Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/50112
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dc.contributor.authorKhan, Nasim A.en_US
dc.contributor.authorSpencer, Horace J.en_US
dc.contributor.authorAbda, Esamen_US
dc.contributor.authorAggarwal, Amitaen_US
dc.contributor.authorAlten, Riekeen_US
dc.contributor.authorAncuta, Codrinaen_US
dc.contributor.authorAndersone, Dainaen_US
dc.contributor.authorBergman, Martinen_US
dc.contributor.authorCraig-Muller, Jurgenen_US
dc.contributor.authorDetert, Jacquelineen_US
dc.contributor.authorGeorgescu, Liaen_US
dc.contributor.authorGossec, Laureen_US
dc.contributor.authorHamoud, Hishamen_US
dc.contributor.authorJacobs, Johannes W.G.en_US
dc.contributor.authorLaurindo, Ieda Maria Magalhaesen_US
dc.contributor.authorMajdan, Mariaen_US
dc.contributor.authorNaranjo, Antonioen_US
dc.contributor.authorPandya, Sapanen_US
dc.contributor.authorPohl, Christofen_US
dc.contributor.authorSchett, Georgen_US
dc.contributor.authorSelim, Zahraa I.en_US
dc.contributor.authorToloza, Sergioen_US
dc.contributor.authorYamanaka, Hisahien_US
dc.contributor.authorSokka, Tuulikkien_US
dc.contributor.otherKhan, Noor-ul-
dc.contributor.otherNaranjo Hernandez, Antonio-
dc.contributor.otherhamoud, Hesham-
dc.contributor.otherMajdan, Maria-
dc.date.accessioned2018-11-24T13:24:10Z-
dc.date.available2018-11-24T13:24:10Z-
dc.date.issued2012en_US
dc.identifier.issn0004-3591en_US
dc.identifier.urihttp://hdl.handle.net/10553/50112-
dc.description.abstractObjective To assess the determinants of patients' (PTGL) and physicians' (MDGL) global assessment of rheumatoid arthritis (RA) activity and factors associated with discordance among them. Methods A total of 7,028 patients in the Quantitative Standard Monitoring of Patients with RA study had PTGL and MDGL assessed at the same clinic visit on a 0–10-cm visual analog scale (VAS). Three patient groups were defined: concordant rating group (PTGL and MDGL within ±2 cm), higher patient rating group (PTGL exceeding MDGL by >2 cm), and lower patient rating group (PTGL less than MDGL by >2 cm). Multivariable regression analysis was used to identify determinants of PTGL and MDGL and their discordance. Results The mean ± SD VAS scores for PTGL and MDGL were 4.01 ± 2.70 and 2.91 ± 2.37, respectively. Pain was overwhelmingly the single most important determinant of PTGL, followed by fatigue. In contrast, MDGL was most influenced by swollen joint count (SJC), followed by erythrocyte sedimentation rate (ESR) and tender joint count (TJC). A total of 4,454 (63.4%), 2,106 (30%), and 468 (6.6%) patients were in the concordant, higher, and lower patient rating groups, respectively. Odds of higher patient rating increased with higher pain, fatigue, psychological distress, age, and morning stiffness, and decreased with higher SJC, TJC, and ESR. Lower patient rating odds increased with higher SJC, TJC, and ESR, and decreased with lower fatigue levels. Conclusion Nearly 36% of patients had discordance in RA activity assessment from their physicians. Sensitivity to the “disease experience” of patients, particularly pain and fatigue, is warranted for effective care of RA.en_US
dc.languageengen_US
dc.relation.ispartofArthritis and rheumatismen_US
dc.sourceArthritis Care and Research[ISSN 0004-3591],v. 64(2), p. 206-214 (Febrero 2012)en_US
dc.subject32 Ciencias médicasen_US
dc.subject320509 Reumatologíaen_US
dc.subject.otherRheumatoid arthritisen_US
dc.subject.otherQuantitative Standard Monitoring of Patientsen_US
dc.subject.otherQUEST-RAen_US
dc.titleDeterminants of discordance in patients' and physicians' rating of rheumatoid arthritis disease activityen_US
dc.typeinfo:eu-repo/semantics/articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1002/acr.20685en_US
dc.identifier.scopus84858010848-
dc.identifier.isi000299465200007-
dcterms.isPartOfArthritis Care & Research-
dcterms.sourceArthritis Care & Research[ISSN 2151-464X],v. 64 (2), p. 206-214-
dc.contributor.authorscopusid36728286700-
dc.contributor.authorscopusid7201921775-
dc.contributor.authorscopusid55078295400-
dc.contributor.authorscopusid7201563860-
dc.contributor.authorscopusid6701509139-
dc.contributor.authorscopusid34876157600-
dc.contributor.authorscopusid23479581800-
dc.contributor.authorscopusid18036439200-
dc.contributor.authorscopusid35364014200-
dc.contributor.authorscopusid9735932900-
dc.contributor.authorscopusid55078202700-
dc.contributor.authorscopusid6602254276-
dc.contributor.authorscopusid36499625000-
dc.contributor.authorscopusid7403557466-
dc.contributor.authorscopusid6603564365-
dc.contributor.authorscopusid7006061129-
dc.contributor.authorscopusid7003297397-
dc.contributor.authorscopusid7103287746-
dc.contributor.authorscopusid56890646500-
dc.contributor.authorscopusid7003435673-
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dc.contributor.authorscopusid6508102640-
dc.contributor.authorscopusid7401646149-
dc.contributor.authorscopusid7005197367-
dc.description.lastpage214en_US
dc.identifier.issue2-
dc.description.firstpage206en_US
dc.relation.volume64en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.identifier.wosWOS:000299465200007-
dc.contributor.daisngid259796-
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dc.contributor.daisngid550893-
dc.contributor.daisngid3672022-
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dc.contributor.daisngid32648-
dc.identifier.investigatorRIDL-5371-2014-
dc.identifier.investigatorRIDE-7910-2010-
dc.identifier.investigatorRIDNo ID-
dc.identifier.investigatorRIDNo ID-
dc.description.numberofpages9en_US
dc.utils.revisionen_US
dc.date.coverdateFebrero 2012en_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-MEDen_US
dc.description.jcr7,477-
dc.description.jcrqQ1-
item.fulltextSin texto completo-
item.grantfulltextnone-
crisitem.author.deptGIR IUIBS: Grupo de investigaciones infecciosas, nutricionales e inflamatorias en pacientes hospitalarios / Study Group on infectious, nutritional and inflammatory diseases in hospitalized patients-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.orcid0000-0002-2013-6664-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.fullNameNaranjo Hernández, Antonio-
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