Evidence map›Paper›PMID 29609197›Full record

ArticleArthritis care & research2018

The Impact of Illness Perceptions and Coping on the Association Between Back Pain and Health Outcomes in Patients Suspected of Having Axial Spondyloarthritis: Data From the SPondyloArthritis Caught Early Cohort.

Miranda van Lunteren, Margreet Scharloo, Zineb Ez-Zaitouni, Anoek de Koning, Robert Landewé, Camilla Fongen, Roberta Ramonda, Ad A Kaptein, Floris A van Gaalen, Désirée van der Heijde

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Arthritis care & research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  14. The impact of axial spondyloarthritis on quality of life (QoL): a comparison with the impact of moderate to end-stage chronic kidney disease on QoL.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Miranda van LunterenLeiden University Medical Center, Leiden, The Netherlands.
Margreet ScharlooLeiden University Medical Center, Leiden, The Netherlands.
Zineb Ez-ZaitouniLeiden University Medical Center, Leiden, The Netherlands.
Anoek de KoningLeiden University Medical Center, Leiden, The Netherlands.
Robert LandewéAmsterdam Rheumatology and Immunology Center, Amsterdam, The Netherlands, and Zuyderland Medical Center, Heerlen, The Netherlands.
Camilla FongenDiakonhjemmet Hospital, Oslo, Norway.
Roberta RamondaUniversity of Padova, Padova, Italy, and Groene Hart Ziekenhuis, Gouda, The Netherlands.
Ad A KapteinLeiden University Medical Center, Leiden, The Netherlands.
Floris A van GaalenLeiden University Medical Center, Leiden, The Netherlands.
Désirée van der HeijdeLeiden University Medical Center, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate whether illness perceptions and coping influence the relationship between back pain and health outcomes in patients suspected of having axial spondyloarthritis (SpA).

methodsIn the SPondyloArthritis Caught Early cohort, regression models were computed at baseline, with back pain intensity (range 0-10) as the determinant and health-related quality of life, the physical component summary score (PCS) and mental component summary (MCS) of the Short Form 36 (SF-36) health survey, or work productivity loss as outcomes. Subsequently, using Leventhal's Common-Sense Model of Self-Regulation, illness perceptions and, thereafter, coping were added to the models. Analyses were repeated for patients diagnosed and classified as having axial SpA according to the Assessment of SpondyloArthritis international Society axial SpA criteria (ASAS axial SpA), patients only diagnosed with axial SpA (axial SpA-diagnosed only), and those with chronic back pain.

resultsA total of 424 patients (145 with ASAS axial SpA, 81 with only a diagnosis of axial SpA, and 198 with chronic back pain); 64% of the total group were female, the mean ± SD age was 30.9 ± 8.1 years, and the mean ± SD symptom duration was 13.3 ± 7.1 months) were studied. In all patients, the strength of the associations between back pain and the PCS, back pain and the MCS score, and back pain and loss of work productivity were decreased by adding illness perceptions to the model, but explained variance improved. Adding coping to these models did not change the results. Comparable results were observed in all subgroups.

conclusionIllness perception, but not coping, is important in the relationship between back pain and HRQoL and work productivity loss in patients suspected of having axial SpA, irrespective of subgroup. This finding suggests that targeting illness perceptions could improve health outcomes in patients suspected of having axial SpA.

Indexed as

Adaptation, PsychologicalCost of IllnessIllness BehaviorPain MeasurementQuality of LifeAdultBack PainChronic PainEarly DiagnosisEfficiencyEmploymentEuropeFemaleHealth StatusHumansMale

Identifiers

PMID29609197
PMCPMC6587858

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.