Platelet indices parameters in the new disease activity score of rheumatoid arthritis with ankle involvement: A comparative analytic study.

<h4>Background</h4>Platelet indices (PIs) are platelet parameters that are correlated with platelet activity. Despite being widely available, inexpensive, and feasible; their use in clinical settings is limited. Recently, we developed a new score (EgyDAS), which relies on PIs and assesse...

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Autores principales: Safaa A A Khaled, Hamdy F F Mahmoud
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:363c68b98c704e6fa597933829b3b6872021-12-02T20:06:15ZPlatelet indices parameters in the new disease activity score of rheumatoid arthritis with ankle involvement: A comparative analytic study.1932-620310.1371/journal.pone.0257200https://doaj.org/article/363c68b98c704e6fa597933829b3b6872021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257200https://doaj.org/toc/1932-6203<h4>Background</h4>Platelet indices (PIs) are platelet parameters that are correlated with platelet activity. Despite being widely available, inexpensive, and feasible; their use in clinical settings is limited. Recently, we developed a new score (EgyDAS), which relies on PIs and assesses disease activity in rheumatoid arthritis (RA).<h4>Objectives</h4>This study explored the practicability and validity of EgyDAS in RA with ankle involvement, considering that ankle is neglected in the commonly used DAS28 score.<h4>Methods</h4>This comparative case-control study included 2-groups of RA patients, group1 (control): without and group 2: with ankle involvement.<h4>Results</h4>Ankle involvement in RA showed no gender or age differences, however, it was associated with higher platelet count, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), platelet distribution width (PDW), visual analogue scale (VAS), tender joint count (TJC), and lower hemoglobin (Hb) and mean platelet volume (MPV). DAS28 categorized a higher proportion of patients to have high disease activity compared with EgyDAS; moreover, it did not detect those in remission in group 2 patients. Highly significant differences in the 2-scores were observed between the two groups. Further analyses revealed superiority of EgyDAS in assessing disease activity in group 2 patients. Finally, both scores were found correlated together in the study groups.<h4>Conclusions</h4>Over or underestimation of RA disease activity could occur when using DAS28. PIs were found correlated with ankle involvement in RA. PIs and EgyDAS are the best tools to assess disease activity in RA patients with ankle involvement. However, the study recommended the use of both scores together.Safaa A A KhaledHamdy F F MahmoudPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257200 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Safaa A A Khaled
Hamdy F F Mahmoud
Platelet indices parameters in the new disease activity score of rheumatoid arthritis with ankle involvement: A comparative analytic study.
description <h4>Background</h4>Platelet indices (PIs) are platelet parameters that are correlated with platelet activity. Despite being widely available, inexpensive, and feasible; their use in clinical settings is limited. Recently, we developed a new score (EgyDAS), which relies on PIs and assesses disease activity in rheumatoid arthritis (RA).<h4>Objectives</h4>This study explored the practicability and validity of EgyDAS in RA with ankle involvement, considering that ankle is neglected in the commonly used DAS28 score.<h4>Methods</h4>This comparative case-control study included 2-groups of RA patients, group1 (control): without and group 2: with ankle involvement.<h4>Results</h4>Ankle involvement in RA showed no gender or age differences, however, it was associated with higher platelet count, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), platelet distribution width (PDW), visual analogue scale (VAS), tender joint count (TJC), and lower hemoglobin (Hb) and mean platelet volume (MPV). DAS28 categorized a higher proportion of patients to have high disease activity compared with EgyDAS; moreover, it did not detect those in remission in group 2 patients. Highly significant differences in the 2-scores were observed between the two groups. Further analyses revealed superiority of EgyDAS in assessing disease activity in group 2 patients. Finally, both scores were found correlated together in the study groups.<h4>Conclusions</h4>Over or underestimation of RA disease activity could occur when using DAS28. PIs were found correlated with ankle involvement in RA. PIs and EgyDAS are the best tools to assess disease activity in RA patients with ankle involvement. However, the study recommended the use of both scores together.
format article
author Safaa A A Khaled
Hamdy F F Mahmoud
author_facet Safaa A A Khaled
Hamdy F F Mahmoud
author_sort Safaa A A Khaled
title Platelet indices parameters in the new disease activity score of rheumatoid arthritis with ankle involvement: A comparative analytic study.
title_short Platelet indices parameters in the new disease activity score of rheumatoid arthritis with ankle involvement: A comparative analytic study.
title_full Platelet indices parameters in the new disease activity score of rheumatoid arthritis with ankle involvement: A comparative analytic study.
title_fullStr Platelet indices parameters in the new disease activity score of rheumatoid arthritis with ankle involvement: A comparative analytic study.
title_full_unstemmed Platelet indices parameters in the new disease activity score of rheumatoid arthritis with ankle involvement: A comparative analytic study.
title_sort platelet indices parameters in the new disease activity score of rheumatoid arthritis with ankle involvement: a comparative analytic study.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/363c68b98c704e6fa597933829b3b687
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AT hamdyffmahmoud plateletindicesparametersinthenewdiseaseactivityscoreofrheumatoidarthritiswithankleinvolvementacomparativeanalyticstudy
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