Quantification of health-related quality of life among patients with rheumatoid arthritis: An institution-based study in Kolkata, West Bengal

Context: Rheumatoid arthritis (RA) is a known chronic debilitating disease accounting for a large percentage of disability globally. Pain and stiffness, decreased work function, depression and emotional state alteration, fatigue, disability, and social handicaps are some patient reported outcomes, w...

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Veröffentlicht in:Journal of family medicine and primary care Jg. 9; H. 8; S. 3970 - 3976
Hauptverfasser: Mandal, Moumita, Dasgupta, Aparajita, Dutt, Debashis, Taraphdar, Pranita, Ghosh, Parasar, Paul, Bobby
Format: Journal Article
Sprache:Englisch
Veröffentlicht: India Wolters Kluwer India Pvt. Ltd 01.08.2020
Medknow Publications and Media Pvt. Ltd
Wolters Kluwer - Medknow
Wolters Kluwer Medknow Publications
Schlagworte:
Arthritis
das28 score
functional disability
health-related quality of life
Medical research
modified health assessment questionnaire (mhaq)
Original
Patient compliance
quality of life
rheumatoid arthritis
Rheumatoid factor
whoqol-bref
India
functional disability
DAS28 score
modified health assessment questionnaire (MHAQ)
health-related quality of life
quality of life
rheumatoid arthritis
WHOQOL-BREF
ISSN:2249-4863, 2278-7135
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Zusammenfassung:Context: Rheumatoid arthritis (RA) is a known chronic debilitating disease accounting for a large percentage of disability globally. Pain and stiffness, decreased work function, depression and emotional state alteration, fatigue, disability, and social handicaps are some patient reported outcomes, which if considered with priority the health-related quality of life (HRQOL) of patients with RA could improve. Aims: This study was conducted with the aim to assess the HRQOL of the patients with RA and the determinants related to it. Settings and Design: This was a cross-sectional study conducted at Rheumatology Department of a tertiary care hospital, Kolkata. Subjects and Methods: A total of 252 patients with RA were selected in this study through systematic random sampling. Statistical Analysis Used: Data were analyzed using appropriate statistical measures with Statistical Package for the Social Sciences(SPSS) version 16.0 (Armonk, NY: IBM Corporation) software program, version 16.0. Univariate and multivariable logistic regression were carried out. Results: In the study, the mean age of the patients was 43.1 years (mean age ±SD: 43.05±10.63 years). The proportion of female subjects was 84.5%. Unsatisfactory QOL was found in 59.9% study participants. In multivariable logistic regression unsatisfactory quality of life was significantly associated to moderate to high functional disability [AOR: 6.04, CI: 2.86, 12.78], disease activity moderate to high [AOR: 5.41, CI: 1.87, 15.69], presence of comorbidity [AOR: 2.90, CI: 1.39, 6.04], extra-articular manifestations [AOR: 3.14, CI: 1.41, 6.96] and delay in starting Disease-Modifying Anti-Rheumatoid Drugs (DMARDs) [AOR: 1.24, CI: 1.08, 1.42]. Conclusion: Findings of this study clearly indicate the presence of high proportion of unsatisfactory QOL among the patients with RA. Early identification and prompt referral are the key strategies to prevent any permanent damage. Regular follow-up of the patients should be carried out to prevent or delay the disability progression and provide high-quality physical and mental health.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:2249-4863
2278-7135
DOI:10.4103/jfmpc.jfmpc_53_20