Noda, Kentaro and Tajima, Miku and Oto, Yohsuke and Saitou, Moe and Yoshiga, Masayuki and Otani, Kazuhiro and Yoshida, Ken and Kurosaka, Daitaro (2019) How do neuropathic pain-like symptoms affect health-related quality of life among patients with rheumatoid arthritis?: A comparison of multiple pain-related parameters. MODERN RHEUMATOLOGY. ISSN 1439-7595, 1439-7609
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Objectives: Rheumatoid arthritis (RA) pain is thought to be nociceptive. However, recent studies indicate that RA also involves the neuropathic pain (NP) mechanism. We examined pain features and the effect of NP-like symptoms on health-related quality of life (HRQOL) among patients with RA. Methods: The painDETECT questionnaire (PDQ) was used to evaluate NP-like symptoms among 145 outpatients with RA. Disease activity, pain quality, and HRQOL were evaluated. We compared clinical parameters between patients with and without NP-like symptoms and analyzed pain features and the effect of NP-like symptoms on HRQOL, along with multiple other pain-related parameters. Results: Thirty (20.7%) patients had NP-like symptoms (PDQ >= 13). Patient global assessment and evaluator global assessment diverged for patients with RA who had NP-like symptoms. Of the examined pain-related parameters, PDQ score (p = .038, ss = -.173) was associated with the Short-Form 36-Item Health Survey role-social component summary score, but not with the physical or mental component summary scores. Conclusion: NP-like symptoms affected HRQOL among patients with RA. There was discordance between global assessments by patients and by evaluators for patients with RA who had NP-like symptoms. Therefore, NP-like symptoms should be given somewhat more attention when treating patients with RA.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | DISEASE-ACTIVITY; CENTRAL SENSITIZATION; REMISSION; PAINDETECT; KNEE; OSTEOARTHRITIS; FIBROMYALGIA; ASSOCIATION; DEFINITION; COMPONENTS; Health-related quality of life; neuropathic pain; painDETECT questionnaire; rheumatoid arthritis; SF-MPQ |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Petra Gürster |
| Date Deposited: | 02 Apr 2020 06:45 |
| Last Modified: | 02 Apr 2020 06:45 |
| URI: | https://pred.uni-regensburg.de/id/eprint/26441 |
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