Performance of the Norwegian SF-36 Health Survey in patients with rheumatoid arthritis. II. A comparison of the SF-36 with disease-specific measures
Performance of the Norwegian SF-36 Health Survey in patients with rheumatoid arthritis. II. A comparison of the SF-36 with disease-specific measures
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DOI：
10.1016/s0895-4356(98)00099-7
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发表时间：
1998-11-01
影响因子：
7.2
通讯作者：
Smedstad, LM
中科院分区：
文献类型：
--
作者：
Kvien, TK;Kaasa, S;Smedstad, LM
在1030例类风湿关节炎患者（平均年龄62.3岁，79%为女性，平均病程12.9年，48%为类风湿因子阳性）中，将SF-36的性能与疾病特异性健康状况工具（关节炎影响测量量表[AIMS 2]、改良健康评估问卷[MHAQ]和视觉模拟量表）进行了比较。这些量表在已知组比较（年龄队列、疾病严重程度、疾病活动度、合并症）中表现相似。SF-36身体功能量表与MHAQ和AIMS 2身体量表的相关系数分别为-0.69和-0.73。发现与AIMS 2的行走和弯曲子量表呈强负相关（r = -0.80），与移动性呈显著负相关（r = -0.65），与手/手指和手臂功能量表呈中度相关（r = -0.52和r = -0.53）。分数的频率分布显示AIMS 2身体量表和MHAQ量表的分布比SF 36的身体功能量表更偏，而疼痛和心理健康量表的分布相似。总之，SF-36在类风湿关节炎患者中表现良好。SF-36的身体功能量表似乎不能反映类风湿关节炎患者身体健康的所有方面，但可能比疾病特异性措施对低水平的身体残疾更敏感。(C)1998年爱思唯尔科学公司
The performance of the SF-36 was compared with disease-specific health status instruments (Arthritis Impact Measurements Scales [AIMS2], Modified Health Assessment Questionnaire [MHAQ] and visual analogue scales) in 1030 patient's with rheumatoid arthritis (mean age 62.3 years, 79% females, mean disease duration 12.9 years, 48% rheumatoid factor positive). The scales performed similarly in known group comparisons (age cohorts, disease severity, disease activity, comorbidity). The SF-36 physical functioning scale correlated -0.69 and -0.73 with the MHAQ and AIMS2 physical scales, respectively. A strong negative correlation was found with the walking and bending subscale of AIMS2 (r = -0.80), a substantial negative correlation with mobility (r = -0.65), and moderate correlations with the scales for hand/finger and arm function (r = -0.52 and r = -0.53). Frequency distributions of scores revealed more skewed distributions of the AIMS2 physical scale and the MHAQ scale than the physical functioning scale of the SF36, whereas the pain and mental health scales were distributed similarly. In conclusion, the SF-36 performs well in patients with rheumatoid arthritis. The physical functioning scale of the SF-36 does not seem to capture all aspects of physical health in rheumatoid arthritis patients, but may be more sensitive than disease-specific measures to low levels of physical disability. (C) 1998 Elsevier Science Inc.