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Nikiphorou E, Rannio T, Sokka T. Rheumatoid Arthritis in the 21st Century: Treatment Patterns and Disease Activity States. J Rheumatol 2015; 42:1542-4. [PMID: 26330124 DOI: 10.3899/jrheum.150615] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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252
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Sokka T, Khan N, Nikiphorou E, Verstappen S, Hetland M, Inanc N, Laurindo I, Stropuviene S, Combe B, Cutolo M, Jacobs J. AB1183 Joint Operations as an Indicator of Disease Severity and Burden in the Quest-RA Study: Table 1. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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253
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Psarelis S, MIna E, Nikiphorou E. SAT0550 Familial Mediterranean Fever in the Greek Cypriot Population. Experience from Two Centres. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.1855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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254
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Castrejon I, Nikiphorou E, Jain R, Huang A, Block J, Pincus T. SAT0343 How Much Does Fatigue Contribute to the Physician and Patient Global Estimates in Different Rheumatic Diseases? Analysis from Routine Care on a Multidimensional Health Assessment Questionnaire (MDHAQ). Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2850] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Nikiphorou E, Castrejon I, Jain R, Huang A, Block J, Pincus T. THU0310 Quantitative Assessment of Fatigue in Routine Care Using a Multidimensional Health Assessment Questionnaire (MDHAQ). Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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256
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Nikiphorou E, Demetriou C, Norton S, Walsh D, Dixey J, Kiely P, Sokka-Isler T, Young A. SAT0111 The Impact of Comorbidities and Extra-Articular Manifestations on 10-Year Mortality Risk in Rheumatoid Arthritis. Results from Two Multi-Centre UK Inception Cohorts. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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257
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Nikiphorou E, Negoescu A, Castrejon I, Pincus T. AB0945 Clues to Recognize Fibromyalgia From a Patient Self-Report Multidimensional Health Assessment Questionnaire (MDHAQ) and Physician Rheumetric Checklist. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.3535] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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258
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Nikiphorou E, Norton S, Demetriou C, Dixey J, Prouse P, Kiely P, Walsh D, Young A. FRI0075 The Impact of Comorbidity on Functional Status in RA, 10 Years from Disease-Onset. Results from Two Large Uk Inception Cohorts. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.3821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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259
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Nikiphorou E, Studenic P, Jani M, Canavan M, Ospelt C, Ammitzbøll C. OP0313 The Use and Impact of Social Media in Modern Rheumatology Practice Based on a Survey by the Emerging Eular Network (Emeunet). Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.4495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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260
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Nikiphorou E, Carpenter L, Norton S, Kiely P, Dixey J, Young A. OP0179 Different Levels of Moderate Disease in Rheumatoid Arthritis (RA) are Associated with Varying Risk for Joint Destruction and Failure. Time to Update Das Cut-Offs for Biologic Dmard Use?: Table 1. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.3865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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261
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Nikiphorou E, Carpenter L, McWilliams D, Young A, Walsh D. AB0256 Both Standard Disease Markers and Patient-Level Factors in Rheumatoid Arthritis (RA) Predict the Timing and Nature of Orthopaedic Surgery. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.3964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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262
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Psarelis S, Nikiphorou E. AB1172 Biologic DMARD Treatment in Cyprus Based on Six Year Data from a National Hospital Covering a Population of Greek-Cypriot. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.4101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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263
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Norton S, Young A, Nikiphorou E, Kiely P, Walsh D, Dixey J. SAT0096 The Obesity Paradox in Rheumatoid Arthritis: Results from Uk Based Multi-Centre Observational Study. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.4043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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264
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Pincus T, Nikiphorou E, Huang A, Castrejon I. THU0328 Secondary Fibromyalgia in Patients with Other Rheumatic Diagnoses: Clues for Recognition on a Multidimensional Health Assessment Questionnaire (MDHAQ) and Physician Rheumetric Checklist. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.3584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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265
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Nikiphorou E, Morris S, Dixey J, Williams PL, Kiely P, Walsh DA, MacGregor A, Young A. The Effect of Disease Severity and Comorbidity on Length of Stay for Orthopedic Surgery in Rheumatoid Arthritis: Results from 2 UK Inception Cohorts, 1986-2012. J Rheumatol 2015; 42:778-85. [PMID: 25834200 DOI: 10.3899/jrheum.141049] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/23/2015] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To examine factors predicting length of stay (LoS) for orthopedic intervention in rheumatoid arthritis (RA). METHODS LoS for orthopedic intervention was examined in 2 consecutive, multicenter inception cohorts: the Early RA Study (n = 1465, 9 centers) and the Early RA Network (n = 1236, 23 centers). Date, type of orthopedic procedure, and LoS were recorded and validated against national data, the UK National Joint Registry, and the UK Hospital Episode Statistics database. Clinical, laboratory, and radiographic measures and comorbidity recorded at baseline and annually were examined for their predictive power on LoS using regression analysis. RESULTS A total of 770 of 2701 patients (28.5%) had 1602 orthopedic interventions: 40% major (mainly total hip/knee replacements), 24% intermediate (mainly hand/wrist and ankle/foot surgery), and 16% minor (mainly soft tissue surgery). Median (interquartile range) LoS was 8 (5-13), 3 (1-5), and 1 (0-2) days for major, intermediate, and minor interventions, respectively. Older age predicted longer LoS (p < 0.001) whereas a more recent operation year predicted shorter LoS (p < 0.001). Markers of active disease, namely low hemoglobin, high Health Assessment Questionnaire, and high Disease Activity Scores in the first year all predicted longer LoS for all types of surgery (p = 0.001, p < 0.001, p = 0.05, respectively). Presence of 1 or more major comorbidities predicted longer LoS (p < 0.001). CONCLUSION Comorbidity and standard clinical and laboratory markers of disease activity affect the LoS for orthopedic surgery in RA, which has important clinical and economic implications, providing a target for improving patient outcomes.
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Nikiphorou E, Davies C, Mugford M, Cooper N, Brooksby A, Bunn DK, Young A, Verstappen SMM, Symmons DPM, MacGregor AJ. Direct health costs of inflammatory polyarthritis 10 years after disease onset: results from the Norfolk Arthritis Register. J Rheumatol 2015; 42:794-8. [PMID: 25834202 DOI: 10.3899/jrheum.140528] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/30/2015] [Indexed: 10/23/2022]
Abstract
OBJECTIVES To explore the change in direct medical costs associated with inflammatory polyarthritis (IP) 10 to 15 years after its onset. METHODS Patients from the Norfolk Arthritis Register who had previously participated in a health economic study in 1999 were traced 10 years later and invited to participate in a further prospective questionnaire-based study. The study was designed to identify direct medical costs and changes in health status over a 6-month period using previously validated questionnaires as the primary source of data. RESULTS A representative sample of 101 patients with IP from the 1999 cohort provided complete data over the 6-month period. The mean disease duration was 14 years (SD 2.1, median 13.6, interquartile range 12.6-15.4). The mean direct medical cost per patient over the 6-month period was £1496 for IP (inflated for 2013 prices). This compared with £582 (95% CI £355-£964) inflated to 2013 prices per patient with IP 10 years earlier in their disease. The increased cost was largely associated with the use of biologics in the rheumatoid arthritis subgroup of patients (51% of total costs incurred). Other direct cost components included primary care costs (11%), hospital outpatient (19%), day care (12%), and inpatient stay (4%). CONCLUSION The direct healthcare costs associated with IP have more than doubled with increasing disease duration, largely as a result of the use of biologics. The results showed a shift in the direct health costs from inpatient to outpatient service use.
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Nikiphorou E, Konan S, MacGregor AJ, Haddad FS, Young A. The surgical treatment of rheumatoid arthritis: a new era? Bone Joint J 2014; 96-B:1287-9. [PMID: 25274910 DOI: 10.1302/0301-620x.96b10.34506] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
There has been an in increase in the availability of effective biological agents for the treatment of rheumatoid arthritis as well as a shift towards early diagnosis and management of the inflammatory process. This article explores the impact this may have on the place of orthopaedic surgery in the management of patients with rheumatoid arthritis.
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Scott K, Nisar M, Arthanari S, Woodhead F, PriceForbes A, Middleton D, Dempsey O, Dawson J, Sathi N, Ahmad Y, Koduri G, Nikiphorou E, Young A, Kelly C. OP0254 Association between Steroid Therapy and Survival in Patients with Rheumatoid Arthritis Interstitial Lung Disease. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.1247] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Brown M, Kelly C, Nisar M, Arthanari S, Woodhead F, PriceForbes A, Middleton D, Dempsey O, Dawson J, Sathi N, Ahmad Y, Koduri G, Young A, Nikiphorou E. SAT0130 Rheumatoid Arthritis Related Interstitial Lung Disease – is There an Association between Disease Modifying anti Rheumatic Drugs and Survival? Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.1246] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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270
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Nikiphorou E, Mackie S, Morgan A, Young A. THU0447 Defining a Process for the Development of a National Minimum Core Dataset (MCD) for Observational Cohort Studies in RA. A Multidisciplinary Exercise. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.3603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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271
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Nikiphorou E, Norton S, Carpenter L, Dixey J, Kiely P, Walsh D, Young A. THU0248 Three-Year Sustained Remission in Early RA: Predictors and Structural Outcomes. Analysis of Longitudinal Observational Data in Two Multicentre UK Inception Cohorts over 25 Years. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.4414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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272
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Norton S, Nikiphorou E, Carpenter L, Walsh D, Dixey J, Kiely P, Young A. OP0127 Impact of Disease Activity and Treatment on Progression of Functional Limitation in RA. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.3148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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273
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Carpenter L, Nikiphorou E, Norton S, Dixey J, Young A. FRI0014 Examining Baseline and 1 Year Predictors of Radiographic Progression over 5 Years Using Mixed Effects Negative Binomial Models: Results from the Early Rheumatoid Arthritis Study (ERAS) Cohort. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.5714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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274
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Nikiphorou E, Norton S, Carpenter L, Dixey J, Kiely P, Walsh D, Young A. OP0167 Evidence That Both the Disease Course & Structural Outcomes in RA Have Become Less Severe over Time. A 25-Year Longitudinal Data Analysis Based on Two Consecutive UK Inception Cohorts. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.4972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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275
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Nikiphorou E, Carpenter L, Morris S, MacGregor AJ, Dixey J, Kiely P, James DW, Walsh DA, Norton S, Young A. Hand and Foot Surgery Rates in Rheumatoid Arthritis Have Declined From 1986 to 2011, but Large-Joint Replacement Rates Remain Unchanged: Results From Two UK Inception Cohorts. Arthritis Rheumatol 2014; 66:1081-9. [DOI: 10.1002/art.38344] [Citation(s) in RCA: 96] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2013] [Accepted: 12/31/2013] [Indexed: 11/10/2022]
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