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dc.contributor.author유대현-
dc.date.accessioned2019-05-21T05:22:29Z-
dc.date.available2019-05-21T05:22:29Z-
dc.date.issued2017-01-
dc.identifier.citationMODERN RHEUMATOLOGY, v. 27, no. 1, page. 35-41en_US
dc.identifier.issn1439-7595-
dc.identifier.issn1439-7609-
dc.identifier.urihttp://www.tandfonline.com/doi/abs/10.1080/14397595.2016.1176310-
dc.identifier.urihttp://repository.hanyang.ac.kr/handle/20.500.11754/105148-
dc.description.abstractObjective: To identify the level of agreement between patients with rheumatoid arthritis (RA) and physicians in the global assessment of disease activity and to explore factors influencing their discordance.Methods: A total of 4368 patients with RA were analyzed from the KORean Observational study Network for Arthritis (KORONA) database. Patients were divided into four subgroups according to difference from their physicians in the assessment of disease activity by substracting physician’s visual analog scale (VAS) from patient’s VAS as follows: positive discordance group I (10 mm ≤ discordance <25 mm), positive discordance group II (≥25 mm), concordance (<|10| mm), and negative discordance (≤ −10mm). Multinomial logistic regression analysis was performed to identify factors associated with discordance.Results: Only 1350 (29.2%) patients were classified in the concordance group. Positive discordance was found in 52.3% of the patients (n = 2425), with 33.7% (n = 1563) showing marked discordance (≥25 mm). The high disease activity (OR =1.41), gastrointestinal (GI) disease (OR =1.28), pain (OR =1.12), fatigue (OR =1.07) were consistently associated with positive discordance.Conclusion: More than half of patients with RA thought their disease more severe than their physicians. In addition to high disease activity, pain, fatigue, and sleep disturbance or GI disease were associated with the discordance between physicians and patients with RA.en_US
dc.description.sponsorshipThis study was supported by the Korea Healthcare Technology R&D Project, Ministry of Health and Welfare, Republic of Korea (HI10C2020)). The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.en_US
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.subjectArthritisen_US
dc.subjectDiscordanceen_US
dc.subjectFatigueen_US
dc.subjectGastrointestinal diseasesen_US
dc.subjectPainen_US
dc.subjectPatient global assessmenten_US
dc.subjectPhysician global assessmenten_US
dc.subjectRheumatoiden_US
dc.subjectSleepen_US
dc.titleWhat factors affect discordance between physicians and patients in the global assessment of disease activity in rheumatoid arthritis?en_US
dc.typeArticleen_US
dc.relation.no1-
dc.relation.volume27-
dc.identifier.doi10.1080/14397595.2016.1176310-
dc.relation.page35-41-
dc.relation.journalMODERN RHEUMATOLOGY-
dc.contributor.googleauthorCho, Soo-Kyung-
dc.contributor.googleauthorSung, Yoon-Kyoung-
dc.contributor.googleauthorChoi, Chan-Bum-
dc.contributor.googleauthorBang, So-Young-
dc.contributor.googleauthorCha, Hoon-Suk-
dc.contributor.googleauthorChoe, Jung-Yoon-
dc.contributor.googleauthorChung, Won Tae-
dc.contributor.googleauthorHong, Seung-Jae-
dc.contributor.googleauthorJun, Jae-Bum-
dc.contributor.googleauthorYoo, Dae-Hyun-
dc.relation.code2017005836-
dc.sector.campusS-
dc.sector.daehakCOLLEGE OF MEDICINE[S]-
dc.sector.departmentDEPARTMENT OF MEDICINE-
dc.identifier.piddhyoo-
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COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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