Remission and rheumatoid arthritis: data on patients receiving usual care in twenty-four countries
Φόρτωση...
Ημερομηνία
Συγγραφείς
Sokka, T.
Hetland, M. L.
Makinen, H.
Kautiainen, H.
Horslev-Petersen, K.
Luukkainen, R. K.
Combe, B.
Badsha, H.
Drosos, A. A.
Devlin, J.
Τίτλος Εφημερίδας
Περιοδικό ISSN
Τίτλος τόμου
Εκδότης
Περίληψη
Τύπος
Είδος δημοσίευσης σε συνέδριο
Είδος περιοδικού
peer-reviewed
Είδος εκπαιδευτικού υλικού
Όνομα συνεδρίου
Όνομα περιοδικού
Arthritis Rheum
Όνομα βιβλίου
Σειρά βιβλίου
Έκδοση βιβλίου
Συμπληρωματικός/δευτερεύων τίτλος
Περιγραφή
OBJECTIVE: To compare the performance of different definitions of remission in a large multinational cross-sectional cohort of patients with rheumatoid arthritis (RA). METHODS: The Questionnaires in Standard Monitoring of Patients with RA (QUEST-RA) database, which (as of January 2008) included 5,848 patients receiving usual care at 67 sites in 24 countries, was used for this study. Patients were clinically assessed by rheumatologists and completed a 4-page self-report questionnaire. The database was analyzed according to the following definitions of remission: American College of Rheumatology (ACR) definition, Disease Activity Score in 28 joints (DAS28), Clinical Disease Activity Index (CDAI), clinical remission assessed using 42 and 28 joints (Clin42 and Clin28), patient self-report Routine Assessment of Patient Index Data 3 (RAPID3), and physician report of no disease activity (MD remission). RESULTS: The overall remission rate was lowest using the ACR definition of remission (8.6%), followed by the Clin42 (10.6%), Clin28 (12.6%), CDAI (13.8%), MD remission (14.2%), and RAPID3 (14.3%); the rate of remission was highest when remission was defined using the DAS28 (19.6%). The difference between the highest and lowest remission rates was >or=15% in 10 countries, 5-14% in 7 countries, and <5% in 7 countries (the latter of which had generally low remission rates [<5.5%]). Regardless of the definition of remission, male sex, higher education, shorter disease duration, smaller number of comorbidities, and regular exercise were statistically significantly associated with remission. CONCLUSION: The use of different definitions of RA remission leads to different results with regard to remission rates, with considerable variation among countries and between sexes. Reported remission rates in clinical trials and clinical studies have to be interpreted in light of the definition of remission that has been used.
Περιγραφή
Λέξεις-κλειδιά
Adult, Aged, Arthritis, Rheumatoid/diagnosis/*epidemiology, Body Mass Index, Exercise, Female, Health Status, Humans, International Cooperation, Life Style, Male, Middle Aged, Questionnaires, Remission Induction/*methods, Rheumatology/methods, Severity of Illness Index, Sex Factors, Smoking, *Terminology as Topic, Treatment Outcome
Θεματική κατηγορία
Παραπομπή
Σύνδεσμος
http://www.ncbi.nlm.nih.gov/pubmed/18759292
http://onlinelibrary.wiley.com/store/10.1002/art.23794/asset/23794_ftp.pdf?v=1&t=h0m36igp&s=a7158723c94d8534f178d59b04ebdc6aa023b2af
http://onlinelibrary.wiley.com/store/10.1002/art.23794/asset/23794_ftp.pdf?v=1&t=h0m36igp&s=a7158723c94d8534f178d59b04ebdc6aa023b2af
Γλώσσα
en
Εκδίδον τμήμα/τομέας
Όνομα επιβλέποντος
Εξεταστική επιτροπή
Γενική Περιγραφή / Σχόλια
Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής