Scores for functional disability in patients with rheumatoid arthritis are correlated at higher levels with pain scores than with radiographic scores
Scores for functional disability in patients with rheumatoid arthritis are correlated at higher levels with pain scores than with radiographic scores
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DOI：
10.1002/1529-0131(200002)43:2
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发表时间：
2000-02-01
影响因子：
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通讯作者：
Hannonen, P
中科院分区：
文献类型：
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作者：
Sokka, T;Kankainen, A;Hannonen, P
目标。分析类风湿关节炎(RA)患者功能残疾评分与临床状态的其他指标，特别是Larsen放射学评分与疼痛评分的相关性。根据斯坦福健康评估问卷(HAQ)对141例RA患者(女性102例，男性39例；中位年龄57岁；中位病程11.8节；类风湿因子阳性83%)进行功能能力评估，其他研究变量包括手、腕和脚小关节放射损伤的Larsen评分、视觉模拟评分(VAS)疼痛评分、疾病活动性评分、VAS一般健康评分和Beck抑郁问卷(BDI)评分。HAQ和Larsen评分之间的Spearman相关系数为0.277(P=0.001)，HAQ和疼痛评分之间的Spearman相关系数为0.652(P<；0.001)。在回归分析中，疼痛评分解释了HAQ评分变异的41.4%，归一化Larsen评分解释了7.3%，BDI评分解释了5.5%，其他变量在模型中不显著。类风湿关节炎患者的功能能力评分与疼痛评分的相关性高于与小关节X线评分的相关性。
Objective. To analyze correlations of functional disability scores,vith other measures of clinical status, in particular, Larsen radiographic scores and pain scores, in patients with rheumatoid arthritis (RA).Methods. The functional capacity of 141 patients with RA (102 women, 39 men; median age 57 years; median disease duration 11.8 gears; 83% rheumatoid factor positive) was assessed according to the Stanford Health Assessment Questionnaire (HAQ), Other variables studied included Larsen scores for radiographic damage of the small joints of the hands, wrists, and feet, pain scores by visual analog scale (VAS), Disease Activity Scores, general health scores by VAS, and Beck Depression Inventory (BDI) scores.Results. The Spearman correlation coefficient comparing HAQ and Larsen scores was 0.277 (P = 0.001) and between HAQ and pain scores 0.652 (P < 0.001). In regression analysis, pain scores explained 41.4% of the variation in HAQ scores, normalized Larsen scores explained 7.3%, and BDI scores explained 5.5%; other variables were not significant in the model.Conclusion. Functional capacity scores of patients with RA are correlated at higher levels with pain scores than with radiographic scores of small joints.