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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Impact of Comorbidity on Physical Function in Patients With Ankylosing Spondylitis and Psoriatic Arthritis Attending Rheumatology Clinics: Results From a Cross-Sectional Study
Arthritis Care and Research, Volume 72, No. 6, Year 2020
Notification
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Description
Objective: To evaluate the impact of comorbidities on physical function in patients with ankylosing spondylitis (AS) and psoriatic arthritis (PsA). Methods: This was a cross-sectional analysis of the baseline visit from the Cardiovascular in Rheumatology study. Multivariate models with physical function as the dependent variable (Bath Ankylosing Spondylitis Functional Index and Health Assessment Questionnaire for AS and PsA, respectively) were performed. Independent variables were a proxy for the Charlson Comorbidity Index (CCIp; range 0–27), sociodemographic data, disease activity (erythrocyte sedimentation rate [ESR] and Bath Ankylosing Spondylitis Disease Activity Index [BASDAI] in AS; Disease Activity Score in 28 joints [DAS28] using the ESR in PsA), disease duration, radiographic damage, and treatments. Results were reported as beta coefficients, 95% confidence intervals (95% CIs), and P values. Results: We included 738 patients with AS and 721 with PsA; 21% of patients had >1 comorbidity. Comorbidity burden (CCIp) was independently associated with worse adjusted physical function in patients with PsA (β = 0.11). Also, female sex (β = 0.14), disease duration (β = 0.01), disease activity (DAS28-ESR; β = 0.19), and the use of nonsteroidal antiinflammatory drugs (β = 0.09), glucocorticoids (β = 0.11), and biologics (β = 0.15) were associated with worse function in patients with PsA. A higher education level was associated with less disability (β = –0.14). In patients with AS, age (β = 0.03), disease activity (BASDAI; β = 0.81), radiographic damage (β = 0.61), and the use of biologics (β = 0.51) were independently associated with worse function on multivariate analyses, but CCIp was not. Conclusion: The presence of comorbidities in patients with PsA is independently associated with worse physical function. The detection and control of the comorbidities may yield an integral management of the disease. © 2020 The Authors. Arthritis Care & Research published by Wiley Periodicals, Inc. on behalf of American College of Rheumatology
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC7318148/bin/ACR-72-822-s001.docx
Authors & Co-Authors
Fernández Carballido, C.
Spain, Alicante
Hospital Universitario San Juan
Martín-Martínez, María Auxiliadora
Spain, Madrid
Sociedad Española de Reumatología
García-Gómez, Carmen
Spain, Terrassa
Consorci Sanitari de Terrassa
Castañeda, Santos
Spain, Madrid
Universidad Autónoma de Madrid
González-Juanatey, Carlos
Spain, Lugo
Hospital Lucus Augusti
Sánchez-Alonso, Fernando
Spain, Madrid
Sociedad Española de Reumatología
García-Vicuna, Rosario
Spain, Madrid
Hospital Universitario de la Princesa
Corrales, Alfonso F.
Spain, Santander
Hospital Universitario Marqués de Valdecilla
Chamizo-Carmona, Eugenio
Unknown Affiliation
Barbadillo, Carmen
Spain, Majadahonda
Hospital Universitario Puerta de Hierro Majadahonda
Bachiller-Corral, Javier
Spain, Madrid
Hospital Universitario Ramón y Cajal
Cobo-Ibañez, Tatiana
Spain, San Sebastian de Los Reyes
Hospital Universitario Infanta Sofía
Llorca-Díaz, Javier Francisco
Spain, Santander
Universidad de Cantabria
González-Gay, Miguel Ángel
South Africa, Johannesburg
University of the Witwatersrand
Blanco, F. J.
Unknown Affiliation
González-Fernández, Mariángeles J.
Unknown Affiliation
Codina, Ramón Huguet
Unknown Affiliation
Yoldi, Beatriz
Unknown Affiliation
Ramentol, Mercedes
Unknown Affiliation
Ávila, Gabriela
Unknown Affiliation
Marsal, Sara
Unknown Affiliation
Steiner, Martina
Unknown Affiliation
Muñoz, Santiago
Unknown Affiliation
Gamero, Fernando
Unknown Affiliation
Espiño, Pilar
Unknown Affiliation
Ros, Inmaculada
Unknown Affiliation
Ibáñez, Mónica
Unknown Affiliation
Murillo, Claudia
Unknown Affiliation
Molina, Jesús Tornero
Unknown Affiliation
Sanmartí, Raimón
Unknown Affiliation
Berman, Horacio
Unknown Affiliation
Cabrera, Sonia
Unknown Affiliation
Ruíz, Virginia
Unknown Affiliation
Patón, Oscar Fontseré
Unknown Affiliation
Fernàndez-Gutiérrez, Benjamín
Unknown Affiliation
Abásolo, Lydia
Unknown Affiliation
Pina, Jose Manuel
Unknown Affiliation
Nolla, Joan Miquel
Unknown Affiliation
Uriarte-Ecenarro, Miren
Unknown Affiliation
Garcia-Vadillo, Alberto
Unknown Affiliation
Fernández-Nebro, Antonio
Unknown Affiliation
Belmonte-López, María Ángeles
Unknown Affiliation
Ureña-Garnica, Inmaculada
Unknown Affiliation
Irigoyen, María Victoria
Unknown Affiliation
Cagigal, Virginia Coret
Unknown Affiliation
Garrido, Daniel Pielfort
Unknown Affiliation
García-Aparicio, Ángel María
Unknown Affiliation
Bautista, Pastora Granados
Unknown Affiliation
Manero, Francisco J.
Unknown Affiliation
Gracía, Jesús Marzo
Unknown Affiliation
Audera, Chesús Beltrán
Unknown Affiliation
Medrano, Marta
Unknown Affiliation
Pecondón, Ángela
Unknown Affiliation
Ojeda, Soledad
Unknown Affiliation
Quevedo-Abeledo, Juan Carlos
Unknown Affiliation
Francisco, Félix M.
Unknown Affiliation
Rodríguez-Lozano, Carlos J.
Unknown Affiliation
Gerona, Delia
Unknown Affiliation
Monteagudo, Indalecio
Unknown Affiliation
Peiró, María Enriqueta
Unknown Affiliation
Senabre, José Miguel
Unknown Affiliation
Rosas, José Carlos
Unknown Affiliation
Rotés, Isabel
Unknown Affiliation
Moreno, Estefanía L.
Unknown Affiliation
Erra, Alba
Unknown Affiliation
Grado, Dolors
Unknown Affiliation
Calvo-Catalá, Javier M.
Unknown Affiliation
Rueda, Amalia
Unknown Affiliation
Möller, Ingrid
Unknown Affiliation
Raya Álvarez, Enriqué G.
Unknown Affiliation
Magro-Checa, César
Unknown Affiliation
Sánchez Nievas, Ginés
Unknown Affiliation
Palmou, Natalia
Unknown Affiliation
Pardo, Silvia Martínez
Unknown Affiliation
Muñoz-Jiménez, Alejandro
Unknown Affiliation
Montero, Sergio Rodríguez
Unknown Affiliation
Statistics
Citations: 23
Authors: 76
Affiliations: 18
Identifiers
Doi:
10.1002/acr.23910
ISSN:
2151464X
Research Areas
Disability
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Participants Gender
Female