1
|
Rodríguez Esquíroz A, Arrondo Velasco A, Egüés Lugea A, Sarobe Carricas M. Improvement in RAID questionnaire results in patients with rheumatoid arthritis treated with advanced therapies. Eur J Hosp Pharm 2023; 31:21-26. [PMID: 35228268 PMCID: PMC10800251 DOI: 10.1136/ejhpharm-2021-003084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Accepted: 02/15/2022] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVES To analyse the changes in patient-reported outcomes after starting advanced antirheumatic treatment. METHODS The study included all patients who started self-administered biological or targeted synthetic treatments for rheumatoid arthritis between February and November 2020. The patients were given the RAID quality of life questionnaire to complete before starting the treatment and after 4 months. Univariate and multivariate analyses were performed to determine the association between patients' clinical and sociodemographic characteristics and quality of life improvement. The level of significance was set at 0.05. RESULTS Forty-six patients were included. Their ratings in the RAID questionnaire were improved after 4 months of treatment, both in the final overall total, which improved by 1.63±2.29 points, and in the different subtopics of the questionnaire (range 0-10). Pain was the domain that improved the most (2.33±2.82 points), followed by functional disability (2.15±2.51) and physical well-being (1.96±3.18). The improvement was statistically significant in all domains except the sleep score, which showed no statistically significant difference between the two time points analysed. CONCLUSIONS Advanced antirheumatic treatment improves the quality of life of patients after 4 months of treatment.
Collapse
|
2
|
Muacevic A, Adler JR. Impact of Rheumatic Diseases on Oral Health-Related Quality of Life. Cureus 2022; 14:e32268. [PMID: 36483518 PMCID: PMC9726272 DOI: 10.7759/cureus.32268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/06/2022] [Indexed: 12/12/2022] Open
Abstract
Introduction Oral-health-related quality of life (OHRQoL) represents a part of the general health-related quality of life (HRQoL). This OHRQoL indicates someone's subjective knowledge of a patient's oral health status, which is mostly associated with physical conditions and general HRQoL issues. A report by the World Health Organization labeled rheumatic and musculoskeletal diseases as the second most reported cause of disability worldwide. Considering their potential influence on the masticatory system, rheumatic diseases (RDs) can significantly affect oral health and the quality of life. Objective This study aimed to evaluate the impact of RDs on OHRQoL, including oral complaints, oral habits, oral functions, and dental care. Materials and methods This cross-sectional, multicenter study was conducted in multi-governmental medical and dental institutions in Riyadh, Saudi Arabia. The research was approved by the ethics committee Institutional Review Board (IRB). The validated surveys were distributed to the subjects manually. Data were analyzed using Statistical Package for the Social Sciences (SPSS) 23.0 software, and all parameters were expressed in frequencies and percentages. Results The study included 108 patients: 10 males (9.3%) and 98 (90.7%) females. Approximately 81% of the study group reported occasional changes in the quality of life caused by oral or temporomandibular joint (TMJ) problems. Dental caries and periodontal diseases were the most commonly reported complaints (73.1%). Regarding oral manifestations of RDs affecting the quality of life, 91.7% of participants never experienced difficulty speaking and taste changes; pain and discomfort in the mouth were always present in 4.6% of the participants. Conclusion Patients with RDs exhibited reduced OHRQoL, with several differences between the entities. Specifically, OHRQoL decreased in diseases with more oral manifestations, such as systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA), which showed a high percentage in this study (SLE, about 27.8%; RA, 62%).
Collapse
|
3
|
Mehdipour A, Masoumi M, Shajari P, Aghaali M, Mousavi H, Saleh A, Ansarian M. Oral health-related quality of life and dental caries in rheumatoid arthritis patients: a cross-sectional observational study. J Med Life 2022; 15:854-859. [PMID: 35928371 PMCID: PMC9321492 DOI: 10.25122/jml-2022-0081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 05/04/2022] [Indexed: 11/13/2022] Open
Abstract
Rheumatoid arthritis (RA) is a systemic, chronic, and inflammatory joint disease with oral complications. This research aimed to compare the oral health-related quality of life and decayed, missing and filled teeth (DMFT) index in rheumatoid arthritis patients over 18 years with healthy individuals. In this study, 45 rheumatoid arthritis cases were assigned to the experimental group, and 45 healthy individuals were assigned to the control group. After completing biography forms, the participants filled out two questionnaires. These questionnaires included the Oral Health Impact Profile-14 (OHIP-14) and the Oral Health Assessment Index (GOHAI). Next, their teeth were clinically examined to check for caries. Finally, the data were analyzed statistically. RA and control groups were similar in gender, marital status, age, occupation, and level of education. However, a significant difference was observed between the two groups concerning DMFT (P<0.001) and total OHIP-14 score (P<0.001). Moreover, no significant difference was observed between the groups concerning the total GOHAI score (P=0.526). The oral health-related quality of life in rheumatoid arthritis patients was lower than that in the general population, with the rate of dental caries being higher in these patients.
Collapse
Affiliation(s)
- Aida Mehdipour
- Department of Pediatric Dentistry, Qom Dental Faculty, Qom University of Medical Sciences, Qom, Iran,Cellular and Molecular Research Center, Qom University of Medical Sciences, Qom, Iran,Corresponding Author: Aida Mehdipour, Department of Pediatric Dentistry, Qom Dental Faculty, Qom University of Medical Sciences, Qom, Iran. E-mail:
| | - Maryam Masoumi
- Clinical Research and Development Center, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran
| | - Parisa Shajari
- Student Research Committee, School of Dentistry, Qom University of Medical Sciences, Qom, Iran
| | - Mohammad Aghaali
- Department of Community Medicine, School of Medicine, Qom University of Medical Sciences, Qom, Iran
| | - Hoda Mousavi
- Student Research Committee, School of Dentistry, Qom University of Medical Sciences, Qom, Iran
| | - Ali Saleh
- Student Research Committee, School of Dentistry, Qom University of Medical Sciences, Qom, Iran
| | - Miad Ansarian
- Student Research Committee, School of Dentistry, Qom University of Medical Sciences, Qom, Iran
| |
Collapse
|
4
|
Yavagal P, Narayanpur V, Sushmarani R, Priyanka BR. Oral health related quality of life and its related factors among the elderly population in Davanagere city: A cross sectional survey. JOURNAL OF INDIAN ASSOCIATION OF PUBLIC HEALTH DENTISTRY 2022. [DOI: 10.4103/jiaphd.jiaphd_161_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
|
5
|
Ahmed S, Kumar S, Alsaadi RA, Ansari FM, Abrol S, Bhowmick D, Tabassum N. Oral Health and Rheumatoid Arthritis: A Case Control Study. J Pharm Bioallied Sci 2021; 13:S315-S318. [PMID: 34447101 PMCID: PMC8375828 DOI: 10.4103/jpbs.jpbs_704_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 10/28/2020] [Accepted: 10/29/2020] [Indexed: 11/17/2022] Open
Abstract
Introduction: Association between oral health and rheumatoid arthritis is well established. Oral health-related quality of life was determined in patients diagnosed with rheumatoid arthritis (RA). Materials and Methods: This study was conducted among 45 patients (males 25 and female 20) (Group I) of RA and 45 healthy participants as control (Group II). Disease activity score 28 test, health assessment questionnaire (HAQ), and general oral health assessment index (GOHAI) questionnaire were applied. Results: The mean HAQ score in Group I was 1.14 and in Group II was 0.36. The mean GOHAI score in Group I was 36.4 and in Group II was 52.8. The mean HAQ in males was 0.94 and in females was 34.6. The mean GOHAI in males was 12.6 and in females was 38.2. In Group I, there were 15 patients with HAQ level 1 and 30 with HAQ level 2 and in Group II was 40 with HAQ levels 1 and 5 with HAQ level 2. In Group I, 42 had Dt GOHAI = 0 and 3 had Dt GOHAI = 1 and in Group II, 10 had Dt GOHAI = 0 and 35 had Dt GOHAI = 1. The difference was statistically significant (P < 0.05). There was a statistically significant difference in the mean value of HAQ and GOHAI in degree of disease activity (P < 0.05). There was an increase in HAQ and decreases GOHAI scores with the deterioration of disease. There was a correlation between age and involved joints with HAQ and inverse relationship between age and involved joints with GOHAI. Conclusion: Authors found that RA patients had poor oral health quality of life. It was found that aging and with the deterioration of disease, GOHAI, and the oral health quality of life of patients decreased.
Collapse
Affiliation(s)
- Suhael Ahmed
- Department of Oral and Maxillofacial Surgery, Riyadh Elm University, Riyadh, Saudi Arabia
| | - Shubham Kumar
- Department of Dentistry, Shri Krishna Medical College and Hospital, Muzaffarpur, Bihar, India
| | | | - Faisal Mohiuddin Ansari
- Department of Orthodontics and Dentofacial Orthopedic, Government Dental College and Hospital, Afzal Gunj, Hyderabad, Telangana, India
| | | | - Devleena Bhowmick
- Department of Oral Medicine and Radiology, PDM Dental College and Research Institute, Jhajjar, Haryana, India
| | - Nafeesa Tabassum
- Department of Oral and Maxillofacial Surgery, Dar Al Uloom University, Riyadh, Saudi Arabia
| |
Collapse
|
6
|
Schmalz G, Patschan D, Schmickler J, Bethke N, Scherzinger E, Müller GA, Ziebolz D, Patschan S. Oral health-related quality of life in different rheumatic diseases. Oral Dis 2020; 26:1783-1792. [PMID: 32510714 DOI: 10.1111/odi.13464] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Revised: 05/26/2020] [Accepted: 05/27/2020] [Indexed: 12/21/2022]
Abstract
OBJECTIVES Aim of this cross-sectional study was to investigate oral health-related quality of life (OHRQoL) of patients with different rheumatic diseases. SUBJECTS AND METHODS Patients with rheumatic disease, including rheumatoid arthritis (RA), systemic lupus erythematodes (SLE), systemic sclerosis (SSc), ankylosing spondylitis (AS), psoriatic arthritis (PsA) and vasculitis were included. OHRQoL was assessed with the German short form of oral health impact profile (OHIP G14). Age, disease duration, leukocytes, c-reactive protein (CRP) and haemoglobin counts were considered as disease related parameters. RESULTS A total of 356 patients, assigned to the groups RA (n = 218), SLE (n = 36), AS (n = 36), PsA (n = 33), vasculitis (n = 19) and SSc (n = 14) were included. The OHIP G14 sub-scale psychosocial impact differed significantly between groups (p = .02). The OHIP G14 sum score was also significantly different between groups (p < .01). A medium-sized correlation was found for CRP with OHIP G14 sum score within SLE group (r = .344, p = .04). A large correlation was detected for leukocytes within PsA group (r = .525, p < .01). The reliability of the applied OHIP G14 was high. CONCLUSION Patients with rheumatic disease show a reduced OHRQoL, with several differences between the entities. Psychosocial aspects appear to be of relevance and should be considered in multidisciplinary dental care of these patients.
Collapse
Affiliation(s)
- Gerhard Schmalz
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Daniel Patschan
- Department of Cardiology, Angiology and Nephrology, Medizinische Hochschule Brandenburg, Brandenburg, Germany
| | - Jan Schmickler
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Nora Bethke
- Department of Nephrology and Rheumatology, University Medical Center, Goettingen, Germany
| | - Elena Scherzinger
- Department of Nephrology and Rheumatology, University Medical Center, Goettingen, Germany
| | - Gerhard A Müller
- Department of Nephrology and Rheumatology, University Medical Center, Goettingen, Germany
| | - Dirk Ziebolz
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Susann Patschan
- Department of Cardiology, Angiology and Nephrology, Medizinische Hochschule Brandenburg, Brandenburg, Germany.,Department of Nephrology and Rheumatology, University Medical Center, Goettingen, Germany
| |
Collapse
|
7
|
Schmalz G, Patschan S, Patschan D, Ziebolz D. Oral-Health-Related Quality of Life in Adult Patients with Rheumatic Diseases-A Systematic Review. J Clin Med 2020; 9:E1172. [PMID: 32325846 PMCID: PMC7231140 DOI: 10.3390/jcm9041172] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Revised: 04/10/2020] [Accepted: 04/15/2020] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVES The aim of this systematic review was to assess the oral-health-related quality of life (OHRQoL) of adult patients with rheumatic diseases. MATERIAL AND METHODS A systematic literature search was performed, including clinical studies on adults (aged at least 18 years) with a verified diagnosis of rheumatic disease. RESULTS 26 out of 41 clinical studies including rheumatoid arthritis (RA, seven studies), systemic sclerosis (SSc, five), Sjögren syndrome (SS, eight), Behcet disease (BD, four), systemic lupus erythematosus (SLE, one) and ankylosing spondylitis (AS, one) were found. In 15 studies, a healthy control group was recruited. The short form of the Oral Health Impact Profile (OHIP 14) was most frequently applied. The majority of studies (14/15) reported worse OHRQoL in patients with rheumatic disease compared to healthy individuals. In particular, patients with SS (salivary flow and composition) or BD (oral ulcers) showed a relation between OHRQoL and disease-specific oral manifestations. Most studies investigating subscales of OHRQoL (5/6) found the subscale physical disability to be predominantly affected in patients with rheumatic diseases. About half of the studies reported impaired psychosocial aspects. CONCLUSION Patients with rheumatic diseases exhibit reduced OHRQoL, especially in diseases with oral manifestations like SS and BD. Physical affections due to oral diseases and psychosocial impairments caused by disease-related parameters must be recognized within patient-centered dental care.
Collapse
Affiliation(s)
- Gerhard Schmalz
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany;
| | - Susann Patschan
- Department of Cardiology, Angiology and Nephrology, Klinikum Brandenburg, Medizinische Hochschule Brandenburg, 14770 Brandenburg, Germany; (S.P.); (D.P.)
| | - Daniel Patschan
- Department of Cardiology, Angiology and Nephrology, Klinikum Brandenburg, Medizinische Hochschule Brandenburg, 14770 Brandenburg, Germany; (S.P.); (D.P.)
| | - Dirk Ziebolz
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany;
| |
Collapse
|