Adherence to treatment in patients with ankylosing spondylitis

This study aims to determine the level of adherence to treatment in ankylosing spondylitis (AS) patients and to identify possible factors associated to lack of adherence. We included consecutive AS patients (NY modified criteria). Sociodemographic and clinical data were collected. Patients answered...

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Autores principales: Arturi, P., Schneeberger, E.E., Sommerfleck, F., Buschiazzo, E., Ledesma, C., Maldonado Cocco, J.A., Citera, G.
Formato: JOUR
Materias:
Adherence to treatment
Ankylosing spondylitis
Monitoring disease
adult
ankylosing spondylitis
Ankylosing Spondylitis Quality of Life
Bath ankylosing spondylitis disease activity index
Bath ankylosing spondylitis functional index
Center for Epidemiological Studies Depression Scale
compliance questionnaire on rheumatology
conference paper
controlled study
depression
disease activity
disease duration
educational status
exercise attitude questionnaire 18
female
health insurance
human
major clinical study
male
named inventories, questionnaires and rating scales
patient compliance
priority journal
questionnaire
rheumatoid arthritis
Adult
Arthritis, Rheumatoid
Biological Products
Exercise
Exercise Therapy
Female
Humans
Male
Middle Aged
Patient Compliance
Quality of Life
Questionnaires
Severity of Illness Index
Spondylitis, Ankylosing
Treatment Outcome
Acceso en línea:http://hdl.handle.net/20.500.12110/paper_07703198_v32_n7_p1007_Arturi
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Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) de Universidad de Buenos Aires
id todo:paper_07703198_v32_n7_p1007_Arturi
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spelling todo:paper_07703198_v32_n7_p1007_Arturi2023-10-03T15:39:49Z Adherence to treatment in patients with ankylosing spondylitis Arturi, P. Schneeberger, E.E. Sommerfleck, F. Buschiazzo, E. Ledesma, C. Maldonado Cocco, J.A. Citera, G. Adherence to treatment Ankylosing spondylitis Monitoring disease adult ankylosing spondylitis Ankylosing Spondylitis Quality of Life Bath ankylosing spondylitis disease activity index Bath ankylosing spondylitis functional index Center for Epidemiological Studies Depression Scale compliance questionnaire on rheumatology conference paper controlled study depression disease activity disease duration educational status exercise attitude questionnaire 18 female health insurance human major clinical study male named inventories, questionnaires and rating scales patient compliance priority journal questionnaire rheumatoid arthritis Adult Arthritis, Rheumatoid Biological Products Exercise Exercise Therapy Female Humans Male Middle Aged Patient Compliance Quality of Life Questionnaires Severity of Illness Index Spondylitis, Ankylosing Treatment Outcome This study aims to determine the level of adherence to treatment in ankylosing spondylitis (AS) patients and to identify possible factors associated to lack of adherence. We included consecutive AS patients (NY modified criteria). Sociodemographic and clinical data were collected. Patients answered auto-reported questionnaires: Bath Ankylosing Spondylitis Disease Activity Index, Bath Ankylosing Spondylitis Functional Index, Ankylosing Spondylitis Quality of Life, and Center for Epidemiological Studies Depression scale. Patients with rheumatoid arthritis (RA) (ACR'87 criteria) were assessed as the control group. The adherence of the studied groups to medical treatment and exercises was measured by means of two questionnaires: Compliance Questionnaire on Rheumatology (CQR) and Exercise Attitude Questionnaire-18 (EAQ-18). The study included 59 patients with AS and 53 patients with RA. Of the AS patients, 43 (72.9 %) were male, median age 47 years (interquartile range (IQR) 33-57) and median disease duration of 120 months (IQR 33-57). Of the RA patients, 37 (69.8 %) were female, had a median age of 56 years (IQR 43.5-60) and a median disease duration of 156 months (IQR 96-288). There were no significant differences in the results of the adherence questionnaires between both groups, with a total median of 68.42 for the CQR in both groups and of 40.7 in AS vs. 42.6 in RA for the EAQ. When dichotomizing patients as adherent and non-adherent, taking as good adherence a cut value in the CQR and EAQ higher than 60, adherence to pharmacological treatment was significantly higher in RA vs. AS (92.5 vs. 74.6 %, p = 0.01) and there were no differences in the EAQ. On the uni- and multivariate analysis, lack of adherence to treatment was not associated to sex, age, disease duration, education, health insurance, depressive status, and disease activity parameters in neither group of patients. AS have an acceptable adherence to pharmacological treatment, although it is lower than RA patients; nonetheless, both groups show a lack of adherence to exercise. © 2013 Clinical Rheumatology. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_07703198_v32_n7_p1007_Arturi
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic Adherence to treatment
Ankylosing spondylitis
Monitoring disease
adult
ankylosing spondylitis
Ankylosing Spondylitis Quality of Life
Bath ankylosing spondylitis disease activity index
Bath ankylosing spondylitis functional index
Center for Epidemiological Studies Depression Scale
compliance questionnaire on rheumatology
conference paper
controlled study
depression
disease activity
disease duration
educational status
exercise attitude questionnaire 18
female
health insurance
human
major clinical study
male
named inventories, questionnaires and rating scales
patient compliance
priority journal
questionnaire
rheumatoid arthritis
Adult
Arthritis, Rheumatoid
Biological Products
Exercise
Exercise Therapy
Female
Humans
Male
Middle Aged
Patient Compliance
Quality of Life
Questionnaires
Severity of Illness Index
Spondylitis, Ankylosing
Treatment Outcome
spellingShingle Adherence to treatment
Ankylosing spondylitis
Monitoring disease
adult
ankylosing spondylitis
Ankylosing Spondylitis Quality of Life
Bath ankylosing spondylitis disease activity index
Bath ankylosing spondylitis functional index
Center for Epidemiological Studies Depression Scale
compliance questionnaire on rheumatology
conference paper
controlled study
depression
disease activity
disease duration
educational status
exercise attitude questionnaire 18
female
health insurance
human
major clinical study
male
named inventories, questionnaires and rating scales
patient compliance
priority journal
questionnaire
rheumatoid arthritis
Adult
Arthritis, Rheumatoid
Biological Products
Exercise
Exercise Therapy
Female
Humans
Male
Middle Aged
Patient Compliance
Quality of Life
Questionnaires
Severity of Illness Index
Spondylitis, Ankylosing
Treatment Outcome
Arturi, P.
Schneeberger, E.E.
Sommerfleck, F.
Buschiazzo, E.
Ledesma, C.
Maldonado Cocco, J.A.
Citera, G.
Adherence to treatment in patients with ankylosing spondylitis
topic_facet Adherence to treatment
Ankylosing spondylitis
Monitoring disease
adult
ankylosing spondylitis
Ankylosing Spondylitis Quality of Life
Bath ankylosing spondylitis disease activity index
Bath ankylosing spondylitis functional index
Center for Epidemiological Studies Depression Scale
compliance questionnaire on rheumatology
conference paper
controlled study
depression
disease activity
disease duration
educational status
exercise attitude questionnaire 18
female
health insurance
human
major clinical study
male
named inventories, questionnaires and rating scales
patient compliance
priority journal
questionnaire
rheumatoid arthritis
Adult
Arthritis, Rheumatoid
Biological Products
Exercise
Exercise Therapy
Female
Humans
Male
Middle Aged
Patient Compliance
Quality of Life
Questionnaires
Severity of Illness Index
Spondylitis, Ankylosing
Treatment Outcome
description This study aims to determine the level of adherence to treatment in ankylosing spondylitis (AS) patients and to identify possible factors associated to lack of adherence. We included consecutive AS patients (NY modified criteria). Sociodemographic and clinical data were collected. Patients answered auto-reported questionnaires: Bath Ankylosing Spondylitis Disease Activity Index, Bath Ankylosing Spondylitis Functional Index, Ankylosing Spondylitis Quality of Life, and Center for Epidemiological Studies Depression scale. Patients with rheumatoid arthritis (RA) (ACR'87 criteria) were assessed as the control group. The adherence of the studied groups to medical treatment and exercises was measured by means of two questionnaires: Compliance Questionnaire on Rheumatology (CQR) and Exercise Attitude Questionnaire-18 (EAQ-18). The study included 59 patients with AS and 53 patients with RA. Of the AS patients, 43 (72.9 %) were male, median age 47 years (interquartile range (IQR) 33-57) and median disease duration of 120 months (IQR 33-57). Of the RA patients, 37 (69.8 %) were female, had a median age of 56 years (IQR 43.5-60) and a median disease duration of 156 months (IQR 96-288). There were no significant differences in the results of the adherence questionnaires between both groups, with a total median of 68.42 for the CQR in both groups and of 40.7 in AS vs. 42.6 in RA for the EAQ. When dichotomizing patients as adherent and non-adherent, taking as good adherence a cut value in the CQR and EAQ higher than 60, adherence to pharmacological treatment was significantly higher in RA vs. AS (92.5 vs. 74.6 %, p = 0.01) and there were no differences in the EAQ. On the uni- and multivariate analysis, lack of adherence to treatment was not associated to sex, age, disease duration, education, health insurance, depressive status, and disease activity parameters in neither group of patients. AS have an acceptable adherence to pharmacological treatment, although it is lower than RA patients; nonetheless, both groups show a lack of adherence to exercise. © 2013 Clinical Rheumatology.
format JOUR
author Arturi, P.
Schneeberger, E.E.
Sommerfleck, F.
Buschiazzo, E.
Ledesma, C.
Maldonado Cocco, J.A.
Citera, G.
author_facet Arturi, P.
Schneeberger, E.E.
Sommerfleck, F.
Buschiazzo, E.
Ledesma, C.
Maldonado Cocco, J.A.
Citera, G.
author_sort Arturi, P.
title Adherence to treatment in patients with ankylosing spondylitis
title_short Adherence to treatment in patients with ankylosing spondylitis
title_full Adherence to treatment in patients with ankylosing spondylitis
title_fullStr Adherence to treatment in patients with ankylosing spondylitis
title_full_unstemmed Adherence to treatment in patients with ankylosing spondylitis
title_sort adherence to treatment in patients with ankylosing spondylitis
url http://hdl.handle.net/20.500.12110/paper_07703198_v32_n7_p1007_Arturi
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