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Published on: May 16, 2025
[Functional outcome in rheumatoid arthritis patients]
P Perić1, B Curković, D Babić-Naglić
1Klinika za reumatske bolesti i rehabilitaciju, KBC Rebro, Zagreb, Kispatićeva 12.
Insights
The Stanford Health Assessment (HAQ) is a valid tool for assessing rheumatoid arthritis (RA) disability in Croatia. Minor terminology adjustments enhance its usability for patients.
Area of Science:
- Rheumatology
- Health Assessment Tools
- Disability Measurement
Context:
- Rheumatoid arthritis (RA) poses significant disability challenges.
- Accurate disability assessment is crucial for RA patient management.
- The Stanford Health Assessment Questionnaire (HAQ) is a widely used tool.
Purpose:
- To validate and adapt the Stanford Health Assessment Questionnaire (HAQ) for the Croatian population with rheumatoid arthritis (RA).
- To evaluate the HAQ's usability, scoring simplicity, and time efficiency in a clinical setting.
- To identify and address potential terminology and scoring ambiguities within the HAQ.
Summary:
- The study involved 101 Croatian patients with RA, assessing disability using the HAQ.
- Patients completed the HAQ, with some receiving prior instructions and others interviewed by a rheumatologist.
- Results indicated the HAQ is user-friendly, easy to score, and time-efficient, though minor modifications improved clarity, particularly for scores 1 and 2.
Impact:
- The adapted HAQ is suitable for assessing RA disability in Croatia, requiring minimal terminology changes.
- The study highlights the HAQ's potential for routine clinical use in RA patient monitoring.
- Proposed modifications enhance the HAQ's precision in capturing patient-reported functional status.
Abstract:
The Stanford Health Assessment (HAQ) was implemented to Croatian population in order to assess disability in the patients with rheumatoid arthritis (RA). 101 patients with RA were in the study (9 males, 92 females). The mean age was 52 years and mean disease duration was 9 years. 51 patients completed HAQ with no prior instructions and were then interviewed by a rheumatologist. 50 patients completed HAQ in inverse manner. Ten patients were tested by a physiotherapist in order to confirm the facts given from the interview. Our patients showed a mean score of 1.89 on the scale of 0 to 3 which is statistically significant lower than those given by the rheumatologist--1.99. Also we recorded higher score related to age and disease duration. All 101 patients were able to complete HAQ with or without some terminology difficulties. We consider HAQ is easy to use, simple to scoring and no time consumption questionnaire. It can be used in our RA population with small terminology modifications for better understanding of some questions. We registered some difficulties in discrimination between score 1 and 2, so we added a new formulation to score 1--still satisfied to improve that part of the questionnaire.
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