Trends in Functional Disability and Determinants of Clinically Meaningful Change Over Time in Hispanic Patients With Rheumatoid Arthritis in the US

Objective To identify determinants of clinically meaningful change in functional disability in low‐income Hispanic patients with established rheumatoid arthritis (RA) in the US. Methods We evaluated 156 low‐socioeconomic status, uninsured, largely immigrant Hispanic patients, collectively described...

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Bibliographic Details
Published in:Arthritis care & research (2010) 2017-02, Vol.69 (2), p.294-298
Main Authors: Karpouzas, George A., Draper, Taylor, Moran, Rosalinda, Hernandez, Elizabeth, Nicassio, Perry, Weisman, Michael H., Ormseth, Sarah
Format: Article
Language:English
Subjects:
Adult
Aged
Antirheumatic Agents - therapeutic use
Arthritis, Rheumatoid - complications
Arthritis, Rheumatoid - drug therapy
Arthritis, Rheumatoid - psychology
Depression - epidemiology
Depression - etiology
Disability Evaluation
Erythrocyte sedimentation rate
Female
Health risk assessment
Hispanic Americans
Hispanic people
Humans
Joint diseases
Longitudinal Studies
Male
Middle Aged
Pain
Patients
Poverty
Radiography
Rheumatoid arthritis
Serology
United States
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Summary:Objective To identify determinants of clinically meaningful change in functional disability in low‐income Hispanic patients with established rheumatoid arthritis (RA) in the US. Methods We evaluated 156 low‐socioeconomic status, uninsured, largely immigrant Hispanic patients, collectively described as vulnerable patients, on 3 consecutive visits (baseline, 6, and 12 months followup) at a single center. Disability (Health Assessment Questionnaire [HAQ] disability index [DI]), pain (visual analog scale), and depression (Patient Health Questionnaire [PHQ‐9]) were assessed each time. Disease activity (Disease Activity Score in 28 joints [DAS28] using the erythrocyte sedimentation rate), serology results, radiographs, treatments, and irreversible articular damage were also recorded. Results At baseline, 71% had significant disability (HAQ DI >1), and 34% were depressed. HAQ DI improved significantly over time (P = 0.032), and absence of depression (PHQ‐9
ISSN:2151-464X
2151-4658
DOI:10.1002/acr.22924