Prevalence of social frailty in patients with rheumatoid arthritis: data from a multicenter observational study (T-FLAG study).

IF 1.8 4区 医学 Q3 RHEUMATOLOGY
Mochihito Suzuki, Shuji Asai, Yoshifumi Ohashi, Yasumori Sobue, Hisato Ishikawa, Kenya Terabe, Ryo Sato, Hironobu Kosugiyama, Junya Hasegawa, Yusuke Ohno, Takaya Sugiura, Shiro Imagama
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Abstract

Background: This study aimed to investigate the prevalence of social frailty and associated factors.

Methods: A total of 655 consecutive patients who were able to complete the Kihon Checklist (KCL) and the Questionnaire on Social Frailty between June and August 2022 were enrolled. Social frailty was assessed using the Makizako Social Frailty Index. Patient characteristics were analyzed by analysis of variance. Factors associated with social frailty were analyzed using multivariate logistic analysis. Spearman's rank correlation coefficients were used to examine correlations between each KCL domain and social frailty.

Results: Mean age was 68 years, and disease duration was 12 years; 73% of patients were female. Social frailty was present in 30.8% of patients, with 36.5% classified as social pre-frailty. Multivariate analysis revealed age and HAQ-DI to be independent factors associated with social frailty. The proportion of social frailty increased with increasing age and worsening HAQ-DI scores. The KCL domain "Isolation" was the most strongly associated with social frailty (r = 0.601, P < 0.001), with higher scores associated with a higher proportion of social frailty.

Conclusions: Social frailty in RA patients is associated with age and physical impairment (HAQ-DI). Moreover, the KCL domain "Isolation" was strongly associated with social frailty.

类风湿性关节炎患者社会脆弱性的普遍性:一项多中心观察研究(T-FLAG 研究)的数据。
研究背景本研究旨在调查社交虚弱的患病率及相关因素:在 2022 年 6 月至 8 月期间,共登记了 655 名能够完成 Kihon 检查表(KCL)和社交虚弱问卷的连续患者。社会虚弱程度使用 Makizako 社会虚弱指数进行评估。患者特征通过方差分析进行分析。采用多变量逻辑分析法对与社会虚弱相关的因素进行了分析。斯皮尔曼等级相关系数用于研究 KCL 各领域与社交脆弱程度之间的相关性:平均年龄为 68 岁,病程为 12 年;73% 的患者为女性。30.8%的患者存在社交虚弱,36.5%被归类为社交前期虚弱。多变量分析显示,年龄和 HAQ-DI 是与社交脆弱相关的独立因素。随着年龄的增加和 HAQ-DI 评分的恶化,社交虚弱的比例也在增加。KCL领域 "孤立 "与社交脆弱的相关性最强(r = 0.601,P < 0.001),得分越高,社交脆弱的比例越高:结论:RA 患者的社交脆弱与年龄和身体损伤(HAQ-DI)有关。结论:RA 患者的社交脆弱与年龄和身体损伤(HAQ-DI)有关,此外,KCL "孤立 "领域与社交脆弱密切相关。
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来源期刊
Modern Rheumatology
Modern Rheumatology RHEUMATOLOGY-
CiteScore
4.90
自引率
9.10%
发文量
146
审稿时长
1.5 months
期刊介绍: Modern Rheumatology publishes original papers in English on research pertinent to rheumatology and associated areas such as pathology, physiology, clinical immunology, microbiology, biochemistry, experimental animal models, pharmacology, and orthopedic surgery. Occasional reviews of topics which may be of wide interest to the readership will be accepted. In addition, concise papers of special scientific importance that represent definitive and original studies will be considered. Modern Rheumatology is currently indexed in Science Citation Index Expanded (SciSearch), Journal Citation Reports/Science Edition, PubMed/Medline, SCOPUS, EMBASE, Chemical Abstracts Service (CAS), Google Scholar, EBSCO, CSA, Academic OneFile, Current Abstracts, Elsevier Biobase, Gale, Health Reference Center Academic, OCLC, SCImago, Summon by Serial Solutions
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