A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis

Yıl: 2013 Cilt: 28 Sayı: 2 Sayfa Aralığı: 117 - 122 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis

Öz:
Amaç: Bu çalışmanın birincil amacı, ankilozan spondilitli (AS) hastalarda Bath Ankilozan Spondilit Hastalık Aktivite İndeksi (BASDAI), Bath Ankilozan Spondilit Fonksiyonel İndeksi (BASFI) ve C-reaktif protein (CRP) ve eritrosit sedimentasyon hızını (ESH) içeren iki Ankilozan Spondilit Hastalık Aktivite Skoru (ASDAS) arasındaki muhtemel ilişkiyi araştırmaktır. İkincil amacı ise, hastalık aktivitesi ve fonksiyonel durum açısından cinsiyet farklılıklarını araştırmaktır.Hastalar ve yöntemler: Çalışmaya AS'li 500 hasta (158 kadın, 342 erkek; ort. yaş: 37.2±9.9 yıl; dağılım 15-70 yıl) alındı. Hastalık aktivitesi BASDAI, ASDAS-CRP ve ASDASESH ile değerlendirilirken, fonksiyonel durum BASFI ile değerlendirildi.Bulgular: Ortalama BASDAI, ASDAS-CRP, ASDAS-ESH ve BASFI skoru sırasıyla 3.71±2.26, 1.65±0.83, 2.59±1.12 ve 2.68±2.38 idi. Ankilozan Spondilitli kadın hastaların BASDAI ve ASDAS-ESH değerleri, erkek hastalara kıyasla, anlamlı olarak daha yüksekti. BASDAI ve BASFI skorları, iki ASDAS skoru ile anlamlı düzeyde ilişkili bulundu. Hastaların %46.6'sı, BASDAI skoruna göre yüksek hastalık aktivitesine sahipti ve bu hastalarda hastalık süresi, BASFI ve ASDAS skorları düşük olanlara kıyasla, anlamlı olarak daha yüksekti. Hastalık aktivite indekslerinden ASDAS-CRP skorları her iki cinsiyettede benzerdi.Sonuç: Çalışma bulgularımız, iki ASDAS skorunun hastalık aktivitesi ve fonksiyonel durum ile ilişkili olduğunu göstermektedir. Ankilozan spondilitli hastalarda ASDAS-CRP indeksinin her iki cinsiyeti içeren ancak cinsiyet farklılıklarına ilişkin analiz yapılmayacak ileriki çalışmalarda, hastalık aktivite parametresi olarak kullanılmasının daha uygun olacağı kanısındayız.
Anahtar Kelime:

Konular: Romatoloji

Ankilozan Spondilitli Hastalarda Farklı Hastalık Aktivite Parametreleri ve Fonksiyonel Durum Arasındaki Muhtemel İlişki

Öz:
Objectives: The primary aim of this study was to assess the possible relationship among the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Functional Index (BASFI), and two Ankylosing Spondylitis Disease Activity Score (ASDAS) including the C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) scores in patients with ankylosing spondylitis (AS). The secondary aim was to investigate gender differences in terms of disease activity scores and functional status. Patients and methods: Five hundred patients (158 females, 342 males; mean age 37.2±9.9 years; range 15 to 70 years) with AS were enrolled. Disease activity was assessed through the BASDAI, ASDAS-CRP and ASDAS-ESR, while functional status was evaluated by the BASFI. Results: The mean BASDAI, ASDAS-CRP, ASDAS-ESR, and BASFI scores were 3.71±2.26, 1.65±0.83, 2.59±1.12, and 2.68±2.38, respectively. The BASDAI and ASDAS-ESR values of the female patients with AS were significantly higher than those of the males. The BASDAI and BASFI were significantly associated with the two ASDAS scores. According to the BASDAI, 46.6% of the patients had a high disease activity and had significantly higher values in terms of symptom duration, compared to those with lower BASFI, and two ASDAS scores. The ASDAS-CRP scores of the disease activity indices were similar in both genders. Conclusion: Our study results suggest that the two ASDAS scores are significantly associated with the disease activity and functional status. We believe that using ASDAS-CRP indices is more suitable for a disease activity parameter in further studies involving patients with AS in both genders, however not analyzing gender differences.
Anahtar Kelime:

Konular: Romatoloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Bodur H, Ataman S, Rezvani A, Buğdaycı DS, Cevik R, Birtane M, et al. Quality of life and related variables in patients with ankylosing spondylitis. Qual Life Res 2011;20:543-9. doi: 10.1007/s11136-010-9771-9.
  • Zochling J, Braun J. Assessments in ankylosing spondylitis. Best Pract Res Clin Rheumatol 2007;21:699-712.
  • Akkoc Y, Karatepe AG, Akar S, Kirazli Y, Akkoc N. A Turkish version of the Bath Ankylosing Spondylitis Disease Activity Index: reliability and validity. Rheumatol Int 2005;25:280-4.
  • Pedersen SJ, Sİrensen IJ, Hermann KG, Madsen OR, Tvede N, Hansen MS, et al. Responsiveness of the Ankylosing Spondylitis Disease Activity Score (ASDAS) and clinical and MRI measures of disease activity in a 1-year follow-up study of patients with axial spondyloarthritis treated with tumour necrosis factor alpha inhibitors. Ann Rheum Dis 2010;69:1065-71. doi: 10.1136/ard.2009.111187.
  • Ortancil O, Konuk N, May H, Sanli A, Ozturk D, Ankarali H. Psychological status and patient-assessed health instruments in ankylosing spondylitis. J Clin Rheumatol 2010;16:313-6. doi: 10.1097/RHU.0b013e3181f3bfba.
  • Lukas C, Landewé R, Sieper J, Dougados M, Davis J, Braun J, et al. Development of an ASAS-endorsed disease activity score (ASDAS) in patients with ankylosing spondylitis. Ann Rheum Dis 2009;68:18-24. doi: 10.1136/ard.2008.094870.
  • van der Heijde D, Lie E, Kvien TK, Sieper J, Van den Bosch F, Listing J, et al. ASDAS, a highly discriminatory ASAS-endorsed disease activity score in patients with ankylosing spondylitis. Ann Rheum Dis 2009;68:1811-8. doi: 10.1136/ard.2008.100826.
  • Yanik B, Gürsel YK, Kutlay S, Ay S, Elhan AH. Adaptation of the Bath Ankylosing Spondylitis Functional Index to the Turkish population, its reliability and validity: functional assessment in AS. Clin Rheumatol 2005;24:41-7.
  • Zochling J, Braun J. Assessment of ankylosing spondylitis. Clin Exp Rheumatol 2005;23:S133-41.
  • Chen HH, Chen TJ, Chen YM, Ying-Ming C, Chen DY. Gender differences in ankylosing spondylitis-associated cumulative healthcare utilization: a population-based cohort study. Clinics (Sao Paulo) 2011;66:251-4.
  • Ibn Yacoub Y, Amine B, Laatiris A, Hajjaj-Hassouni N. Gender and disease features in Moroccan patients with ankylosing spondylitis. Clin Rheumatol 2012;31:293-7. doi: 10.1007/s10067-011-1819-x.
  • Lee W, Reveille JD, Davis JC Jr, Learch TJ, Ward MM, Weisman MH. Are there gender differences in severity of ankylosing spondylitis? Results from the PSOAS cohort. Ann Rheum Dis 2007;66:633-8.
  • van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum 1984;27:361-8.
  • Garrett S, Jenkinson T, Kennedy LG, Whitelock H, Gaisford P, Calin A. A new approach to defining disease status in ankylosing spondylitis: the Bath Ankylosing Spondylitis Disease Activity Index. J Rheumatol 1994;21:2286-91.
  • Calin A, Garrett S, Whitelock H, Kennedy LG, O'Hea J, Mallorie P, et al. A new approach to defining functional ability in ankylosing spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index. J Rheumatol 1994;21:2281-5.
  • Bodur H, Ataman S, Buğdaycı DS, Rezvani A, Nas K, Uzunca K, et al. Description of the registry of patients with ankylosing spondylitis in Turkey: TRASD-IP. Rheumatol Int 2012;32:169-76. doi: 10.1007/s00296-010-1599-7.
  • Heffez DS, Ross RE, Shade-Zeldow Y, Kostas K, Morrissey M, Elias DA, et al. Treatment of cervical myelopathy in patients with the fibromyalgia syndrome: outcomes and implications. Eur Spine J 2007;16:1423-33.
  • Aloush V, Ablin JN, Reitblat T, Caspi D, Elkayam O. Fibromyalgia in women with ankylosing spondylitis. Rheumatol Int 2007;27:865-8.
  • Azevedo VF, Paiva Edos S, Felippe LR, Moreira RA. Occurrence of fibromyalgia in patients with ankylosing spondylitis. Rev Bras Reumatol 2010;50:646-50.
  • Pedersen SJ, Sİrensen IJ, Garnero P, Johansen JS, Madsen OR, Tvede N, et al. ASDAS, BASDAI and different treatment responses and their relation to biomarkers of inflammation, cartilage and bone turnover in patients with axial spondyloarthritis treated with TNF? inhibitors. Ann Rheum Dis 2011;70:1375-81. doi: 10.1136/ ard.2010.138883.
  • Machado P, Landewé R, Lie E, Kvien TK, Braun J, Baker D, et al. Ankylosing Spondylitis Disease Activity Score (ASDAS): defining cut-off values for disease activity states and improvement scores. Ann Rheum Dis 2011;70:47-53. doi: 10.1136/ard.2010.138594.
  • Nas K, Yildirim K, Cevik R, Karatay S, Erdal A, Baysal O, et al. Discrimination ability of ASDAS estimating disease activity status in patients with ankylosing spondylitis. Int J Rheum Dis 2010;13:240-5. doi: 10.1111/j.1756- 185X.2010.01537.x.
  • Alao OO. Clinical utility of the erythrocyte sedimentation rate. Journal of Clinical Medicine and Research 2010;2:119-24.
  • Bodur H, Ataman S, Akbulut L, Evcik D, Kavuncu V, Kaya T, et al. Characteristics and medical management of patients with rheumatoid arthritis and ankylosing spondylitis. Clin Rheumatol 2008;27:1119-25. doi: 10.1007/ s10067-008-0877-1.
  • Nas K, Çevik R, Bozkurt M, Gür A, Saraç AJ. Relationship between clinical findings, quality of life and functional disability related to disease activity in patients with ankylosing spondylitis. Turk J Rheumatol 2011;26:29-37.
APA Eroğlu demir S, aytekin e, ÖZGÖNENEL L, rezvani a, PEKİN DOĞAN Y, SAYINER ÇAĞLAR N, Ozaras N, ÇAĞLAR OKUR S, Aydın T, TÜTÜN Ş, GÜLER M (2013). A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis. , 117 - 122.
Chicago Eroğlu demir Saliha,aytekin ebru,ÖZGÖNENEL Levent,rezvani aylin,PEKİN DOĞAN Yasemin,SAYINER ÇAĞLAR Nil,Ozaras Nihal,ÇAĞLAR OKUR Sibel,Aydın Teoman,TÜTÜN Şule,GÜLER MUSTAFA A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis. (2013): 117 - 122.
MLA Eroğlu demir Saliha,aytekin ebru,ÖZGÖNENEL Levent,rezvani aylin,PEKİN DOĞAN Yasemin,SAYINER ÇAĞLAR Nil,Ozaras Nihal,ÇAĞLAR OKUR Sibel,Aydın Teoman,TÜTÜN Şule,GÜLER MUSTAFA A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis. , 2013, ss.117 - 122.
AMA Eroğlu demir S,aytekin e,ÖZGÖNENEL L,rezvani a,PEKİN DOĞAN Y,SAYINER ÇAĞLAR N,Ozaras N,ÇAĞLAR OKUR S,Aydın T,TÜTÜN Ş,GÜLER M A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis. . 2013; 117 - 122.
Vancouver Eroğlu demir S,aytekin e,ÖZGÖNENEL L,rezvani a,PEKİN DOĞAN Y,SAYINER ÇAĞLAR N,Ozaras N,ÇAĞLAR OKUR S,Aydın T,TÜTÜN Ş,GÜLER M A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis. . 2013; 117 - 122.
IEEE Eroğlu demir S,aytekin e,ÖZGÖNENEL L,rezvani a,PEKİN DOĞAN Y,SAYINER ÇAĞLAR N,Ozaras N,ÇAĞLAR OKUR S,Aydın T,TÜTÜN Ş,GÜLER M "A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis." , ss.117 - 122, 2013.
ISNAD Eroğlu demir, Saliha vd. "A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis". (2013), 117-122.
APA Eroğlu demir S, aytekin e, ÖZGÖNENEL L, rezvani a, PEKİN DOĞAN Y, SAYINER ÇAĞLAR N, Ozaras N, ÇAĞLAR OKUR S, Aydın T, TÜTÜN Ş, GÜLER M (2013). A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 28(2), 117 - 122.
Chicago Eroğlu demir Saliha,aytekin ebru,ÖZGÖNENEL Levent,rezvani aylin,PEKİN DOĞAN Yasemin,SAYINER ÇAĞLAR Nil,Ozaras Nihal,ÇAĞLAR OKUR Sibel,Aydın Teoman,TÜTÜN Şule,GÜLER MUSTAFA A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology 28, no.2 (2013): 117 - 122.
MLA Eroğlu demir Saliha,aytekin ebru,ÖZGÖNENEL Levent,rezvani aylin,PEKİN DOĞAN Yasemin,SAYINER ÇAĞLAR Nil,Ozaras Nihal,ÇAĞLAR OKUR Sibel,Aydın Teoman,TÜTÜN Şule,GÜLER MUSTAFA A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.28, no.2, 2013, ss.117 - 122.
AMA Eroğlu demir S,aytekin e,ÖZGÖNENEL L,rezvani a,PEKİN DOĞAN Y,SAYINER ÇAĞLAR N,Ozaras N,ÇAĞLAR OKUR S,Aydın T,TÜTÜN Ş,GÜLER M A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2013; 28(2): 117 - 122.
Vancouver Eroğlu demir S,aytekin e,ÖZGÖNENEL L,rezvani a,PEKİN DOĞAN Y,SAYINER ÇAĞLAR N,Ozaras N,ÇAĞLAR OKUR S,Aydın T,TÜTÜN Ş,GÜLER M A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2013; 28(2): 117 - 122.
IEEE Eroğlu demir S,aytekin e,ÖZGÖNENEL L,rezvani a,PEKİN DOĞAN Y,SAYINER ÇAĞLAR N,Ozaras N,ÇAĞLAR OKUR S,Aydın T,TÜTÜN Ş,GÜLER M "A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 28, ss.117 - 122, 2013.
ISNAD Eroğlu demir, Saliha vd. "A Possible Correlation Among Different Disease Activity Parameters and Functional Status in Patients with Ankylosing Spondylitis". Turkish Journal of Rheumatology(.)Archives of Rheumatology 28/2 (2013), 117-122.