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Potential of the HAQ score as clinical indicator suggesting comprehensive multidisciplinary assessments: the Swedish TIRA cohort 8 years after diagnosis of RA
Linköping University, Department of Clinical and Experimental Medicine, Rheumatology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Center, Department of Rheumatology. (AIR/Rheumatology)
Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences. (Linnaeus Centre HEAD, Swedish Institute for Disability Research)
Department of Rehabilitation, School of Health Sciences, Jönköping University, Jönköping, Sweden.ORCID iD: 0000-0002-1607-187X
(Linnaeus Centre HEAD, Swedish Institute for Disability Research)
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2012 (English)In: Clinical Rheumatology, ISSN 0770-3198, E-ISSN 1434-9949, Vol. 31, no 5, 775-783 p.Article in journal (Refereed) Published
Abstract [en]

This study explores the potential of the health assessment questionnaire (HAQ) score as a clinical indicator that can be used to suggest comprehensive multidisciplinary assessments, by relating it to more general aspects of disability. In a cohort of 132 patients with early RA (mean age 55, 68% women), 28 joint count Disease Activity Scores (DAS-28), HAQ, and Short Form 36 (SF-36) scores were registered at annual follow-up visits 8 years after diagnosis. The patients were tentatively sub-grouped into a high-HAQ group (HAQ ≥1 at the 8-year follow-up) and a low-HAQ group. The high-HAQ group, comprising 36% of the cohort, had a higher mean HAQ score at inclusion and beyond at all visits compared to the low-HAQ group, and 24% of all individual patients in the high-HAQ group had a HAQ score ≥1 at inclusion. Although the DAS-28 improved in both groups, patients in the high-HAQ group also had significantly more persistent disability according to the SF-36: five scales at each follow-up visit and all eight scales at the majority of the visits. Individual RA patients with HAQ ≥1 probably have considerable persistent disabilities according to the SF-36. The HAQ score could be used as a clinical indicator suggesting comprehensive multidisciplinary assessments of the components of disability and corresponding interventions, in addition to the established use of HAQ at group levels and in parallel with the medication strategy based on DAS-28.

Place, publisher, year, edition, pages
2012. Vol. 31, no 5, 775-783 p.
National Category
Health Sciences
URN: urn:nbn:se:liu:diva-76989DOI: 10.1007/s10067-012-1937-0ISI: 000303449300004OAI: diva2:524130

funding agencies|Medical Research Council of Southeast Sweden (FORSS)||Swedish Rheumatism Association||County Council of Ostergotland||

Available from: 2012-04-27 Created: 2012-04-27 Last updated: 2013-09-13Bibliographically approved

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Thyberg, IngridDahlström, ÖrjanBjörk, MathildaThyberg, Mikael
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