Mehmet Tuncay Duruöz, Didem Erdem Gürsoy, Tiraje Tuncer, Lale Altan, Figen Ayhan, Ajda Bal, Meral Bilgilisoy, Lale Cerrahoğlu, Erhan Çapkın, Hasan Fatih Çay, Remzi Çevik, Berrin Durmaz, Deniz Dülgeroğlu, Gülcan Gürer, Savaş Gürsoy, Simin Hepgüler, Sami Hizmetli, Cahit Kaçar, Ece Kaptanoğlu, Taciser Kaya, Hilal Ecesoy, Meltem Alkan Melikoğlu, Kemal Nas, Hakan Nur, Şüheda Özçakır, Merih Sarıdoğan, Selda Sarıkaya, İlhan Sezer, Dilşad Sindel, Nilay Şahin, Özlem Şahin, Ömer Faruk Şendur, Gülnur Taşçı Bozbaş, Canan Tıkız, Hatice Uğurlu
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The demographic characteristics, grip strengths with Jamar dynamometer, duration of hand pain (month), the severity of hand pain (Visual Analog Scale [VAS]), and morning stiffness were evaluated. The functional disability was evaluated with Duruöz Hand Index (DHI). The Kellgren-Lawrence (KL) OA scoring system was used to assess the radiological stage of hand OA.</p><p><strong>Results: </strong>The DHI had significant correlations with VAS-pain (r=0.367, p<0.001), duration of pain (r=0.143, p=0.001) and bilateral handgrip strengths (r=-0.228, p=0.001; r=-0.303, p<0.001). Although DHI scores were similar between the groups in terms of the presence of hand deformity (p=0.125) or Heberden's nodes (p=0.640), the mean DHI scores were significantly higher in patients with Bouchard's nodes (p=0.015). The total number of nodes had no significant correlations with the VAS-pain and DHI score (p>0.05). 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The demographic characteristics, grip strengths with Jamar dynamometer, duration of hand pain (month), the severity of hand pain (Visual Analog Scale [VAS]), and morning stiffness were evaluated. The functional disability was evaluated with Duruöz Hand Index (DHI). The Kellgren-Lawrence (KL) OA scoring system was used to assess the radiological stage of hand OA.</p><p><strong>Results: </strong>The DHI had significant correlations with VAS-pain (r=0.367, p<0.001), duration of pain (r=0.143, p=0.001) and bilateral handgrip strengths (r=-0.228, p=0.001; r=-0.303, p<0.001). Although DHI scores were similar between the groups in terms of the presence of hand deformity (p=0.125) or Heberden's nodes (p=0.640), the mean DHI scores were significantly higher in patients with Bouchard's nodes (p=0.015). The total number of nodes had no significant correlations with the VAS-pain and DHI score (p>0.05). 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引用次数: 0
摘要
目的:本研究旨在评估手骨关节炎(OA)的临床、功能和放射学特征，并研究它们在土耳其人口不同地理样本中的关系。患者和方法:2017年4月至2019年1月，共520例患者(男性49例，女性471例;平均年龄:63.6±9.8岁)，由土耳其抗风湿病联盟(TLAR)从土耳其26个中心纳入研究。评估患者的人口学特征、握力(Jamar)、手痛持续时间(月)、手痛严重程度(视觉模拟量表[VAS])和晨僵。用Duruöz Hand Index (DHI)评价功能障碍。采用Kellgren-Lawrence (KL) OA评分系统评估手部OA的放射学分期。结果:DHI与VAS-pain有显著相关性(r=0.367, p0.05)。放射学手部OA分级组间年龄差异(p=0.007)， VAS-pain组间差异(p < 0.05)。结论:在我们的人群中，手部OA患者存在疼痛、功能障碍和握力弱。功能损害与疼痛严重程度显著相关，放射学分级高的手部OA患者功能状况更差。
The clinical, functional, and radiological features of hand osteoarthritis: TLAR-osteoarthritis multi-center cohort study.
Objectives: This study aims to evaluate the clinical, functional, and radiological features of hand osteoarthritis (OA) and to examine their relationships in different geographic samples of the Turkish population.
Patients and methods: Between April 2017 and January 2019, a total of 520 patients (49 males, 471 females; mean age: 63.6±9.8 years) with hand OA were included in the study from 26 centers across Turkey by the Turkish League Against Rheumatism (TLAR). The demographic characteristics, grip strengths with Jamar dynamometer, duration of hand pain (month), the severity of hand pain (Visual Analog Scale [VAS]), and morning stiffness were evaluated. The functional disability was evaluated with Duruöz Hand Index (DHI). The Kellgren-Lawrence (KL) OA scoring system was used to assess the radiological stage of hand OA.
Results: The DHI had significant correlations with VAS-pain (r=0.367, p<0.001), duration of pain (r=0.143, p=0.001) and bilateral handgrip strengths (r=-0.228, p=0.001; r=-0.303, p<0.001). Although DHI scores were similar between the groups in terms of the presence of hand deformity (p=0.125) or Heberden's nodes (p=0.640), the mean DHI scores were significantly higher in patients with Bouchard's nodes (p=0.015). The total number of nodes had no significant correlations with the VAS-pain and DHI score (p>0.05). The differences between the groups of radiological hand OA grades in terms of age (p=0.007), VAS-pain (p<0.001), duration of pain (p<0.001), and DHI (p<0.001) were significant. There were no significant differences between radiological hand OA grades according to the duration of the stiffness, grip strength, and BMI (p>0.05 for all).
Conclusion: In our population, the patients with hand OA had pain, functional disability, and weak grip strength. The functional impairment was significantly correlated with the severity of the pain, and the functional status was worse in high radiological hand OA grades.
期刊介绍：
The Archives of Rheumatology is an official journal of the Turkish League Against Rheumatism (TLAR) and is published quarterly in March, June, September, and December. It publishes original work on all aspects of rheumatology and disorders of the musculoskeletal system. The priority of the Archives of Rheumatology is to publish high-quality original research articles, especially in inflammatory rheumatic disorders. In addition to research articles, brief reports, reviews, editorials, letters to the editor can also be published. It is an independent peer-reviewed international journal printed in English. Manuscripts are refereed by a "double-blind peer-reviewed" process for both referees and authors.
Editorial Board of the Archives of Rheumatology works under the principles of The World Association of Medical Editors (WAME), the International Council of Medical Journal Editors (ICMJE), and Committee on Publication Ethics (COPE).
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