What factors affect discordance between physicians and patients in the global assessment of disease activity in rheumatoid arthritis?
Mod Rheumatol
; 27(1): 35-41, 2017 Jan.
Article
em En
| MEDLINE
| ID: mdl-27143194
ABSTRACT
OBJECTIVE:
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.METHODS:
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 ≤ discordance <25 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.RESULTS:
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.CONCLUSION:
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.Palavras-chave
Texto completo:
1
Temas:
ECOS
/
Aspectos_gerais
Bases de dados:
MEDLINE
Assunto principal:
Artrite Reumatoide
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Atitude do Pessoal de Saúde
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Atitude Frente a Saúde
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Gravidade do Paciente
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Escala Visual Analógica
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
Aspecto:
Determinantes_sociais_saude
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Patient_preference
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Mod Rheumatol
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Coréia do Sul