10 publications

(5 citation statements)

References 64 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the other hand, foot pain was not correlated to structural damage [6]. Multiple patient-reported outcome measures were developed to evaluate foot function in RA [7]. The Rheumatoid and Arthritis Outcome Score (RAOS) is an adaptation of the Knee Injury and Osteoarthritis Outcome Score [8], and is intended to evaluate symptoms and functional limitations of people with chronic inflammatory joint diseases and problems from lower extremities induced by treatment (medication, operation, physical therapy).…”

Section: Resultsmentioning

confidence: 99%

Correlation of Impaired Foot Function with Disease Activity and Structural Damage in Patients with Rheumatoid Arthritis

Tekaya¹,

Nouicer²,

Salah³

et al. 2022

Int J Foot Ankle

View full text Add to dashboard Cite

Introduction:Rheumatoid arthritis (RA) can affect foot, thus compromising the patient's gate and autonomy. We assessed the foot function RA patients by the Rheumatoid and Arthritis Outcome Score (RAOS) score, and investigated the associated factors to impaired foot function. Patients and methods:A cross-sectional study including RA patients was designed. Data about demographic and clinical characteristics (disease features and podiatric assessment) were collected. Patients underwent a clinical interview to fulfill the RAOS questionnaire. Statistical analysis was performed to determine associated factors to impaired foot function.Results: A total of 100 RA patients (92 female and 8 male) with a mean age of 56.63 ± 9.8 years were enrolled. About 70% presented foot pain, 46% foot deformities, and 70% foot structural damage. According to RAOS, the most impaired dimensions were: Sport and recreation, and quality of life. Lower RAOS scores were significantly associated with female, use of glucocorticoids, foot pain, higher disease activity and functional impairment. The most altered domains were Sport/Rec and QOL with respectively 55.4% and 49.5% scores under 50. Multivariable analysis in these domains showed significative association with disease activity, structural damage, and poor quality of life. Conclusion:There is an unmet need for provision and monitoring of foot care in patients with RA especially in female, patients treated by glucocorticoids with high disease activity.

show abstract

Section: Resultsmentioning

confidence: 99%

Correlation of Impaired Foot Function with Disease Activity and Structural Damage in Patients with Rheumatoid Arthritis

Tekaya¹,

Nouicer²,

Salah³

et al. 2022

Int J Foot Ankle

View full text Add to dashboard Cite

show abstract

“…It is to mention that assessing gait speed alone was found equivalent to the use of the whole Short Physical Performance Battery (Guralnik et al., 2000). Besides, a systematic review evaluating the psychometric properties of patient‐reported outcome measures for RA with foot and ankle involvement showed positive evidence for the RAOS for its content validity, internal consistency, reproducibility, and reliability (Ortega‐Avila et al., 2019).…”

Section: Discussionmentioning

confidence: 99%

Foot function in rheumatoid arthritis: Correlation between the Rheumatoid and Arthritis Outcome Score and performance‐based physical tests

Tekaya

Dhia

Hannech

et al. 2022

Musculoskeletal Care

View full text Add to dashboard Cite

Background Foot function is usually assessed using self‐reported outcome measures which remain subjective in patients with rheumatoid arthritis (RA). Physical performance tests were recommended for functional assessment in lower limb osteoarthritis. However, foot function assessment's guidelines in RA are lacking. We aimed to investigate the correlation between a self‐reported outcome measure and two performance‐based physical tests for assessing foot function in RA patients. Methods A cross‐sectional study was performed over 7 months' period including RA patients. We used Rheumatoid and Arthritis Outcome score (RAOS) as a self‐reported functional tool. Physical performance tests were 4‐min walk test (4‐MWT) and Timed up and go test (TUGT). Results Fifty RA patients were included with 96% females and a mean age of 54.7 ± 10.4 years. Foot involvement occurred since the diagnosis of RA in 36% of patients. Foot pain was reported by 68% of patients (48% forefoot), and foot stiffness in 46% of patients. Skin lesions of the feet were found in 78% of patients, 90% had foot deformities and 56% had inflammatory disorders of feet. Radiographic lesions were found in 94% of patients. The most impaired RAOS subscales were Sports and Recreation and Quality of life. Poor physical‐based performance was found in 34% of RA patients according to 4‐MWT, in 42% of RA patients according TUGT, and in 46% of patients based on at least one performance test. RAOS was negatively correlated to the 4‐MWT and positively correlated in the subscales pain, other symptoms, activities of daily living, and Sport/Rec of the RAOS. Poor performance‐based physical tests were significantly associated with advanced age, sedentary lifestyle, higher disease activity score and impaired functional status. Foot‐related parameters significantly associated with poor performance‐based physical tests were: foot pain, foot deformity and inflammatory disorders. Multivariate analysis identified foot deformities and higher functional impairment as predictive factors for lower gait speed (4‐MWT) and older age and higher functional impairment for higher duration of TUGT. Conclusion RAOS was significantly associated with performance‐based physical function. In the era of connected technologies, these results encourage the regular assessment of rheumatoid foot function by the RAOS score through a connected programme using wearable trackers.

show abstract

“…7 10-12 Various systematic reviews have been published to help select the most appropriate PROM with the best evidence, however, these are frequently associated with a single domain or specific joints. [13][14][15][16] Given the substantial number of domains that could be considered, and their associated PROMs, a catalogue of available PROMs across all relevant domains should be of value. Consequently, the current EULAR funded study, aimed to review all available PROMs used in RA, together with their performance metrics to help make informed choices about the most appropriate PROM for a given purpose.…”

Section: What Does This Study Add?mentioning

confidence: 99%

Use and detailed metric properties of patient-reported outcome measures for rheumatoid arthritis: a systematic review covering two decades

et al. 2021

View full text Add to dashboard Cite

IntroductionThe importance of patient-reported outcome measures (PROMs) for rheumatoid arthritis (RA) clinical studies has been recognised for many years. The current study aims to describe the RA PROMs used over the past 20 years, and their performance metrics, to underpin appropriate tool selection.MethodsThe study included a systematic search for PROMs that have been in use over the period 2000–2019, with detailed documentation of their psychometric properties, and a user-friendly presentation of the extensive evidence base.Results125 PROMs were identified with psychometric evidence available. The domains of pain, fatigue, emotional functions, mobility, physical functioning and work dominated, with self-efficacy and coping as personal factors. Domains such as stiffness and sleep were poorly served. The most frequently used PROMs included the Health Assessment Questionnaire Disability Index (HAQ), the Short Form 36 (SF-36), the EuroQoL and the Modified HAQ which, between them, appeared in more than 3500 papers. Strong psychometric evidence was found for the HAQ, and the SF-36 Physical Functioning and Vitality (fatigue) domains. Otherwise, all domains except stiffness, sleep, education and health utility, had at least one PROM with moderate level of psychometric evidence.ConclusionThere is a broad range of PROMs for measuring RA outcomes, but the quality of psychometric evidence varies widely. This work identifies gaps in key RA domains according to the biopsychosocial model.

show abstract

Systematic review of the psychometric properties of patient-reported outcome measures for rheumatoid arthritis in the foot and ankle

Cited by 10 publications

References 64 publications

Correlation of Impaired Foot Function with Disease Activity and Structural Damage in Patients with Rheumatoid Arthritis

Correlation of Impaired Foot Function with Disease Activity and Structural Damage in Patients with Rheumatoid Arthritis

Foot function in rheumatoid arthritis: Correlation between the Rheumatoid and Arthritis Outcome Score and performance‐based physical tests

Use and detailed metric properties of patient-reported outcome measures for rheumatoid arthritis: a systematic review covering two decades

Contact Info

Product

Resources

About