The association of pain and stiffness with fatigue in incident polymyalgia rheumatica: baseline results from the polymyalgia rheumatica cohort study

We aimed to examine the association between pain, stiffness and fatigue in newly diagnosed polymyalgia rheumatica (PMR) patients using baseline data from a prospective cohort study. Fatigue is a known, but often ignored symptom of PMR. Newly diagnosed PMR patients were recruited from general practic...

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Bibliographic Details
Published in:Primary health care research & development 2019-05, Vol.20, p.e46, Article e46
Main Authors: Prior, J A, Muller, S, Helliwell, T, Hider, S L, Barraclough, K, Dasgupta, B, Mallen, C D
Format: Article
Language:English
Subjects:
Age
Aged
Aged, 80 and over
Anxiety
Arthritis
Body mass index
Cohort analysis
Confidence intervals
Fatigue
Fatigue - etiology
Female
Gender
Humans
Insomnia
Male
Mental depression
Middle Aged
Muscle Tonus
Pain
Pain - etiology
Patients
Polymyalgia Rheumatica - complications
Primary care
Prospective Studies
Questionnaires
Regression analysis
Short Report
Shoulder
Surveys and Questionnaires
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Summary:We aimed to examine the association between pain, stiffness and fatigue in newly diagnosed polymyalgia rheumatica (PMR) patients using baseline data from a prospective cohort study. Fatigue is a known, but often ignored symptom of PMR. Newly diagnosed PMR patients were recruited from general practice and mailed a baseline questionnaire. This included a numerical rating scale for pain and stiffness severity, manikins identifying locations of pain and stiffness and the FACIT-Fatigue questionnaire. A total of 652 PMR patients responded (88.5%). The mean age of responders was 72.6 years (SD 9.0) and the majority were female (62.0%). Manikin data demonstrated that bilateral shoulder and hip pain and stiffness were common. The mean fatigue score (FACIT) was 33.9 (SD 12.4). Adjusted regression analysis demonstrated that a higher number of pain sites (23-44 sites) and higher pain and stiffness severity were associated with greater levels of fatigue. In newly diagnosed PMR patients, fatigue was associated with PMR symptom severity.
ISSN:1463-4236
1477-1128
DOI:10.1017/S1463423619000082