- 【Updated on May 12, 2025】 Integration of CiNii Dissertations and CiNii Books into CiNii Research
- Trial version of CiNii Research Automatic Translation feature is available on CiNii Labs
- Suspension and deletion of data provided by Nikkei BP
- Regarding the recording of “Research Data” and “Evidence Data”
Influence of Rheumatoid Arthritis on Long-Term Care Requirements in the Elderly Suppressing Health Assessment Questionnaire score to a low value can reduce the need for long-term care of patients
-
- Omura Satoshi
- Center for Rheumatic Disease and Department of Rheumatology, Japanese Red Cross Kyoto Daiichi Hospital
-
- Fukuda Wataru
- Center for Rheumatic Disease and Department of Rheumatology, Japanese Red Cross Kyoto Daiichi Hospital
-
- Yanagida Takuya
- Center for Rheumatic Disease and Department of Rheumatology, Japanese Red Cross Kyoto Daiichi Hospital
-
- Kadoya Masatoshi
- Center for Rheumatic Disease and Department of Rheumatology, Japanese Red Cross Kyoto Daiichi Hospital
-
- Omoto Atsushi
- Center for Rheumatic Disease and Department of Rheumatology, Japanese Red Cross Kyoto Daiichi Hospital
-
- Kawahito Yutaka
- Division of Inflammation and Immunology, Kyoto Prefectural University of Medicine
Bibliographic Information
- Other Title
-
- 高齢者の要介護状態にみられる関節リウマチの影響~HAQを低値に抑えることが要介護状態の回避につながる~
Search this article
Description
<p>Object: To clarify the actual condition of long-term care requirements in elderly patients with rheumatoid arthritis(RA)and to examine the factors contributing to the need for care.</p><p>Method: We surveyed long-term care certification status of 712 elderly RA patients (age > 65 years)who were outpatients at our hospital and are in the Japanese long-term care insurance system. The patients were classified as(A)certified as requiring long-term care 1–5,(B)requiring support afforded by long-term care certification, and(C)not certified. These groups were examined by comparing data on parameters such as the duration of disease and Disease Activity Score(DAS)28, Japanese Health Assessment Questionnaire(JHAQ), and treatment details.</p><p>Results: The numbers of patients in groups A, B, and C were 103, 80, and 525, respectively, and 4 patients were excluded as their certification status was unknown. Accreditation rate of group A and B, 26.3%, was higher than the general elderly population. JHAQ was the most contributing variable that predicted the need for long-term care(OR: 5.00, 95% Confidence Interval: 3.24 - 7.97)during multivariate logistic analysis using age, gender, medication, and composite measures as independent variables. ROC curve analysis of JHAQ as an independent variable for long-term care certification yielded a cutoff value of 0.75, AUC of 0.88, sensitivity of 84.2%, and specificity of 79.6%.</p><p>Conclusion: Patients with RA tended to have a greater need for long-term care than the general population. JHAQ makes the greatest contribution to assess the need for caregiving, and the degree of care needed can be estimated from its score. Therefore, measures for reduction of JHAQ scores of RA patients to less than 0.75 and prevention of complications can reduce the need for long-term care of patients.</p>
Journal
-
- Clinical Rheumatology and Related Research
-
Clinical Rheumatology and Related Research 31 (1), 15-23, 2019-03-30
The Japanese Society for Clinical Rheumatology and Related Research
- Tweet
Details 詳細情報について
-
- CRID
- 1390845713081981824
-
- NII Article ID
- 130007672635
-
- ISSN
- 21890595
- 09148760
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- CiNii Articles
-
- Abstract License Flag
- Disallowed