Health-related quality of life and disability in adults with juvenile idiopathic arthritis: comparison with adult-onset rheumatic diseases
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2021 |
| Outros Autores: | , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10451/58148 |
Resumo: | © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
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Health-related quality of life and disability in adults with juvenile idiopathic arthritis: comparison with adult-onset rheumatic diseasesAnkylosingArthritisJuvenilePatient reported outcome measuresRheumatoidSpondylitis© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.Objective: To compare physical disability, mental health, fatigue and health-related quality of life (HRQoL) across juvenile idiopathic arthritis (JIA) categories in adulthood and between JIA and adult-onset rheumatic diseases. Methods: Cross-sectional analysis nested in a cohort of adult patients with JIA registered in the Rheumatic Diseases Portuguese Register (Reuma.pt). Physical disability (Health Assessment Questionnaire-Disability Index), mental health symptoms (Hospital Anxiety and Depression Scale), fatigue (Functional Assessment of Chronic Illness Therapy-Fatigue Scale (FACIT-F)) and HRQoL (EuroQol-5D (EQ5D) and Short Form (SF-36)) were compared across JIA categories. Patients with polyarticular JIA and enthesis-related arthritis (ERA) JIA were compared respectively to patients with rheumatoid arthritis (RA) and spondyloarthritis (SpA), matched for gender and age, adjusted for disease duration and activity. Results: 585 adult patients with JIA were included. Comparison across JIA categories showed that persistent oligoarthritis and patients with ERA reported a higher score in EQ5D and SF-36 physical component when compared with other JIA categories.Polyarticular JIA reported less disability and fatigue than patients with RA (median Health Assessment Questionnaire of 0.25 vs 0.63; p<0.001 and median FACIT-F score 42 vs 40 ; p=0.041). Polyarticular JIA had also better scores on EQ5D and all domains of SF-36, than patients with RA. Patients with ERA reported less depression and anxiety symptoms (0% vs 14.8%; p=0.003% and 9% vs 21.3%; p=0.002) and less fatigue symptoms (45 vs 41; p=0.01) than patients with SpA. Conclusion: Persistent oligoarticular JIA and ERA are the JIA categories in adulthood with better HRQoL. Overall, adult polyarticular and patients with ERA JIA have lower functional impairment and better quality-of-life than patients with RA and SpA.BMJ Publishing GroupRepositório da Universidade de LisboaOliveira Ramos, FilipaRodrigues, AnaMagalhaes Martins, FernandoMelo, Ana TeresaAguiar, FranciscaBrites, LuisaAzevedo, SoraiaDuarte, Ana CatarinaFurtado, CarolinaMourão, Ana FilipaSequeira, GraçaCunha, InêsFigueira, RicardoMelo Gomes, Jose AntonioSantos, MariaFonseca, João Eurico2023-06-09T14:19:46Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/58148engRMD Open. 2021 Nov;7(3):e00176610.1136/rmdopen-2021-0017662056-5933info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T17:06:55Zoai:repositorio.ul.pt:10451/58148Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:08:29.783759Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Health-related quality of life and disability in adults with juvenile idiopathic arthritis: comparison with adult-onset rheumatic diseases |
| title |
Health-related quality of life and disability in adults with juvenile idiopathic arthritis: comparison with adult-onset rheumatic diseases |
| spellingShingle |
Health-related quality of life and disability in adults with juvenile idiopathic arthritis: comparison with adult-onset rheumatic diseases Oliveira Ramos, Filipa Ankylosing Arthritis Juvenile Patient reported outcome measures Rheumatoid Spondylitis |
| title_short |
Health-related quality of life and disability in adults with juvenile idiopathic arthritis: comparison with adult-onset rheumatic diseases |
| title_full |
Health-related quality of life and disability in adults with juvenile idiopathic arthritis: comparison with adult-onset rheumatic diseases |
| title_fullStr |
Health-related quality of life and disability in adults with juvenile idiopathic arthritis: comparison with adult-onset rheumatic diseases |
| title_full_unstemmed |
Health-related quality of life and disability in adults with juvenile idiopathic arthritis: comparison with adult-onset rheumatic diseases |
| title_sort |
Health-related quality of life and disability in adults with juvenile idiopathic arthritis: comparison with adult-onset rheumatic diseases |
| author |
Oliveira Ramos, Filipa |
| author_facet |
Oliveira Ramos, Filipa Rodrigues, Ana Magalhaes Martins, Fernando Melo, Ana Teresa Aguiar, Francisca Brites, Luisa Azevedo, Soraia Duarte, Ana Catarina Furtado, Carolina Mourão, Ana Filipa Sequeira, Graça Cunha, Inês Figueira, Ricardo Melo Gomes, Jose Antonio Santos, Maria Fonseca, João Eurico |
| author_role |
author |
| author2 |
Rodrigues, Ana Magalhaes Martins, Fernando Melo, Ana Teresa Aguiar, Francisca Brites, Luisa Azevedo, Soraia Duarte, Ana Catarina Furtado, Carolina Mourão, Ana Filipa Sequeira, Graça Cunha, Inês Figueira, Ricardo Melo Gomes, Jose Antonio Santos, Maria Fonseca, João Eurico |
| author2_role |
author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
| dc.contributor.author.fl_str_mv |
Oliveira Ramos, Filipa Rodrigues, Ana Magalhaes Martins, Fernando Melo, Ana Teresa Aguiar, Francisca Brites, Luisa Azevedo, Soraia Duarte, Ana Catarina Furtado, Carolina Mourão, Ana Filipa Sequeira, Graça Cunha, Inês Figueira, Ricardo Melo Gomes, Jose Antonio Santos, Maria Fonseca, João Eurico |
| dc.subject.por.fl_str_mv |
Ankylosing Arthritis Juvenile Patient reported outcome measures Rheumatoid Spondylitis |
| topic |
Ankylosing Arthritis Juvenile Patient reported outcome measures Rheumatoid Spondylitis |
| description |
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
| publishDate |
2021 |
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2021 2021-01-01T00:00:00Z 2023-06-09T14:19:46Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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http://hdl.handle.net/10451/58148 |
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http://hdl.handle.net/10451/58148 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
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RMD Open. 2021 Nov;7(3):e001766 10.1136/rmdopen-2021-001766 2056-5933 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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BMJ Publishing Group |
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BMJ Publishing Group |
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