No deterioration in health-related quality of life in patients with axial spondyloarthritis followed for 5 years in ordinary outpatient clinics in the biological treatment era.
dc.contributor.author | Rohde, Gudrun E. | |
dc.contributor.author | Berg, Kari Ellen | |
dc.contributor.author | Pripp, Are Hugo | |
dc.contributor.author | Prøven, Anne | |
dc.contributor.author | Haugeberg, Glenn | |
dc.date.accessioned | 2019-11-21T13:36:26Z | |
dc.date.accessioned | 2019-11-22T14:50:03Z | |
dc.date.available | 2019-11-21T13:36:26Z | |
dc.date.available | 2019-11-22T14:50:03Z | |
dc.date.issued | 2019-09-17 | |
dc.identifier.citation | Rohde G., Berg K.E., Pripp A.H., Prøven A., Haugeberg G. (2019) No deterioration in health-related quality of life in patients with axial spondyloarthritis followed for 5 years in ordinary outpatient clinics in the biological treatment era. Quality of Life Research. https://doi.org/10.1007/s11136-019-02308-4 | en |
dc.identifier.issn | 0962-9343 | |
dc.identifier.issn | 0962-9343 | |
dc.identifier.issn | 1573-2649 | |
dc.identifier.uri | https://hdl.handle.net/10642/7848 | |
dc.description.abstract | Background Axial spondyloarthritis (ax-SpA) causes pain, fatigue, stiffness, loss of physical function and impaired healthrelated quality of life (HRQOL). Aims The study aimed to explore the changes in HRQOL over 5 years in patients with ax-SpA and to identify baseline predictors associated with changes in HRQOL assessed using three HRQOL measures. Methods Demographic, disease, medication and HRQOL data were collected at baseline and at 5-year follow-up. HRQOL was assessed using SF-6D, 15D and SF-36. Analyses involved McNemar, independent paired t tests and multiple regression. Results In the 240 (women 31%, men 69%) ax-SpA patients assessed (mean age 46 years), measures reflecting disease activity decreased and co-morbidities increased, and more patients were treated with biologic drugs during follow-up. No deterioration in HRQOL was observed between baseline and 5-year follow-up; indeed, there was a significant increase in SF-6D and SF-36 PCS scores. Improvement in HRQOL measured by SF-6D was associated with younger age, higher education, low Bath Ankylosing Spondylitis (BAS) Activity Index (BASDAI), high BAS Patient Global Score and high C-reactive protein; improvement in SF-36 PCS was associated with younger age, higher education, low BASDAI and no use of biological treatment at baseline. Conclusion Our ax-SpA outpatient clinic patients, with more patients treated with biologic drugs during the 5-year followup, did not deteriorate in HRQOL. In fact, the physical dimension in HRQOL improved over the years, as did measures reflecting disease activity. Our study adds evidence to the importance of suppressing inflammation to maintain and improve HRQOL in ax-SpA patients. | en |
dc.description.sponsorship | This study was funded by a research Grant from Health Southern Norway Regional Trust and partly by Sørlandet Hospital and Martina Hansens Hospital. | en |
dc.language.iso | en | en |
dc.publisher | Springer Verlag (Germany) | en |
dc.relation.ispartofseries | Quality of Life Research;January 2020, Volume 29, Issue 1 | |
dc.rights | This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. | en |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Health related life qualities | en |
dc.subject | Axial spondyloarthritis | en |
dc.subject | Five year periods | en |
dc.subject | Biological treatment eras | en |
dc.title | No deterioration in health-related quality of life in patients with axial spondyloarthritis followed for 5 years in ordinary outpatient clinics in the biological treatment era. | en |
dc.type | Journal article | en |
dc.type | Peer reviewed | en |
dc.date.updated | 2019-11-21T13:36:26Z | |
dc.description.version | publishedVersion | en |
dc.identifier.doi | https://dx.doi.org/10.1007/s11136-019-02308-4 | |
dc.identifier.cristin | 1736819 | |
dc.source.journal | Quality of Life Research |
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