Effect of social deprivation on disease severity and outcome in patients with rheumatoid arthritis
Effect of social deprivation on disease severity and outcome in patients with rheumatoid arthritis
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DOI：
10.1136/ard.56.7.410
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发表时间：
1997-07-01
影响因子：
27.4
通讯作者：
Thomson, EA
中科院分区：
文献类型：
--
作者：
McEntegart, A;Morrison, E;Thomson, EA
目标--现已认识到，社会剥夺对发病率和死亡率有重要影响。这项研究试图确定，如果有的话，剥夺对格拉斯哥类风湿患者的疾病严重程度、功能残疾和预后的影响。方法对814名类风湿关节炎(RA)患者的临床、功能和实验室疾病活动指数进行评估。个体患者的剥夺类别是使用卡斯泰尔斯指数确定的。结果：研究人群主要生活在贫困最严重的地区，贫困地区的患者在开始时和健康评估问卷(HAQ)评分所定义的五年内功能明显较差。这不是由于最贫困地区患者的病程不同或治疗依从性不同造成的。此外，这些患者在五年内没有达到那些生活在最有利地区的患者的初始功能水平。结论贫困地区的PA患者功能较差，这与更大的需求--医疗、社会和辅助医疗--相关。医疗保健的战略和资源需要根据这种变化进行调整。
Objective-Social deprivation is now recognised to have an important impact on morbidity and mortality. This study sought to ascertain the effect of deprivation, if any, on disease severity, functional disability, and outcome in rheumatoid patients in Glasgow.Methods-814 patients with rheumatoid arthritis (RA) were assessed for clinical, functional, and laboratory indices of disease activity. Deprivation categories for individual patients were determined using the Carstairs index. Five year follow up is available for 440 patients.Results-The study population of RA patients Live largely in the most deprived areas, Patients from deprived areas have significantly poorer function at outset and at five years as defined by the Health Assessment Questionnaire (HAQ) score. This is not attributable to differences in disease duration in patients from the most deprived regions or compliance with treatment. Furthermore, these patients do not achieve over five years the initial functional level of those living in the most advantaged localities.Conclusion-PA patients from deprived areas have poorer function, which is associated with greater need-medical, social, and paramedical. Strategies and resources for healthcare need to be adjusted according to this variation.