Discordance and accordance between patient’s and physician’s assessments in rheumatoid arthritis

Autor:	Hiroyuki Yoshitomi, Tsuneyo Mimori, Takao Fujii, Hiromu Ito, Noriyuki Yamakawa, Masahiro Ishikawa, Hiroko Ogino, Moritoshi Furu, Motomu Hashimoto, Shuichi Matsuda, Chikashi Terao
Rok vydání:	2014
Předmět:	Adult Male musculoskeletal diseases medicine.medical_specialty Patients Clinical cohort Visual analogue scale Immunology Severity of Illness Index Arthritis Rheumatoid Disability Evaluation Young Adult Rheumatology Remission criteria Internal medicine Humans Immunology and Allergy Medicine skin and connective tissue diseases Aged Aged 80 and over Physician-Patient Relations Pain score business.industry Remission Induction General Medicine Middle Aged medicine.disease Swollen joint count Antirheumatic Agents Rheumatoid arthritis Physical therapy Female business Rheumatism
Zdroj:	Scandinavian Journal of Rheumatology. 43:291-295
ISSN:	1502-7732 0300-9742
DOI:	10.3109/03009742.2013.869831
Popis:	The American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) remission criteria for rheumatoid arthritis (RA) are more stringent than index-based criteria, making it more difficult to achieve a patient's global assessment (PGA) than an evaluator's global assessment (EGA). We investigated the reason for the discrepancy between the PGA and the EGA in a Japanese clinical cohort.We assessed clinical and laboratory variables in our clinical cohort. The frequency of remission achievement according to the ACR/EULAR remission criteria and predictors of the discrepancy between the PGA and EGA were analysed.Of 370 patients with RA, 89 fulfilled PGA criteria and 167 patients fulfilled EGA criteria. The PGA was highly correlated with the visual analogue scale (VAS) pain score and non-inflammatory variables including Steinbrocker class and the Health Assessment Questionnaire Disability Index (HAQ-DI). Conversely, inflammatory variables, including swollen joint count (SJC), tender joint count (TJC), and C-reactive protein (CRP) levels, were significantly associated with the EGA. The main predictors of the discrepancy between the PGA and the EGA were patient's VAS pain score, SJC, and functional disability.Increased pain and functional disability led to a discrepancy towards a worse PGA than EGA, whereas increased SJC led to an accordance towards a worse EGA.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9d59dd9a5f5801304f241cb4074538a5 https://doi.org/10.3109/03009742.2013.869831 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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