Assessing the impact of rheumatoid arthritis on quality of life in a group of patients attending a rheumatology clinic in Sri Lanka |
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Authors: | Geetha Wagishwarie Gayanie Wickrematilake Lalith S Wijeratne |
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Institution: | 1. Senior Registrar in Rheumatology, National Hospital, Sri Lanka;2. Consultant Rheumatologist, National Hospital, Sri Lanka;1. Department of Rheumatology, Apollo Hospital, Bhubaneswar, Odisha 751005, India;2. Department of Dermatology, Apollo Hospital, Bhubaneswar, Odisha 751005, India;1. Associate Professor, Department of Medicine, North Bengal Medical College, Darjeeling, West Bengal, India;2. Clinical Tutor, Department of Medicine, Infectious Disease Hospital, Kolkata, India;3. Senior Consultant, B P Poddar Medical Research & Hospital, Kolkata, India;1. Prof and Director, Dept of Rheumatology and Immunology, ChanRe Rheumatology and Immunology Center and Research, Bangalore 560079, India;2. Research Associate, Dept of Bio-informatics, ChanRe Rheumatology and Immunology Center and Research, Bangalore 560079, India;1. Max Super Specialty Hospital, Patparganj, New Delhi, India;2. Department of Rheumatology, ISIC Superspeciality Hospital, Vasant Kunj, New Delhi, India;3. A&R Clinic, Flat 2015, Sector B-2, Vasant Kunj, New Delhi 110070, India |
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Abstract: | BackgroundRheumatoid arthritis (RA) has a worldwide distribution affecting 0.5–3% of the population. We used Stanford Health Assessment Questionnaire (HAQ) to assess the quality of life (QOL) in a sample of patients with RA. Disability assessment component of the HAQ; the HAQ-DI, assesses a patient's level of functional ability and has been validated and used in clinical trials extensively.ObjectiveTo find the impact of illness on quality of life, in a sample of patients with RA using HAQ, and to calculate the HAQ-DI. Additionally, to find the age distribution and relationship of HAQ-DI with VAS, DAS28 and duration of illness.MethodologyA self administered questionnaire was used in a random sample of 100 patients attending a rheumatology clinic. Statistical analysis was done using the SPSS statistical package version 17 (SPSS Institute, Chicago).ResultsWe had a 100% female population with mild disease HAQ-DI (0–<1)] in 62% of patients, while severe disease (≥2 and ≤3) was found in 5%. RA prevalence was highest in 41–50 years group (mean age ± SD = 50.8 ± 11.5 years). VAS had a positive correlation with HAQ-DI. Relationship of HAQ-DI and DAS28 was not statistically significant (p = 0.72), although there was a positive correlation between DAS28 and HAQ-DI in disease duration more than 5 years group (r = 0.19). Mean HAQ score was the highest in more than 10 years disease duration population (p = 0.006).ConclusionIn a busy clinic setting, simple parameters like disease duration and VAS give an indication about the functional effect of illness on a patient's quality of life. |
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Keywords: | RA – rheumatoid arthritis HAQ – health assessment questionnaire HAQ-DI – HAQ-disability index DAS28 – disease activity score in 28 joints |
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