Correlations among quality of life, spinal mobility, and disease activity in early-treated axial spondyloarthritis: a single-center cross-sectional study.

IF 2.1 Q3 RHEUMATOLOGY BMC Rheumatology Pub Date : 2024-10-16 DOI:10.1186/s41927-024-00426-2
Tinh Khampaen, Thanuchporn Kafaksom, Nichapa Dechapaphapitak, Nattakirana Tongdee, Parawee Chevaisrakul
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Abstract

Background: Axial spondyloarthritis (axSpA) significantly impacts patients' lives. The ASAS-OMERACT guideline was formulated for the multidimensional evaluation of axSpA patients, employing a specific set of tools. Given the pivotal role of patient perception, comprehensive correlation among these tools, especially concerning quality of life, may provide a clinically relevant perspective and enhance treatment efficacy in the early stages of the disease. This study aims to investigate the correlation among disease activity, functional ability, and quality of life in early-treated axSpA patients. In addition, the association between high disease activity and clinical characteristics was explored.

Methods: This cross-sectional study was conducted in a tertiary hospital in Thailand. Patients diagnosed with axSpA according to ASAS classification criteria and receiving treatment from rheumatologists within three years of onset of symptoms were included. Clinical and laboratory data were retrieved from a hospital database. Disease activity was assessed using the Ankylosing Spondylitis Disease Activity Score with ESR or CRP (ASDAS-ESR/CRP) and Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). Spinal mobility was measured using the Bath Ankylosing Spondylitis Metrology Index (BASMI), while quality of life and function were evaluated using the ASAS Health Index (ASAS-HI) and Bath Ankylosing Spondylitis Functional Index (BASFI), respectively. The correlation between these measurements was analyzed using the Pearson correlation coefficient (r). Additionally, factors associated with high disease activity (ASDAS/CRP > 2.1) were explored using multivariate regression analysis.

Results: Sixty-six patients (41 males; mean age 49.3 ± 13.3 years) were enrolled between April to December 2022. Disease activity (ASDAS-CRP) was significantly inversely correlated with spinal mobility (BASMI), function (BASFI), and quality of life (ASAS-HI). High disease activity was associated with obesity (BMI ≥ 30 kg/m^2) and a longer duration of symptoms before treatment (≥ 2 years).

Conclusion: In early-treated axSpA patients, ASDAS-CRP showed significant correlations with functional ability, quality of life, and spinal mobility. High disease activity was associated with obesity and a longer pre-treatment symptom duration in our study. Early treatment may enhance patients' function, mobility, and quality of life, with weight reduction being possibly beneficial for obese axSpA patients.

Clinical trial number: Not applicable.

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早期治疗的轴性脊柱关节炎患者生活质量、脊柱活动度和疾病活动度之间的相关性:一项单中心横断面研究。
背景:轴性脊柱关节炎(axSpA轴性脊柱关节炎(axSpA)严重影响患者的生活。ASAS-OMERACT 指南是为轴性脊柱关节炎患者的多维评估而制定的,采用了一套特定的工具。鉴于患者感知的关键作用,这些工具之间的全面相关性,尤其是生活质量方面的相关性,可提供与临床相关的视角,并提高疾病早期的治疗效果。本研究旨在探讨早期治疗的 axSpA 患者的疾病活动度、功能能力和生活质量之间的相关性。此外,还探讨了高疾病活动度与临床特征之间的关联:这项横断面研究在泰国一家三级医院进行。研究对象包括根据 ASAS 分类标准确诊为 axSpA 的患者,以及在发病三年内接受风湿免疫科医生治疗的患者。临床和实验室数据均来自医院数据库。疾病活动度采用强直性脊柱炎疾病活动度评分与血沉或CRP(ASDAS-ESR/CRP)和巴斯强直性脊柱炎疾病活动度指数(BASDAI)进行评估。脊柱活动度采用巴斯强直性脊柱炎计量指数(BASMI)进行测量,而生活质量和功能则分别采用巴斯强直性脊柱炎健康指数(ASAS-HI)和巴斯强直性脊柱炎功能指数(BASFI)进行评估。使用皮尔逊相关系数(r)分析了这些测量值之间的相关性。此外,还利用多变量回归分析探讨了与疾病活动度高(ASDAS/CRP > 2.1)相关的因素:16 名患者(41 名男性;平均年龄为 49.3 ± 13.3 岁)于 2022 年 4 月至 12 月间入组。疾病活动度(ASDAS-CRP)与脊柱活动度(BASMI)、功能(BASFI)和生活质量(ASAS-HI)显著成反比。高疾病活动度与肥胖(体重指数≥30 kg/m^2)和治疗前症状持续时间较长(≥2年)有关:在早期治疗的 axSpA 患者中,ASDAS-CRP 与功能能力、生活质量和脊柱活动度有显著相关性。在我们的研究中,高疾病活动度与肥胖和治疗前症状持续时间较长有关。早期治疗可提高患者的功能、活动能力和生活质量,减轻体重可能对肥胖 axSpA 患者有益:临床试验编号:不适用。
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来源期刊
BMC Rheumatology
BMC Rheumatology Medicine-Rheumatology
CiteScore
3.80
自引率
0.00%
发文量
73
审稿时长
15 weeks
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