Your browser doesn't support javascript.
loading
Which factors predict discordance between a patient and physician on a gout flare?
Jagpal, Aprajita; Rahn, Elizabeth J; Mudano, Amy S; Dalbeth, Nicola; Taylor, William; Saag, Kenneth G; Singh, Jasvinder A; Cavagna, Lorenzo; Uhlig, Till; Perez-Ruiz, Fernando; McCarthy, Geraldine; Gerritsen, Martijn; Stamp, Lisa; Vazquez Mellado, Janitzia; Lin, Chingtsai; Vargas-Santos, Ana Beatriz; Louthrenoo, Worawit; Neogi, Tuhina; Chen, Yi-Hsing; Castelar-Pinheiro, Geraldo da Rocha; Gaffo, Angelo.
Afiliación
  • Jagpal A; Division of Rheumatology, University of Alabama, Birmingham, Birmingham, AL, USA.
  • Rahn EJ; Division of Rheumatology, University of Alabama, Birmingham, Birmingham, AL, USA.
  • Mudano AS; Division of Rheumatology, University of Alabama, Birmingham, Birmingham, AL, USA.
  • Dalbeth N; Department of Rheumatology, University of Auckland, Auckland, New Zealand.
  • Taylor W; Department of Rheumatology, University of Otago, Wellington, New Zealand.
  • Saag KG; Division of Rheumatology, University of Alabama, Birmingham, Birmingham, AL, USA.
  • Singh JA; Division of Rheumatology, University of Alabama, Birmingham, Birmingham, AL, USA.
  • Cavagna L; Division of Rheumatology, Birmingham VA Medical Center, Birmingham, AL, USA.
  • Uhlig T; Department of Rheumatology, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.
  • Perez-Ruiz F; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.
  • McCarthy G; Division of Rheumatology, Osakidetza, OSI-EEC, Cruces University Hospital, Rheumatology Division, Biskay, Spain.
  • Gerritsen M; Department of Medicine, University College Dublin and Consultant Rheumatologist, Mater Misericordiae University Hospital Dublin, Ireland.
  • Stamp L; Department of Rheumatology, Reade, Amsterdam, The Netherlands.
  • Vazquez Mellado J; Department of Medicine, University of Otago, Christchurch, New Zealand.
  • Lin C; Servicio de Reumatología, Hospital General de Mexico, Mexico City, Mexico.
  • Vargas-Santos AB; Division of Allergy, Immunology and Rheumatology, Taichung Veterans General Hospital, Taichung, Taiwan.
  • Louthrenoo W; Rheumatology, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
  • Neogi T; Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
  • Chen YH; Division of Rheumatology, Boston University School of Medicine, Boston, MA, USA.
  • Castelar-Pinheiro GDR; Division of Allergy, Immunology and Rheumatology, Taichung Veterans General Hospital, Taichung, Taiwan.
  • Gaffo A; Department of Medicine, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
Rheumatology (Oxford) ; 60(2): 773-779, 2021 02 01.
Article en En | MEDLINE | ID: mdl-32793971
OBJECTIVE: To investigate the factors associated with discordance between patient and physician on the presence of a gout flare. METHODS: Patients' self-reports of current gout flares were assessed with the question, 'Are you having a gout flare today?' which was then compared with a concurrent, blinded, physician's assessment. Based on agreement or disagreement with physicians on the presence of a gout flare, flares were divided into concordant and discordant groups, respectively. Within the discordant group, two subgroups-patient-reported flare but the physician disagreed and physician-reported flare but the patient disagreed-were identified. The factors associated with discordance were analysed with multivariable logistic regression analysis. RESULTS: Of 268 gout flares, 81 (30.2%) flares were discordant, with either patient or physician disagreeing on the presence of a flare. Of the discordant flares, in 57 (70.4%) the patient reported a flare but the physician disagreed. In multivariable logistic regression analysis adjusted for demographics, disagreement among patients and physicians on the presence of a gout flare was associated with lower pain scores at rest [odds ratio (OR) for each point increase on 0-10 point pain scale 0.81 (95% Wald CI 0.73, 0.90), P < 0.0001] and less presence of joint swelling [OR 0.24 (95% CI 0.10, 0.61), P = 0.003] or joint warmth [OR 0.39 (95% CI 0.20, 0.75), P = 0.005]. CONCLUSION: Although patients and physicians generally agree about the presence of gout flare, discordance may occur in the setting of low pain scores and in the absence of swollen or warm joints.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Médicos / Dimensión del Dolor / Autoinforme / Gota Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Rheumatology (Oxford) Asunto de la revista: REUMATOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Médicos / Dimensión del Dolor / Autoinforme / Gota Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Rheumatology (Oxford) Asunto de la revista: REUMATOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido