Differences in pain and fatigue perception among a group of rheumatoid arthritis patients in the United States and in Turkey who have similar disease activity and functional status
Küçük Resim Yok
Tarih
2010
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Clinical & Exper Rheumatology
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objectives. The concordance of patient reported outcomes in rheumatoid arthritis (RA) among different countries has not been studied in detail. We tried to determine the differences in pain and fatigue perception among a group of RA patients in the US and in Turkey who had similar disease activity and functional score in multidimensional health assessment questionnaire (MDHAQ FN). Methods. One hundred and thirty-seven RA patients from Turkey and 129 from the US were studied. An MDHAQ was obtained and a DAS-28 was calculated for each patient. Pain and fatigue perception was compared between the two groups after adjusting for age, sex, MDHAQ FN and DAS-28. Results. Turkish patients had less pain than their US counterparts when adjusted for MDHAQ FN, DAS-28, age and sex (3.56 (2.24) vs. 4.35 (2.23), p=0.005) whereas there was no difference infaligue between the two groups (3.85 (2.44) vs. 4.25 (2.45), p=0.194). When the patients with a DAS-28 score of above 5.1 and below 2.6 were compared in both groups, Turkish patients had again less pain albeit less in the high disease activity group. Conclusion. This study suggests that Turkish patients have less pain than the US patients when controlled for age, gender and MDHAQFN and DAS-28 scores. This is at odds to the conventional wisdom that pain perception is increased among the non-Western cultures.
Açıklama
Anahtar Kelimeler
Rheumatoid Arthritis, Pain, Fatigue, Ethnic Differences, MDHAQ, Women, Race
Kaynak
Clinical And Experimental Rheumatology
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
28
Sayı
6
