Evidence map›Paper›PMID 38256511›Full record

ArticleJournal of clinical medicine2024

The Extent and Nature of Functional Limitations According to the Health Assessment Questionnaire Disability Index in Patients with Rheumatoid Arthritis and Severe Functional Disability.

Max M H Teuwen, Maria A T van Wissen, Wilfred F Peter, Dirkjan van Schaardenburg, Cornelia H M van den Ende, Maaike G J Gademan, Salima F E van Weely

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Article in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Max M H TeuwenDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.ORCID 0000-0002-3235-7800
Maria A T van WissenDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.
Wilfred F PeterDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.
Dirkjan van SchaardenburgCenter for Rehabilitation and Rheumatology, Reade, 1056 AA Amsterdam, The Netherlands.
Cornelia H M van den EndeDepartment of Rheumatology, Radboud UMC, 6500 GM Nijmegen, The Netherlands.ORCID 0000-0002-4352-2824
Maaike G J GademanDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.
Salima F E van WeelyDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.

Funding

Ministry of Health, Welfare and Sport (Ministerie van Volksgezondheid, Welzijn en Sport)Netherlands Organisation for Health Research and Development 852004018the Dutch Arthritis Society (ReumaNederland)the Royal Dutch Society for Physical Therapy (KNGF)
6 · The paper itself

Abstract

backgroundFor a subgroup of people with rheumatoid arthritis (RA) and severe disability, insight into their limitations is crucial for adequate treatment.

aimTo describe the extent and nature of functional limitations in people with RA and severe disability and to explore the associations of the extent of the functional limitations with patient characteristics, disease characteristics, and outcome measures.

methodsBaseline data of 215 participants in an RCT on the (cost-)effectiveness of longstanding physiotherapy were used. Functional limitations were assessed with the Health Assessment Questionnaire Disability Index (HAQ-DI). The total HAQ-DI including eight domain scores were calculated. Associations between high HAQ-DI scores (≥2, yes/no) and other variables were examined using the Student's

resultsThe participants (90% women, age 58.8 ± 12.8 years) had a mean HAQ-DI score of 1.7 ± 0.5. The majority (56%) showed a moderate-to-severe disability in all domains. Higher HAQ-DI scores seemed to be associated with advanced age, longer disease duration, unemployment, joint replacements, and outcomes for daily functioning and physical quality of life, but not with measures of disease activity.

conclusionsOur findings indicate that a comprehensive assessment of all areas of daily activities in this subgroup is necessary in order to provide appropriate (non-)pharmacological care.

Indexed as

functional disabilityHAQ-DIpatient-reported outcomesrehabilitationrheumatoid arthritis

Identifiers

PMID38256511
PMCPMC10816686

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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.