Assessment of physical function, disability and quality of life in rheumatoid arthritis
| Abstract Title: | Assessment of physical function, disability and quality of life in rheumatoid arthritis |
| Authors: | Mioara Banciu¹, Loredana Marian², Tuduce Paul¹ |
| Affiliation: | 1.Western University "Vasile Goldis" Arad, Romania 2.University of Medicine and Pharmacy "Victor Babes" Timisoara, Romania |
| Abstract text: | The comprehensive ICF Core Set for rheumatoid arthritis (RA), evolutive and invalidant disease includes two parts: functioning and disability, contextual factors. Each part has two components: 1.body functions and structures, activities and participation 2. enviromental factors and personal factors. The ICF (International Classification of Functioning) Core Set for RA includes 25 categories from the component Body functions, 18 from component Body structures, 32 from component Activities and Participation and 21 from Enviromental Factors; each of the ICF categories is quantified with the qualifiers’ scale and has five response levels. Reliability of the ICF RA set is low to moderate. HAQ (Health Assessment Questionnaire) is based on five patient centered dimensions: disability, pain, medication effects, costs of care and mortality in the revision on quality of life. HAQ-DI (HAQ disability index) has been adopted in more than 60 different languages, has become part of the National Institutes of Health “ Road map Project the Patient Reported Outcomes Measurement Information System” (PROMIS). He contains HAQ’s patient global and pain visual analog scales (VAS). There are 20 items in 8 categories, that represent a comprehensive set of functional activities (dressing, resing, eating, walking, hygiene, reach, grip and usual activities). Each category contains at least two specific subcategory questions. Pincus proposed MHAQ (Modified Health Assessment Questionnaire) which was used in clinical trials and reduced the number of questions to 8, 1 question for each category. HAQ II were described in 2004 and is a psychometricaly improved 10-item version and better correlated with clinical measures and is suitable for use in the clinic and research studies asking: “are you able to” instead of “performance of an activity”. MDHAQ (Multidimensional Health Assessment Questionnaire) includes 8-10 items: physical function, pain, global status, morning stiffness, psychological distress (anxiety, depression, sleep), change in status, a review of systems, a RA disease activity self report joint count (RADAI), review of recent health events and review of medications. The MDHAQ can be used in the infrastructure of rheumatology care to include quantitative data in standard care of all patients with all rheumatic diseases. Quality of Life (QoL) is an important indicator of the burden of musculoskeletal (MSK) disease. The physical domain is predominantly affected, but mental and social function ale also impaired and this evidence reinforces recommendation for early treatment and primary prevention. |
| Keywords: | rheumatoid arthritis ,physical function,quality of life |
| Presentation type: | Poster |
| Correspondence: | timisoara, romania str filaret barbu nr8 |
| Email: | maiabanciu@yahoo.com |
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