Effects of pain control on activities of daily living and disease activity control in rheumatoid arthritis patients

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  • 関節リウマチにおける疾患活動性と日常生活動作の指標としての疼痛管理の意義
  • カンセツ リウマチ ニ オケル シッカン カツドウセイ ト ニチジョウ セイカツ ドウサ ノ シヒョウ ト シテ ノ トウツウ カンリ ノ イギ

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<p>OBJECTIVE: Pain control is important in the treatment of rheumatoid arthritis (RA). We investigated the effects of pain control on disease activity control and activities of daily living (ADL).</p><p>METHODS: The relationships between the modified Health Assessment Questionnaire Disability Index (mHAQ), simplified disease activity index (SDAI), Sharp/van der Heijde score, patients' age, and pain visual analogue scale (PS-VAS) score were evaluated using both univariate and multivariate linear regression analyses. This analysis was performed at baseline and then annually in 372 patients who were followed up for more than 3 years.</p><p>RESULTS: PS-VAS score showed a significant correlation with mHAQ at every annual assessment. PS-VAS score also demonstrated a significant correlation with SDAI.</p><p>CONCLUSION: These results suggested that pain control is key to improving both ADL and disease activity control. PS-VAS score is an important index for RA disease status evaluation.</p>

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