Dokument: Patient-reported outcomes in large vessel vasculitis: insights from a retrospective analysis of disease activity and associated factors

Titel:Patient-reported outcomes in large vessel vasculitis: insights from a retrospective analysis of disease activity and associated factors
URL für Lesezeichen:https://docserv.uni-duesseldorf.de/servlets/DocumentServlet?id=67999
URN (NBN):urn:nbn:de:hbz:061-20241218-135853-2
Kollektion:Publikationen
Sprache:Englisch
Dokumententyp:Wissenschaftliche Texte » Artikel, Aufsatz
Medientyp:Text
Autoren: Kernder, Anna Luise [Autor]
Rohde, Marius [Autor]
Acar, Hasan [Autor]
Düsing, Christina [Autor]
Fischer-Betz, Rebecca [Autor]
Haase, Isabell [Autor]
Mucke, Johanna [Autor]
Sander, Oliver [Autor]
Richter, Jutta G. [Autor]
Filla, Tim [Autor]
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Dateien vom 18.12.2024 / geändert 18.12.2024
Stichwörter:Large vessel vasculitis, Giant cell arteritis, Patient-reported outcomes (PROs), Disease activity, Takayasu arteriitis
Beschreibung:Background

Patient-reported outcomes (PROs) play a crucial role in assessing rheumatic diseases, offering insights into disease evaluation and treatment efficacy. This study focuses on PRO assessment in large vessel vasculitides, including Takayasu Arteritis and Giant Cell Arteritis (GCA).
Methods

We retrospectively analyzed routine data from patients treated at our rheumatology clinic over a 10-year span. Patient and physician-rated global disease activity scale (G-DAS) scores, measured on a numeric rating scale (0–10 points), were collected at each visit. Clinical variables like age, sex, body mass index (BMI), disease duration, lab values, pain perception, and questionnaire responses were recorded. Linear regression and generalized additive linear regression (GAM analysis) examined associations between PROs and these factors.
Results

The study included 138 patients, primarily diagnosed with GCA (94.4%). Mean follow-up was 2.5 years (0-7.7). Patient and physician G-DAS exhibited a moderate correlation (Pearson R 0.19, CI 0.14–0.24, p < 0.001). Higher patient G-DAS correlated with younger age (CI -3.4 - -1.5, p < 0.001), increased pain (CI 3.5-4, p < 0.001), functional limitations (HAQ, CI 0.5–0.6, p < 0.001), reduced physical (CI 2.3–2.7, p ≤ 0.001) and psychological well-being (CI 2.1–2.5, p < 0.001), and higher BMI (CI 1.3–2.4, p < 0.001). Physician G-DAS correlated with Birmingham Vasculitis Activity Score (V3.0; R 0.42, p 0.046) and were significantly linked to serum CRP elevations (β = 0.04, CI 0.0-0.08, p 0.028).
Conclusions

These findings underscore the need to integrate PRO measures into vasculitis disease management strategies, enhancing the understanding of disease activity from the patient’s perspective.
Rechtliche Vermerke:Originalveröffentlichung:
Kernder, A. L., Rohde, M., Acar, H., Düsing, C., Fischer-Betz, R., Haase, I., Mucke, J., Sander, O., Richter, J., Filla, T., Schneider, M., & Chehab, G. (2024). Patient-reported outcomes in large vessel vasculitis: insights from a retrospective analysis of disease activity and associated factors. Journal of Patient-Reported Outcomes, 8, Article 4. https://doi.org/10.1186/s41687-023-00681-w
Lizenz:Creative Commons Lizenzvertrag
Dieses Werk ist lizenziert unter einer Creative Commons Namensnennung 4.0 International Lizenz
Fachbereich / Einrichtung:Medizinische Fakultät
Dokument erstellt am:18.12.2024
Dateien geändert am:18.12.2024
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