What factors affect discordance between physicians and patients in the global assessment of disease activity in rheumatoid arthritis?
| Autor: | Sang-Heon Lee, Tae-Hwan Kim, Chan-Bum Choi, Jisoo Lee, Jung-Yoon Choe, Eun-Mi Koh, Bo Young Yoon, Sang Cheol Bae, Seung-Jae Hong, Tae-Jong Kim, Dae-Hyun Yoo, Shin-Seok Lee, Jinseok Kim, Jae-Bum Jun, Yoon-Kyoung Sung, Korona investigators, Hye-Soon Lee, So-Young Bang, Sung Won Lee, Hoon-Suk Cha, Sung-Hoon Park, Won Tae Chung, Soo-Kyung Cho |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual Analog Scale Attitude of Health Personnel Visual analogue scale Concordance Arthritis Affect (psychology) Arthritis Rheumatoid Disease activity Diagnostic Self Evaluation 03 medical and health sciences 0302 clinical medicine Rheumatology Physicians Internal medicine Republic of Korea medicine Humans 030212 general & internal medicine Aged 030203 arthritis & rheumatology business.industry Patient Acuity Middle Aged medicine.disease Multinomial logistic regression analysis Rheumatoid arthritis Physical therapy Female Observational study business Attitude to Health |
| Zdroj: | Modern Rheumatology. 27:35-41 |
| ISSN: | 1439-7609 1439-7595 |
| Popis: | To identify the level of agreement between patients with rheumatoid arthritis (RA) and physicians in the global assessment of disease activity and to explore factors influencing their discordance.A total of 4368 patients with RA were analyzed from the KORean Observational study Network for Arthritis (KORONA) database. Patients were divided into four subgroups according to difference from their physicians in the assessment of disease activity by substracting physician's visual analog scale (VAS) from patient's VAS as follows: positive discordance group I (10 mm ≤ discordance25 mm), positive discordance group II (≥25 mm), concordance (|10| mm), and negative discordance (≤ -10mm). Multinomial logistic regression analysis was performed to identify factors associated with discordance.Only 1350 (29.2%) patients were classified in the concordance group. Positive discordance was found in 52.3% of the patients (n = 2425), with 33.7% (n = 1563) showing marked discordance (≥25 mm). The high disease activity (OR =1.41), gastrointestinal (GI) disease (OR =1.28), pain (OR =1.12), fatigue (OR =1.07) were consistently associated with positive discordance.More than half of patients with RA thought their disease more severe than their physicians. In addition to high disease activity, pain, fatigue, and sleep disturbance or GI disease were associated with the discordance between physicians and patients with RA. |
| Databáze: | OpenAIRE |
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