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Related Experiment Videos

Functional outcome in rheumatoid arthritis.

P W Thompson

    British Journal of Rheumatology
    |January 1, 1988
    PubMed
    Summary

    Rheumatoid arthritis causes functional impairment beyond disease severity. Assessing daily activity performance is crucial for understanding patient disability, separate from inflammatory markers.

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    Rheumatology (Oxford, England)·2005

    Area of Science:

    • Rheumatology
    • Disability Measurement
    • Health Outcomes Research

    Background:

    • Rheumatoid arthritis (RA) significantly impacts daily activities, with patients prioritizing function over discomfort.
    • Functional impairment in RA is not solely dictated by disease severity, necessitating separate assessment.
    • Existing disability measures require comprehensive evaluation based on measurement theory.

    Purpose of the Study:

    • To highlight the need for assessing disability independently from inflammatory activity in rheumatoid arthritis.
    • To review principles and categories of disability measurement tools for everyday activities.
    • To discuss the importance of evaluating measurement tools based on validity, reliability, and sensitivity.

    Main Methods:

    • Categorization of disability assessment tools into clinical judgment, observed performance, and patient-reported outcomes.
    • Discussion of global and specific activity measures for mobility and manual dexterity.
    • Mention of health status measures incorporating disability as a parameter.

    Main Results:

    • Two-thirds of RA patients are more concerned about functional loss than pain.
    • Various tools exist for assessing physical and psychological disability in daily activities, social life, and employment.
    • The Health Assessment Questionnaire (HAQ) Disability Index and Arthritis Impact Measurement Scales (AIMS) are notably tested in North America.

    Conclusions:

    • Disability assessment in rheumatoid arthritis requires tools that measure everyday activity performance.
    • A comprehensive evaluation of existing disability measurement tools using established criteria is needed.
    • The selection of an appropriate disability measurement tool depends on the specific clinical or research context.

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