Arthritis care and research : the official journal of the Arthritis Health Professions Association最新文献

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24-hour Activity and Sleep Profiles for Adults Living with Arthritis : Habits Matter 成人关节炎患者的24小时活动和睡眠情况:习惯很重要
L. Feehan, N. Lu, H. Xie, Linda C. Li
{"title":"24-hour Activity and Sleep Profiles for Adults Living with Arthritis : Habits Matter","authors":"L. Feehan, N. Lu, H. Xie, Linda C. Li","doi":"10.14288/1.0395338","DOIUrl":"https://doi.org/10.14288/1.0395338","url":null,"abstract":"","PeriodicalId":77675,"journal":{"name":"Arthritis care and research : the official journal of the Arthritis Health Professions Association","volume":"119 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81612929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiovascular training improves fitness in patients with ankylosing spondylitis 心血管训练提高强直性脊柱炎患者的体能
K. N. Schneider, E. Sidelnikov, C. Muggli, H. Dagfinrud, M. Hermann, G. Tamborrini, A. Ciurea, H. Bischoff-Ferrari
{"title":"Cardiovascular training improves fitness in patients with ankylosing spondylitis","authors":"K. N. Schneider, E. Sidelnikov, C. Muggli, H. Dagfinrud, M. Hermann, G. Tamborrini, A. Ciurea, H. Bischoff-Ferrari","doi":"10.21256/ZHAW-3830","DOIUrl":"https://doi.org/10.21256/ZHAW-3830","url":null,"abstract":"Objective: Several studies suggest that patients with ankylosing spondylitis (AS) have an increased risk of cardiovascular disease. This study aimed to evaluate the effects of a 12-week individually heart rate-monitored, moderately intensive cardiovascular training on cardiovascular fitness and perceived disease activity in AS patients. Methods: Patients diagnosed with AS according to modified New York criteria were to either 'cardiovascular training' or 'attention control'. The training group performed three cardiovascular trainings per week. All participants attended one weekly usual care flexibility training. Attention control contained regular discussion groups on coping strategies. Adherence was self-monitored. Assessments were performed at baseline and after the intervention period of 3 months. Physical fitness was the primary endpoint, measured in watts using a submaximal bicycle test following the PWC75% protocol. All analyses controlled for gender, age, body mass index, baseline fitness and physical activity levels, and BASDAI. Results: Of 106 AS patients enrolled, 40% were women, mean age was 49 (SD +/-12) years. 76.5% of the training group reported exercising at least three times a week. At 3 month follow-up, fitness level in the training group was significantly higher than in the control group (90.32 (SD 4.52) vs.109.84 (SD 4.72) respectively, p=0.001), independent of other covariates. Average BASDAI total score was 0.31 points lower (p = 0.31) in the training group, reaching significance for the 'peripheral pain' subscore (1.19; p=0.01), but not for 'back pain' or 'fatigue'. Conclusions: Cardiovascular training, in addition to flexibility exercise, increased fitness in AS patients and reduced their peripheral pain.","PeriodicalId":77675,"journal":{"name":"Arthritis care and research : the official journal of the Arthritis Health Professions Association","volume":"130 1","pages":"1844-1852"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77084600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 23
Assessment of structural lesions in sacroiliac joints enhances diagnostic utility of MRI in early spondyloarthritis 骶髂关节结构病变的评估提高了MRI对早期脊椎关节炎的诊断价值
U. Weber, R. Lambert, S. Pedersen, J. Hodler, M. Østergaard, W. Maksymowych
{"title":"Assessment of structural lesions in sacroiliac joints enhances diagnostic utility of MRI in early spondyloarthritis","authors":"U. Weber, R. Lambert, S. Pedersen, J. Hodler, M. Østergaard, W. Maksymowych","doi":"10.5167/UZH-35497","DOIUrl":"https://doi.org/10.5167/UZH-35497","url":null,"abstract":"OBJECTIVE:: We aimed to compare the diagnostic utility of T1-weighted (T1w) and STIR MRI sequences in early spondyloarthritis (SpA) using a standardized approach to the evaluation of sacroiliac joints (SIJ) and to test whether systematic calibration of readers directed at recognition of abnormalities on T1w MRI would enhance diagnostic utility. METHODS:: Six readers independently assessed T1w and STIR MRI scans of the SIJ from 187 subjects: 75 AS and 27 preradiographic IBP patients; 26 mechanical back pain and 59 healthy volunteer controls aged </=45 years. The exercise was repeated 6 months later on a random selection of 30 AS patients and 34 controls after calibration directed at lesions visible on T1w MRI. Specific MRI lesions were recorded according to standardized definitions. In addition to deciding on the presence/absence of SpA readers were asked which MRI sequence and which type of lesion was the primary basis for their diagnostic conclusion. RESULTS:: Structural lesions were detected in 98% of AS and in 64% of IBP patients. A diagnosis of SpA was based on T1w or combined T1w/STIR sequences in 82% of AS and 41% of IBP patients. Calibration enhanced diagnostic utility of MRI in the majority of readers, especially those considered less experienced; mean (of 6 readers) pre-calibration likelihood ratio (LR) (+/-) was 14.5/0.08 and post-calibration was 22.2/0.02. CONCLUSION:: Recognition of structural lesions on T1w MRI contributes significantly to its diagnostic utility in early SpA. Rheumatologist training directed at detection of lesions visible on T1w MRI enhances diagnostic utility.","PeriodicalId":77675,"journal":{"name":"Arthritis care and research : the official journal of the Arthritis Health Professions Association","volume":"45 1","pages":"1763-1771"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89413612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 72
Work participation and health status in early osteoarthritis of hip and/or knee: a comparison between Cohort Hip and Cohort Knee (CHECK) and Osteoarthritis Initiative (OAI) 早期髋关节和/或膝关节骨关节炎的工作参与和健康状况:队列髋关节和队列膝关节(CHECK)和骨关节炎倡议(OAI)的比较
H. Bieleman, F. Oosterveld, J. Oostveen, M. Reneman, J. Groothoff
{"title":"Work participation and health status in early osteoarthritis of hip and/or knee: a comparison between Cohort Hip and Cohort Knee (CHECK) and Osteoarthritis Initiative (OAI)","authors":"H. Bieleman, F. Oosterveld, J. Oostveen, M. Reneman, J. Groothoff","doi":"10.1002/ACR20112","DOIUrl":"https://doi.org/10.1002/ACR20112","url":null,"abstract":"OBJECTIVE: Aims of this study were to examine the work participation of Dutch people with early osteoarthritis (OA) in hips or knees, and to compare this with data from the American Osteoarthritis Initiative (OAI) cohort. Additionally, the influence of health status and personal factors on work participation was analysed. METHODS: In the Cohort Hip and Cohort Knee (CHECK study) 1002 subjects were included. Baseline questionnaire data from 970 subjects were analysed. Rate ratios were calculated to compare work participation with the general Dutch population, after correcting (by stratifying) for age, sex and education. Health status was measured using SF-36 and Womac. Groups were compared (CHECK versus OAI, workers versus non-workers) using t-tests. RESULTS: Subjects' mean age was 56 years, 79% were females. Overall participation was 51%, similar to the general Dutch population and lower than in OAI (76%). Point prevalence of sick leave because of hip/knee complaints was 2%, year prevalence 12%. Fourteen percent of the subjects had made work adaptations. Workers reported significantly better health status (corrected for age, sex and education) than non-workers. CONCLUSION: The work participation of Dutch people with early OA is similar to the general population and significantly lower than in American subjects. Increasing age, female sex and lower education level were related to lower participation. Societal factors appear to have more effect on work participation than health status in this stage of OA. Better health status of workers could not be explained solely by selection bias, but may also be a result of work","PeriodicalId":77675,"journal":{"name":"Arthritis care and research : the official journal of the Arthritis Health Professions Association","volume":"57 1","pages":"683-689"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91298350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Introduction to special section: Disability and rehabilitation in the rheumatic diseases 专题导言:风湿病的残疾和康复
E. Yelin, P. Katz
{"title":"Introduction to special section: Disability and rehabilitation in the rheumatic diseases","authors":"E. Yelin, P. Katz","doi":"10.1002/art.24119","DOIUrl":"https://doi.org/10.1002/art.24119","url":null,"abstract":"","PeriodicalId":77675,"journal":{"name":"Arthritis care and research : the official journal of the Arthritis Health Professions Association","volume":"8 1","pages":"1378-1378"},"PeriodicalIF":0.0,"publicationDate":"2008-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83810558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arthritis Care & Research and the changing landscape of health care 关节炎护理和研究以及医疗保健的变化
P. Katz, E. Yelin
{"title":"Arthritis Care & Research and the changing landscape of health care","authors":"P. Katz, E. Yelin","doi":"10.1002/ART.21338","DOIUrl":"https://doi.org/10.1002/ART.21338","url":null,"abstract":"We begin our term as co-editors of Arthritis Care & Research with the work before us made much easier because of the tenure of Dr. Gene Hunder and colleagues. Dr. Hunder effectively managed the journal through its incorporation as an official section of Arthritis & Rheumatism and improved its reputation, which has led to an increase in the size of the journal and the quality of the journal’s content. Arthritis Care & Research is now recognized as one of the premier journals in the field of rheumatology. We thank Dr. Hunder for leaving us such a legacy and will strive to continue the high standards he and his editorial team have set. We look forward to our upcoming tenure with the journal and especially to working with our new editorial team —Associate Editors Leonard Callabrese, DO; Loreto Carmona, MD, PhD; Marian T. Hannan, DSc, MPH; C. Kent Kwoh, MD; Daniel J. Lovell, MD, MPH; and Carol Oatis, PT, PhD; Assistant Editor Belinda Wong, MPH, at the University of California, San Francisco, and Managing Editor Nancy Vickers at the American College of Rheumatology in Atlanta. The mission of Arthritis Care & Research is to provide a venue for the best in clinical research related to the rheumatic diseases. However clinical research currently faces a number of challenges, ranging from effects of the changing health care marketplace and health care funding, to the integration and collaboration of the multiple disciplines necessary to address complex issues and funding for research itself. We are currently in the midst of a period of flux in the field of rheumatology, marked first by the introduction of biologic agents for the treatment of rheumatoid arthritis and other rheumatic conditions, and more recently by the withdrawal of rofecoxib and valdecoxib and the discontinuation of consumer-oriented advertising for celecoxib. We expect this period of rapid change to continue because of the promise of new agents in the pipeline for the treatment of rheumatic diseases, and also because the diffusion of the existing biologic agents and, to a slightly lesser extent, the coxibs, into the marketplace has caused a profound disequilibrium in the care of patients. The cost of medications for the treatment of various forms of arthritis has doubled in nominal terms and increased by 50% in real terms between 1997 and 2001. As we write, the US is about to embark on a program of public drug coverage for Medicare recipients, at a time when record numbers of Americans are without any health insurance. The architecture of the Medicare drug program may prove a profound disappointment for persons with severe rheumatic disease. For example, an elderly person with rheumatoid arthritis with a median household income for this age group who does not have a source of drug coverage other than Medicare may have to pay as much as 20% of that income out-of-pocket if taking a biologic agent. For the working person without health insurance, the majority of the uninsured population, the ","PeriodicalId":77675,"journal":{"name":"Arthritis care and research : the official journal of the Arthritis Health Professions Association","volume":"1 1","pages":"481-483"},"PeriodicalIF":0.0,"publicationDate":"2005-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89764431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reflex sympathetic dystrophy. 反射性交感神经营养不良。
L. Claeys
{"title":"Reflex sympathetic dystrophy.","authors":"L. Claeys","doi":"10.1056/NEJM200012143432413","DOIUrl":"https://doi.org/10.1056/NEJM200012143432413","url":null,"abstract":"","PeriodicalId":77675,"journal":{"name":"Arthritis care and research : the official journal of the Arthritis Health Professions Association","volume":"343 24 1","pages":"1811; author reply 1812-3"},"PeriodicalIF":0.0,"publicationDate":"2000-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1056/NEJM200012143432413","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58209732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Stress management in rheumatoid arthritis: what is the underlying mechanism? 类风湿关节炎的压力管理:潜在的机制是什么?
S H Rhee, J C Parker, K L Smarr, G F Petroski, J C Johnson, J E Hewett, G E Wright, K D Multon, S E Walker
{"title":"Stress management in rheumatoid arthritis: what is the underlying mechanism?","authors":"S H Rhee,&nbsp;J C Parker,&nbsp;K L Smarr,&nbsp;G F Petroski,&nbsp;J C Johnson,&nbsp;J E Hewett,&nbsp;G E Wright,&nbsp;K D Multon,&nbsp;S E Walker","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To test whether change in cognitive-behavioral variables (such as self-efficacy, coping strategies, and helplessness) is a mediator in the relation between cognitive behavior therapy and reduced pain and depression in persons with rheumatoid arthritis (RA).</p><p><strong>Methods: </strong>A sample of patients with RA who completed a stress management training program (n = 47) was compared to a standard care control group (n = 45). A path analysis testing a model including direct effects of comprehensive stress management training on pain and depression and indirect effects via change in cognitive-behavioral variables was conducted.</p><p><strong>Results: </strong>The path coefficients for the indirect effects of stress management training on pain and depression via change in cognitive-behavioral variables were statistically significant, whereas the path coefficients for the direct effects were found not to be statistically significant.</p><p><strong>Conclusion: </strong>Decreases in pain and depression following stress management training are due to beneficial changes in the arenas of self-efficacy (the belief that one can perform a specific behavior or task in the future), coping strategies (an individual's confidence in his or her ability to manage pain), and helplessness (perceptions of control regarding arthritis). There is little evidence of additional direct effects of stress management training on pain and depression.</p>","PeriodicalId":77675,"journal":{"name":"Arthritis care and research : the official journal of the Arthritis Health Professions Association","volume":"13 6","pages":"435-42"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24091337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors associated with refractory renal disease in patients with systemic lupus erythematosus: the role of patient nonadherence. 系统性红斑狼疮患者难治性肾病相关因素:患者不依从的作用
I N Bruce, D D Gladman, M B Urowitz
{"title":"Factors associated with refractory renal disease in patients with systemic lupus erythematosus: the role of patient nonadherence.","authors":"I N Bruce,&nbsp;D D Gladman,&nbsp;M B Urowitz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To assess the prevalence and underlying reasons for the development of chronic renal insufficiency (CRI) in patients with systemic lupus erythematosus (SLE) seen over a 3-year period in our lupus clinic, in particular to determine the frequency and types of patient-dependent factors that were associated with nonadherence when it occurred.</p><p><strong>Methods: </strong>We determined the frequency and types of patient-dependent factors that were associated with the development of CRI in patients with SLE. CRI was defined as a serum creatinine level > or = 200 mumol/l for at least 6 months.</p><p><strong>Results: </strong>Of the 462 patients followed at the lupus clinic between 1995 and 1998, 17 patients developed CRI. Patient-related factors were deemed to be the major reason for the development of CRI in 5 of these. Three of the 5 patients were nonwhite, and the 2 patients who were white were new immigrants. All 5 patients were reluctant to take high-dose corticosteroids because of potential adverse effects. Financial problems contributed to nonadherence in 2 cases. Two patients refused to continue steroids and immunosuppressive therapy and chose to use \"alternative\" medications as their sole therapy. Of these 5 patients, 3 are now on long-term renal replacement therapy, 1 has died, and 1 patient continues to be followed with a serum creatinine level of 250 mumol/l.</p><p><strong>Conclusion: </strong>There is a need for an educational program based on patients' cultural background in order to enhance patients' understanding of the aims, risks, and benefits of therapy in SLE.</p>","PeriodicalId":77675,"journal":{"name":"Arthritis care and research : the official journal of the Arthritis Health Professions Association","volume":"13 6","pages":"406-8"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24092060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hand Mobility in Scleroderma (HAMIS) test: the reliability of a novel hand function test. 硬皮病患者的手活动能力(HAMIS)测试:一种新的手功能测试的信度。
G Sandqvist, M Eklund
{"title":"Hand Mobility in Scleroderma (HAMIS) test: the reliability of a novel hand function test.","authors":"G Sandqvist,&nbsp;M Eklund","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Hand Mobility in Scleroderma (HAMIS) is a new hand function test developed for adults who have systemic sclerosis. HAMIS consists of 9 items designed to measure all movements assessed in an ordinary range of motion (ROM)-measured hand test. The aim of this study was to examine the reliability of the test.</p><p><strong>Methods: </strong>Two observers (one occupational therapist and one physiotherapist) performed the assessments independently of each other on 30 adult subjects. There were 25 women and 5 men in the sample (mean age 53 years, average time since diagnosis 4 years). Subjects were tested twice by each rather.</p><p><strong>Results: </strong>Internal consistency ranged from 0.80 to 0.85 (Cronbach's alpha). Agreement between the two observers was good for all items (estimated kappa 0.52 to 1.00). The agreement between the observers' first and second assessments was moderate to very good for most items (estimated kappa 0.48 to 1.00), but not for the assessment of supination (estimated kappa 0.25 to 0.59).</p><p><strong>Conclusion: </strong>HAMIS is a reliable instrument for evaluation of hand function on scleroderma patients.</p>","PeriodicalId":77675,"journal":{"name":"Arthritis care and research : the official journal of the Arthritis Health Professions Association","volume":"13 6","pages":"369-74"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24092055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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