[骨关节疾病负担评分的发展:类风湿关节炎与骨关节炎的比较]。

Ryumachi. [Rheumatism] Pub Date : 2003-02-01
Machi Suka, Ayano Kiyota, Katsumi Yoshida
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引用次数: 0

摘要

目的:基于生活质量(QOL)两种定量指标,评价类风湿关节炎(RA)和骨关节炎(OA)的负担,建立骨关节疾病负担评分。方法:采用问卷调查的方式,由日本风湿病基金会的合格医生对患者的生活质量进行评估,包括6项身体功能、7项日常生活活动和3项社会活动,根据治疗状态定义3个严重程度等级。根据“主成分评分”和“0-0.5-1评分”两种定量的生活质量指标确定RA和OA的负担。结果:在严重程度与医生专科的双因素方差分析中,两项QOL定量指标在严重程度上存在显著差异,f统计量大致相同。RA的负担是OA的1.4倍(主成分评分)和1.6倍(0-0.5-1评分)。在日常生活活动和社交活动方面,RA和OA患者的负担有显著差异。结论:我们的方法可能适用于检查骨和关节疾病之间负担的差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Development of disease burden score concerning bone and joint diseases: comparison between rheumatoid arthritis and osteoarthritis].

Objectives: To develop disease burden score concerning bone and joint diseases by evaluating the burdens of rheumatoid arthritis (RA) and osteoarthritis (OA) based on two quantitative measures of quality of life (QOL).

Methods: In a questionnaire, the qualified doctors of Japan Rheumatism Foundation were asked to evaluate patients' QOL, including 6 items of physical functions, 7 items of daily living activities and 3 items of social activities, for three severity levels defined by treatment status. The burdens of RA and OA were determined based on two quantitative measures of QOL, that is, 'principal component score' and '0-0.5-1 score'.

Results: In the two-way ANOVA of severity level and doctor's specialism, two quantitative measures of QOL showed significant differences by severity level, having approximately the same F-statistics each other. The burden of RA was 1.4-times (for 'principal component score') and 1.6-times (for '0-0.5-1 score') as great as that of OA. The differences in burden between RA and OA were observed especially in daily living activities and social activities.

Conclusions: Our methodology may be applicable to examining differences in burden between bone and joint diseases.

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