Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 이혜순 | - |
dc.date.accessioned | 2019-05-23T06:38:20Z | - |
dc.date.available | 2019-05-23T06:38:20Z | - |
dc.date.issued | 2017-01 | - |
dc.identifier.citation | MODERN RHEUMATOLOGY, v. 27, no. 1, page. 35-41 | en_US |
dc.identifier.issn | 1439-7595 | - |
dc.identifier.issn | 1439-7609 | - |
dc.identifier.uri | http://www.tandfonline.com/doi/abs/10.1080/14397595.2016.1176310 | - |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/105934 | - |
dc.description.abstract | Objective: 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.sponsorship | This 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.iso | en | en_US |
dc.publisher | SPRINGER | en_US |
dc.subject | Arthritis | en_US |
dc.subject | Discordance | en_US |
dc.subject | Fatigue | en_US |
dc.subject | Gastrointestinal diseases | en_US |
dc.subject | Pain | en_US |
dc.subject | Patient global assessment | en_US |
dc.subject | Physician global assessment | en_US |
dc.subject | Rheumatoid | en_US |
dc.subject | Sleep | en_US |
dc.title | What factors affect discordance between physicians and patients in the global assessment of disease activity in rheumatoid arthritis? | en_US |
dc.type | Article | en_US |
dc.relation.no | 1 | - |
dc.relation.volume | 27 | - |
dc.identifier.doi | 10.1080/14397595.2016.1176310 | - |
dc.relation.page | 35-41 | - |
dc.relation.journal | MODERN RHEUMATOLOGY | - |
dc.contributor.googleauthor | Cho, Soo-Kyung | - |
dc.contributor.googleauthor | Sung, Yoon-Kyoung | - |
dc.contributor.googleauthor | Choi, Chan-Bum | - |
dc.contributor.googleauthor | Bang, So-Young | - |
dc.contributor.googleauthor | Cha, Hoon-Suk | - |
dc.contributor.googleauthor | Choe, Jung-Yoon | - |
dc.contributor.googleauthor | Chung, Won Tae | - |
dc.contributor.googleauthor | Hong, Seung-Jae | - |
dc.contributor.googleauthor | Jun, Jae-Bum | - |
dc.contributor.googleauthor | Lee, Hye-Soon | - |
dc.relation.code | 2017005836 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | lhsberon | - |
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