COMORBIDITY COMORBIDITY AND RHEUMA AND RHEUMATOID ARTHRITIS THRITIS

S. Tomašević-Todorović ,
S. Tomašević-Todorović

Clinic For Medical Rehabilitation, Clinical Centre Novi Sad , Novi Sad , Serbia

S. Branković
S. Branković

Instittute for Rheumatology , Belgrade , Kosovo*

Published: 01.01.2008.

Volume 36, Issue 1 (2008)

pp. 65-67;

https://doi.org/10.70949/pramed200801228T

Abstract

Rheumatoid arthritis is a complex disease, which produces articular symptoms and damage, leading to disability. The aim of the study was the estimate frequency comorbidity, functional ability of patients with rheumatoid arthritis.This study included 60 patients (48 female and 12 male) with rheumatoid arthritis, mean age 53,92±7,06. Anatomical stage and functional class were analyzed according to Steinbrocker`s criteria. Functional disability was perfo-rmed using health assessment questionnaire (HAQ) score. Comorbidity was observed in 36 (60%) of patients (33 female and 3 male). Hypertension were found in 19 (31,67%) of patients, whereas 8 (13,33%) of patients had diabetes. It was established that 7(11,67%) of patients suffered osteoarthritis. The median HAQ score was 1,25±0,70. Poorer functional status was observed in 40% of the patients with comorbidity (HAQ score ≥2), than in the group of patients without comorbidity (21,67 %). The results of the study are showing large frequency coexisting disease in patients with rheumatoid arthritis. The frequency of hypertension and diabetes was greater comparing to general population. The patients with rheumatoid arthritis show harder anatomical stage and comorbidity and greater functional disability, as compared to the patients without coexisting disease.

Keywords

References

1.
Vujasinović-Stupar N. Reumatoidni artritis.
2.
Lipsky EP. Rheumatoid arthritis. In: Harrison’s Principles of Internal Medicine. p. 1928–37.
3.
Arnett CF. Rheumatoid arthritis. In: Cecil Textbook of Medicine. p. 1492–9.
4.
Berkanovic E, Hurwitz ML. Rheumatoid arthritis and comorbidity. J Rheumatol. 17:888–92.
5.
Pilipović N. Reumatologija danas." XIII Kongres reumatologa Jugoslavije. Zbornik radova. :2–5.
6.
Gabriel SE, Crowson CS, O’Fallon WM. Comorbidity in arthritis. J Rheumatol. 26:2475–9.
7.
Krishnan E, Hakkinen A, Sokka T, Hannonen P. Impact of age and comorbidities on the criteria for remission and response in rheumatoid arthritis. Ann Rheum Dis. 64(9):1350–2.
8.
Sany J, Bourgeois P, Saraux A, Durieux S, Lafuma A, Dhures JP, et al. Characteristics of patients with rheumatoid arthritis in France: a study of 1109 patients managed by hospital-based rheumatologists. Annals of the Rheumatic Diseases. 63:1235–40.
9.
Puttini PS, Fiorini T, Panni B, Turiel M, Cazzola M, Atzeni F. Correlation of the score for subjective pain with physical disability, clinical and radiographic scores in recent onset rheumatoid arthritis. BMC Musculoskeletal Disorders. 3:18.
10.
Wolfe F, Hawley DJ, Cathey MA. The assessment and prediction of functional disability in RA. J Rheumatol. 18:1298–306.
11.
Fries JF, Spitz PW, Kraines RG, Holman HR. Measurement of patient outcome in arthritis. Arthritis Rheum. 23:137–45.
12.
Kroot EJ, Gestel AM, Swinkels HL, Albers MM, Putte LB, Riel PL. Chronic comorbidity in patients with early rheumatoid arthritis: a descriptive study. J Rheumatol. 28:151–7.

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