Academic Journal

Predictors of quality of life, functional status, depression and fatigue in early arthritis: comparison between clinically suspect arthralgia, unclassified arthritis and rheumatoid arthritis

التفاصيل البيبلوغرافية
العنوان: Predictors of quality of life, functional status, depression and fatigue in early arthritis: comparison between clinically suspect arthralgia, unclassified arthritis and rheumatoid arthritis
المؤلفون: Barbara Torlinska, Karim Raza, Andrew Filer, Gurpreet Jutley, Ilfita Sahbudin, Ruchir Singh, Paola de Pablo, Elizabeth Rankin, Benjamin Rhodes, Nicole Amft, Elizabeth Justice, Catherine McGrath, Sangeetha Baskar, Jeanette Trickey, Melanie Calvert, Marie Falahee
المصدر: BMC Musculoskeletal Disorders, Vol 25, Iss 1, Pp 1-11 (2024)
بيانات النشر: BMC, 2024.
سنة النشر: 2024
المجموعة: LCC:Diseases of the musculoskeletal system
مصطلحات موضوعية: Patient-reported outcomes measures, Rheumatoid arthritis, Unclassified arthritis, Clinically suspect arthralgia, Undifferentiated arthritis, Pre-RA stages, Diseases of the musculoskeletal system, RC925-935
الوصف: Abstract Background Rheumatoid arthritis (RA) is often preceded by symptomatic phases during which classification criteria are not fulfilled. The health burden of these “at-risk” stages is not well described. This study assessed health-related quality of life (HRQoL), function, fatigue and depression in newly presenting patients with clinically suspect arthralgia (CSA), unclassified arthritis (UA) or RA. Methods Cross-sectional analysis of baseline Patient-Reported Outcome Measures (PROMs) was conducted in patients from the Birmingham Early Arthritis Cohort. HRQoL, function, depression and fatigue at presentation were assessed using EQ-5D, HAQ-DI, PHQ-9 and FACIT-F. PROMs were compared across CSA, UA and RA and with population averages from the HSE with descriptive statistics. Multivariate linear regression assessed associations between PROMs and clinical and sociodemographic variables. Results Of 838 patients included in the analysis, 484 had RA, 200 had CSA and 154 had UA. Patients with RA reported worse outcomes for all PROMs than those with CSA or UA. However, “mean EQ-5D utilities were 0.65 (95%CI: 0.61 to 0.69) in CSA, 0.61 (0.56 to 0.66) in UA and 0.47 (0.44 to 0.50) in RA, which was lower than in general and older (≥ 65 years) background populations.” In patients with CSA or UA, HRQoL was comparable to chronic conditions such as heart failure, severe COPD or mild angina. Higher BMI and older age (≥ 60 years) predicted worse depression (PHQ-9: -2.47 (-3.85 to -1.09), P
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1471-2474
Relation: https://doaj.org/toc/1471-2474
DOI: 10.1186/s12891-024-07446-6
URL الوصول: https://doaj.org/article/e56bbe85a2454988952b0da856399b95
رقم الانضمام: edsdoj.56bbe85a2454988952b0da856399b95
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:14712474
DOI:10.1186/s12891-024-07446-6