IMPACT OF FIBROMYALGIA ON DAS-28 SCORE IN RHEUMATOID ARTHRITIS

Objective: To determine the frequency of fibromyalgia American college of rheumatology (ACR) 2010/2011 criteria) in patients with rheumatoid arthritis and its impact on disease activity score (DAS-28). Study Design: Cross-sectional study. Place and Duration of study: Department of Rheumatology an...

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Autores principales:	Ata Ur Rehman, afazzul-E- Haque, Aflak Rasheed, Abrar Ahmed Wagan, Ammad Asghar, Syed Ali Rukh
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	fibromyalgia impact Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8c27a3ec51ca405cb6f25f395f8a0fa4
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spelling	oai:doaj.org-article:8c27a3ec51ca405cb6f25f395f8a0fa42021-12-02T03:21:56ZIMPACT OF FIBROMYALGIA ON DAS-28 SCORE IN RHEUMATOID ARTHRITIS0030-96482411-8842https://doaj.org/article/8c27a3ec51ca405cb6f25f395f8a0fa42018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2294/1989https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the frequency of fibromyalgia American college of rheumatology (ACR) 2010/2011 criteria) in patients with rheumatoid arthritis and its impact on disease activity score (DAS-28). Study Design: Cross-sectional study. Place and Duration of study: Department of Rheumatology and Immunology, Sheikh Zayed Hospital Lahore from Jun 2016 to Feb 2017. Patients and Methods: Total 140 diagnosed patients of rheumatoid arthritis by criteria ACR 2010 were included in this study. ACR modified 2010/2011 criterion of fibromyalgia was used to diagnose co existing fibromyalgia in these patients. Clinically disease activity status was assessed by standardized and validated DAS-28 calculator; 2ml of blood was drawn and sent to laboratory for estimation of erythrocyte sedimentation rate for all study participants. Results: The mean age, duration of disease, DAS-28 of sampled population was 49.12 ± 8.5 years, 7.36 ± 3.8 years, 4.08 ± 1.1 respectively. Out of 140 patients, 127 patients (90.7%) were females. Fibromyalgia was diagnosed in 41 patients (29.1%). The mean DAS-28 score in patients of rheumatoid arthritis with fibromyalgia was 5.39 ± .58 while for patients of without fibromyalgia it was 3.54 ± 0.69 (p-value<0.001). Conclusion: Secondary fibromyalgia is common in patients with rheumatoid arthritis and needs to be screened out in all patients diagnosed as rheumatoid arthritis and on subsequent follow up visits, coexisting fibromyalgia affects the disease activity status and this may result into inappropriate and unnecessary changes in treatment plans.Ata Ur Rehmanafazzul-E- HaqueAflak RasheedAbrar Ahmed WaganAmmad AsgharSyed Ali RukhArmy Medical College RawalpindiarticlefibromyalgiaimpactMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1210-1214 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	fibromyalgia impact Medicine R Medicine (General) R5-920
spellingShingle	fibromyalgia impact Medicine R Medicine (General) R5-920 Ata Ur Rehman afazzul-E- Haque Aflak Rasheed Abrar Ahmed Wagan Ammad Asghar Syed Ali Rukh IMPACT OF FIBROMYALGIA ON DAS-28 SCORE IN RHEUMATOID ARTHRITIS
description	Objective: To determine the frequency of fibromyalgia American college of rheumatology (ACR) 2010/2011 criteria) in patients with rheumatoid arthritis and its impact on disease activity score (DAS-28). Study Design: Cross-sectional study. Place and Duration of study: Department of Rheumatology and Immunology, Sheikh Zayed Hospital Lahore from Jun 2016 to Feb 2017. Patients and Methods: Total 140 diagnosed patients of rheumatoid arthritis by criteria ACR 2010 were included in this study. ACR modified 2010/2011 criterion of fibromyalgia was used to diagnose co existing fibromyalgia in these patients. Clinically disease activity status was assessed by standardized and validated DAS-28 calculator; 2ml of blood was drawn and sent to laboratory for estimation of erythrocyte sedimentation rate for all study participants. Results: The mean age, duration of disease, DAS-28 of sampled population was 49.12 ± 8.5 years, 7.36 ± 3.8 years, 4.08 ± 1.1 respectively. Out of 140 patients, 127 patients (90.7%) were females. Fibromyalgia was diagnosed in 41 patients (29.1%). The mean DAS-28 score in patients of rheumatoid arthritis with fibromyalgia was 5.39 ± .58 while for patients of without fibromyalgia it was 3.54 ± 0.69 (p-value<0.001). Conclusion: Secondary fibromyalgia is common in patients with rheumatoid arthritis and needs to be screened out in all patients diagnosed as rheumatoid arthritis and on subsequent follow up visits, coexisting fibromyalgia affects the disease activity status and this may result into inappropriate and unnecessary changes in treatment plans.
format	article
author	Ata Ur Rehman afazzul-E- Haque Aflak Rasheed Abrar Ahmed Wagan Ammad Asghar Syed Ali Rukh
author_facet	Ata Ur Rehman afazzul-E- Haque Aflak Rasheed Abrar Ahmed Wagan Ammad Asghar Syed Ali Rukh
author_sort	Ata Ur Rehman
title	IMPACT OF FIBROMYALGIA ON DAS-28 SCORE IN RHEUMATOID ARTHRITIS
title_short	IMPACT OF FIBROMYALGIA ON DAS-28 SCORE IN RHEUMATOID ARTHRITIS
title_full	IMPACT OF FIBROMYALGIA ON DAS-28 SCORE IN RHEUMATOID ARTHRITIS
title_fullStr	IMPACT OF FIBROMYALGIA ON DAS-28 SCORE IN RHEUMATOID ARTHRITIS
title_full_unstemmed	IMPACT OF FIBROMYALGIA ON DAS-28 SCORE IN RHEUMATOID ARTHRITIS
title_sort	impact of fibromyalgia on das-28 score in rheumatoid arthritis
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/8c27a3ec51ca405cb6f25f395f8a0fa4
work_keys_str_mv	AT ataurrehman impactoffibromyalgiaondas28scoreinrheumatoidarthritis AT afazzulehaque impactoffibromyalgiaondas28scoreinrheumatoidarthritis AT aflakrasheed impactoffibromyalgiaondas28scoreinrheumatoidarthritis AT abrarahmedwagan impactoffibromyalgiaondas28scoreinrheumatoidarthritis AT ammadasghar impactoffibromyalgiaondas28scoreinrheumatoidarthritis AT syedalirukh impactoffibromyalgiaondas28scoreinrheumatoidarthritis
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IMPACT OF FIBROMYALGIA ON DAS-28 SCORE IN RHEUMATOID ARTHRITIS

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