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MDHAQ/RAPID3 scores in patients with osteoarthritis are similar to or higher than in patients with rheumatoid arthritis: a cross-sectional study from current routine rheumatology care at four sites.
El-Haddad, Carlos; Castrejon, Isabel; Gibson, Kathryn A; Yazici, Yusuf; Bergman, Martin J; Pincus, Theodore.
Afiliación
  • El-Haddad C; Department of Rheumatology, Liverpool Hospital, Liverpool, Australia.
  • Castrejon I; Division of Rheumatology, Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.
  • Gibson KA; Department of Rheumatology, Liverpool Hospital, Liverpool, Australia.
  • Yazici Y; Ingham Research Institute, Liverpool, Australia.
  • Bergman MJ; Rheumatology, University of New South Wales, Sydney, NSW, Australia.
  • Pincus T; NYU Hospital for Joint Diseases, New York University School of Medicine, New York, New York, USA.
RMD Open ; 3(1): e000391, 2017.
Article en En | MEDLINE | ID: mdl-29225915
OBJECTIVE: To compare patients with a primary diagnosis of osteoarthritis (OA) versus rheumatoid arthritis (RA) for scores on a patient self-report MDHAQ/RAPID3 (Multidimensional Health Assessment Questionnaire/Routine Assessment of Patient Index Data 3), and for physician global assessment (DOCGL). METHODS: All patients with all diagnoses complete an MDHAQ/RAPID3 at all routine rheumatology visits in the waiting area before seeing a rheumatologist at four sites, one in Australia and three in the USA. The two-page MDHAQ includes 0-10 scores for physical function (in 10 activities), pain and patient global assessment [on 0-10 visual analogue scales (VAS)], compiled into a 0-30 RAPID3, as well as fatigue and self-report painful joint count scales. Rheumatologists estimate a 0-10 DOCGL VAS. Demographic, MDHAQ/RAPID3 and DOCGL data from a random visit were compared in patients with RA versus patients with OA using multivariate analysis of variance, adjusted for age, disease duration and formal education level. RESULTS: Median RAPID3 was higher in OA versus RA at all four sites (11.7-16.8 vs 6.2-11.8) (p<0.001 at three sites). Median DOCGL in OA versus RA was 5 vs 4, 4 vs 3.7, 2.2 vs 2.5 and 2 vs 1. Patterns were similar for individual RAPID3 items, fatigue and painful joint scales, and in stratified analyses of patients aged 55-70. CONCLUSION: Patient MDHAQ/RAPID3 and physician DOCGL indicate similar or higher disease burden in OA versus RA. Routine MDHAQ/RAPID3 allows direct comparisons of the two diseases. The findings suggest possible revision of current clinical and public policy views concerning OA.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prevalence_studies Aspecto: Patient_preference Idioma: En Revista: RMD Open Año: 2017 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prevalence_studies Aspecto: Patient_preference Idioma: En Revista: RMD Open Año: 2017 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido