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Patient self-report RADAI joint counts on a MDHAQ are informative in a cohort of consecutive patients with rheumatic diseases other than RA seen in usual care.
MedLine Citation:
PMID:  22807473     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: To analyze a patient self-report joint count from the rheumatoid arthritis disease activity index (RADAI) on a multidimensional health assessment questionnaire (MDHAQ) in a cohort of consecutive patients seen in usual rheumatology care with rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), osteoarthritis (OA), psoriatic arthritis (PsA), and gout. METHODS: Each patient completes an MDHAQ at each visit, which includes a RADAI, in one usual care setting. In order to include a physician measure, a random visit was selected of 465 patients who also had recorded a physician global estimate (DOCGL), including 174 with RA, 75 SLE, 113 OA, 53 PsA, and 50 gout. RADAI was analyzed as total scores (0-48), number of involved joint groups (0-16), and for each specific joint group, and compared in the 5 diagnostic groups to one another and to other MDHAQ measures and routine assessment of patient index data 3 (RAPID3). RESULTS: In patients with RA, SLE, OA, PsA, and gout, mean RADAI scores (0-48) were 12.4, 6.5, 10.1, 6.7 and 2.7, respectively. The mean number of involved joint groups (0-16) was 6.9, 3.8, 4.8, 4.5 and 1.7, and median 6, 2, 4, 4 and 1, respectively. RADAI scores were correlated significantly with DOCGL except in SLE, and at higher levels with MDHAQ/RAPID3 scores in all diagnostic groups. CONCLUSIONS: RADAI self-report joint counts can be used to record self-report involvement of specific joints and joint groups in patients with SLE, OA, PsA and gout, with minimal effort on the part of the rheumatologist.
Authors:
Isabel Castrejón; Yusuf Yazici; Theodore Pincus
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-17
Journal Detail:
Title:  Arthritis care & research     Volume:  -     ISSN:  2151-4658     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101518086     Medline TA:  Arthritis Care Res (Hoboken)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 by the American College of Rheumatology.
Affiliation:
Department of Medicine, Division of Rheumatology, New York University School of Medicine and NYU Hospital for Joint Diseases, New York, NY, USA.
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