The impact of joint disease on the Modified Health Assessment Questionnaire scores in rheumatoid arthritis patients: A cross-sectional study using the National Database of Rheumatic Diseases by iR-net in Japan
| Autor: | Yuho Kadono, Kumiko Ono, Satoru Ohashi, Shigeto Tohma, Jinju Nishino, Yasunori Omata, Tetsuro Yasui, Hiroyuki Oka, Sakae Tanaka |
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| Rok vydání: | 2015 |
| Předmět: |
Male
musculoskeletal diseases 0301 basic medicine medicine.medical_specialty Databases Factual Cross-sectional study Physical examination Logistic regression Severity of Illness Index Arthritis Rheumatoid 03 medical and health sciences 0302 clinical medicine Japan Rheumatology Surveys and Questionnaires medicine Humans Physical Examination Aged 030203 arthritis & rheumatology medicine.diagnostic_test business.industry Odds ratio Middle Aged medicine.disease Cross-Sectional Studies 030104 developmental biology medicine.anatomical_structure Rheumatoid arthritis Cohort Physical therapy Female Joints Ankle business Cohort study |
| Zdroj: | Modern Rheumatology. 26:529-533 |
| ISSN: | 1439-7609 1439-7595 |
| DOI: | 10.3109/14397595.2015.1106640 |
| Popis: | To investigate the effect of bilateral and unilateral joint disease on the Modified Health Assessment Questionnaire (MHAQ) scores and the differences in joint weighting in rheumatoid arthritis patients.A total of 9212 subjects from the Japanese nationwide cohort database NinJa, 2011, were analyzed. The presence or absence of disease in each joint, including swelling and/or tenderness, was investigated. The correlations between bilateral and unilateral disease in each joint and MHAQ scores were investigated using multivariable logistic regression analysis.The patients' mean age and disease duration was 63.2 and 12.2 years, respectively. The Disease Activity Score-28 was 3.3. The odds ratios of physical impairment according to the MHAQ using multivariable logistic regression models for bilateral and unilateral joints, respectively, were: shoulder, 4.0 and 1.8; elbow, 2.6 and 1.8; wrist, 1.9 and 1.5; hip, 1.7 and 3.0; knee, 2.6 and 1.9; ankle, 2.3 and 2.0, finger, 1.4 and 1.2; and toe, 1.0 and 1.1. The shoulder, elbow, wrist, knee, and ankle had a significant effect on physical impairment.The MHAQ score was significantly affected by shoulder, elbow, wrist, knee, and ankle joint disease. Furthermore, bilateral disease tended to have a greater effect on physical impairment than unilateral disease. |
| Databáze: | OpenAIRE |
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