Relationship between individual radiographic findings and disability in rheumatoid arthritis
Relación entre las distintas lesiones radiográficas y la discapacidad en la artritis reumatoide
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"apellidos" => "Vázquez-Mellado" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574309701017?idApp=UINPBA00004M" "url" => "/21735743/0000000500000003/v1_201305061555/S2173574309701017/v1_201305061555/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2173574309700991" "issn" => "21735743" "doi" => "10.1016/S2173-5743(09)70099-1" "estado" => "S300" "fechaPublicacion" => "2009-05-01" "aid" => "70099" "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología" "documento" => "article" "crossmark" => 0 "subdocumento" => "edi" "cita" => "Reumatol Clin. 2009;5:95-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 609 "formatos" => array:3 [ "EPUB" => 34 "HTML" => 407 "PDF" => 168 ] ] "en" => array:8 [ "idiomaDefecto" => true "titulo" => "Cardiovascular disease in rheumatoid arthritis. Importance and clinical management" "tienePdf" => "en" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "95" "paginaFinal" => "97" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Enfermedad cardiovascular en artritis reumatoide. Importancia y tratamiento clínico" ] ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Miguel A. González-Gay, Carlos González-Juanatey" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Miguel A." "apellidos" => "González-Gay" ] 1 => array:2 [ "nombre" => "Carlos" "apellidos" => "González-Juanatey" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574309700991?idApp=UINPBA00004M" "url" => "/21735743/0000000500000003/v1_201305061555/S2173574309700991/v1_201305061555/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "titulo" => "Relationship between individual radiographic findings and disability in rheumatoid arthritis" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "98" "paginaFinal" => "102" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "José Ivorra, Enrique Batlle-Gualda, Cristóbal López" "autores" => array:4 [ 0 => array:4 [ "nombre" => "José" "apellidos" => "Ivorra" "email" => array:1 [ 0 => "ivorra_jos@gva.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Enrique" "apellidos" => "Batlle-Gualda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Cristóbal" "apellidos" => "López" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:2 [ "colaborador" => "The group for the adjustament of the HAQ to the Spanish population" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "fn1" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Sección de Reumatología, Hospital Universitario Dr. Peset, Valencia, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Sección de Reumatología, Hospital Universitario de Alicante, Alicante, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Radiología, Hospital Marina Baixa, Villajoyosa, Alicante, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Relación entre las distintas lesiones radiográficas y la discapacidad en la artritis reumatoide" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-09-04" "fechaAceptado" => "2008-11-27" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec112075" "palabras" => array:4 [ 0 => "Rheumatoid arthritis" 1 => "Disability" 2 => "HAQ" 3 => "Radiographic scores" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec112076" "palabras" => array:4 [ 0 => "Artritis reumatoide" 1 => "Discapacidad" 2 => "Cuestionario de Evaluación de la Salud" 3 => "Medida del radiográfico" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To evaluate if the duration of disease influences the link between different radiographic specific features and disability in rheumatoid arthritis (RA) and the influence of disease duration on this relationship.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Conventional x-rays of both hands of 96 patients with RA were evaluated independently by 2 readers using Kayes’ modification of the Sharp method. Disability was evaluated with the Spanish version of the HAQ questionnaire.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The mean HAQ was 1.39 (0.79). The mean total radiographic score was 0.8 (18% of the maximum possible score). Total and joint space narrowing scores only displayed a statistically significant correlation (<span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.33, <span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.37, respectively, <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>.05) with disability in the late RA group (>7 years). Erosion and misalignment scores were not correlated with HAQ. There was a statistically significant correlation between the eating, dressing, and reach HAQ-categories and the total radiographic score in the late RA group (<span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.48, <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>.001; <span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.42, <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>.01; <span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.3, <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>.05, respectively).</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">This work suggests that HAQ disability and radiographic damage are only related in cases with late RA. In this group, the subtotal radiographic score most related with disability is the joint space narrowing score.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Analizar la relación entre la discapacidad y las distintas lesiones radiográficas en los pacientes con artritis reumatoide (AR) y la influencia del tiempo de evolución de la enfermedad.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se realizaron radiografías anteroposteriores de ambas manos a 96 pacientes con AR. Dos lectores efectuaron la lectura de forma independiente y utilizaron el método de Sharp modificado por Kaye. La discapacidad se evaluómediante la versión española del HAQ (Health Assessment Questionnaire “Cuestionario de Evaluación de la Salud”).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El HAQ (media<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>desviación estándar) fue de 1,39<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0,79. La puntuación media del daño radiográfico total fue de 0,8 (el 18% de la puntuación máxima posible). La discapacidad sólo mostró una correlación estadísticamente significativa con la puntuación total (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,33; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05) y con la puntuación para la pérdida del espacio articular (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,37; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05) en los pacientes con AR tardía (más de 7 años de evolución). Las puntuaciones para erosiones y para la alteración del espacio articular no mostraron correlación significativa con la discapacidad. En la AR tardía se encontró una correlación estadísticamente significativa entre las categorías del HAQ correspondientes a comer (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,48; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001), vestirse (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,42; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) y alcanzar (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,3; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05) con la puntuación total del método de Kaye.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">En el presente trabajo la discapacidad evaluada mediante el HAQ sólo se relaciona con el daño radiográfico en los pacientes con AR tardía. En este grupo, la pérdida del espacio articular es el hallazgo radiográfico que más se relaciona con las discapacidad.</p>" ] ] "NotaPie" => array:1 [ 0 => array:3 [ "etiqueta" => "1" "nota" => "<p class="elsevierStyleNotepara">J. Tornero, Hospital de Guadalajara, Guadalajara; M. Tenorio, Hospital de Ceuta, Ceuta; A. Núñez, Hospital Clínic i Provincial, Barcelona; A. Rodríguez, Hospital de la Santa Creu i Sant Pau, Barcelona; E. Lience, Hospital Vall d’Hebron, Barcelona; E. Barbeito, Hospital Verge dels Lliris d’Alcoi, Alicante; A. Balsa, Hospital de La Paz, Madrid; M. Belmonte, Hospital de Castellón, Castellón; M. Rodríguez, Hospital Carlos Haya, Málaga; D. Boquet, Hospital de l’Esperança, Barcelona; J. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 18 | 23 |
| 2024 October | 16 | 35 | 51 |
| 2024 September | 17 | 18 | 35 |
| 2024 August | 30 | 37 | 67 |
| 2024 July | 19 | 23 | 42 |
| 2024 June | 30 | 31 | 61 |
| 2024 May | 23 | 34 | 57 |
| 2024 April | 22 | 17 | 39 |
| 2024 March | 28 | 33 | 61 |
| 2024 February | 21 | 19 | 40 |
| 2024 January | 21 | 18 | 39 |
| 2023 December | 17 | 33 | 50 |
| 2023 November | 18 | 29 | 47 |
| 2023 October | 28 | 25 | 53 |
| 2023 September | 26 | 34 | 60 |
| 2023 August | 15 | 14 | 29 |
| 2023 July | 21 | 25 | 46 |
| 2023 June | 16 | 15 | 31 |
| 2023 May | 16 | 14 | 30 |
| 2023 April | 15 | 8 | 23 |
| 2023 March | 16 | 24 | 40 |
| 2023 February | 20 | 28 | 48 |
| 2023 January | 14 | 20 | 34 |
| 2022 December | 20 | 28 | 48 |
| 2022 November | 18 | 32 | 50 |
| 2022 October | 22 | 29 | 51 |
| 2022 September | 14 | 43 | 57 |
| 2022 August | 18 | 51 | 69 |
| 2022 July | 20 | 45 | 65 |
| 2022 June | 15 | 33 | 48 |
| 2022 May | 22 | 53 | 75 |
| 2022 April | 20 | 40 | 60 |
| 2022 March | 23 | 46 | 69 |
| 2022 February | 19 | 47 | 66 |
| 2022 January | 17 | 39 | 56 |
| 2021 December | 18 | 43 | 61 |
| 2021 November | 23 | 44 | 67 |
| 2021 October | 24 | 51 | 75 |
| 2021 September | 21 | 53 | 74 |
| 2021 August | 25 | 45 | 70 |
| 2021 July | 20 | 27 | 47 |
| 2021 June | 15 | 46 | 61 |
| 2021 May | 19 | 27 | 46 |
| 2021 April | 63 | 92 | 155 |
| 2021 March | 40 | 32 | 72 |
| 2021 February | 38 | 20 | 58 |
| 2021 January | 26 | 20 | 46 |
| 2020 December | 17 | 19 | 36 |
| 2020 November | 18 | 17 | 35 |
| 2020 October | 9 | 16 | 25 |
| 2020 September | 21 | 20 | 41 |
| 2020 August | 11 | 16 | 27 |
| 2020 July | 8 | 15 | 23 |
| 2020 June | 25 | 16 | 41 |
| 2020 May | 12 | 25 | 37 |
| 2020 April | 16 | 43 | 59 |
| 2020 March | 17 | 14 | 31 |
| 2020 January | 4 | 0 | 4 |
| 2019 September | 4 | 0 | 4 |
| 2019 June | 2 | 0 | 2 |
| 2019 March | 2 | 0 | 2 |
| 2019 January | 1 | 0 | 1 |
| 2018 May | 2 | 1 | 3 |
| 2018 April | 27 | 8 | 35 |
| 2018 March | 22 | 10 | 32 |
| 2018 February | 32 | 4 | 36 |
| 2018 January | 18 | 4 | 22 |
| 2017 December | 17 | 5 | 22 |
| 2017 November | 23 | 4 | 27 |
| 2017 October | 7 | 3 | 10 |
| 2017 September | 10 | 3 | 13 |
| 2017 August | 5 | 14 | 19 |
| 2017 July | 9 | 10 | 19 |
| 2017 June | 22 | 9 | 31 |
| 2017 May | 22 | 9 | 31 |
| 2017 April | 9 | 6 | 15 |
| 2017 March | 23 | 8 | 31 |
| 2017 February | 7 | 3 | 10 |
| 2017 January | 11 | 3 | 14 |
| 2016 December | 34 | 10 | 44 |
| 2016 November | 16 | 4 | 20 |
| 2016 October | 30 | 6 | 36 |
| 2016 September | 21 | 3 | 24 |
| 2016 August | 15 | 3 | 18 |
| 2016 July | 15 | 4 | 19 |
| 2016 January | 2 | 0 | 2 |
| 2015 December | 5 | 0 | 5 |
| 2015 October | 1 | 0 | 1 |
| 2015 September | 2 | 0 | 2 |
| 2015 July | 17 | 3 | 20 |
| 2015 June | 21 | 5 | 26 |
| 2015 May | 36 | 8 | 44 |
| 2015 April | 21 | 7 | 28 |
| 2015 March | 16 | 4 | 20 |
| 2015 February | 14 | 6 | 20 |
| 2015 January | 32 | 14 | 46 |
| 2014 December | 26 | 10 | 36 |
| 2014 November | 12 | 11 | 23 |
| 2014 October | 17 | 9 | 26 |
| 2014 September | 11 | 7 | 18 |
| 2014 August | 21 | 15 | 36 |
| 2014 July | 18 | 10 | 28 |
| 2014 June | 33 | 6 | 39 |
| 2014 May | 35 | 15 | 50 |
| 2014 April | 31 | 7 | 38 |
| 2014 March | 36 | 11 | 47 |
| 2014 February | 27 | 6 | 33 |
| 2014 January | 26 | 10 | 36 |
| 2013 December | 21 | 11 | 32 |
| 2013 November | 21 | 10 | 31 |
| 2013 October | 36 | 6 | 42 |
| 2013 September | 31 | 11 | 42 |
| 2013 August | 43 | 8 | 51 |
| 2013 July | 21 | 8 | 29 |
| 2013 June | 18 | 7 | 25 |
| 2013 May | 18 | 3 | 21 |
| 2013 April | 20 | 10 | 30 |
| 2013 March | 15 | 4 | 19 |
| 2013 February | 14 | 12 | 26 |
| 2013 January | 13 | 9 | 22 |
| 2012 December | 14 | 2 | 16 |
| 2012 November | 9 | 5 | 14 |
| 2012 October | 3 | 2 | 5 |
| 2012 September | 3 | 4 | 7 |
| 2012 June | 1 | 0 | 1 |
| 2012 May | 2 | 0 | 2 |
| 2012 April | 2 | 0 | 2 |
| 2012 March | 3 | 0 | 3 |
| 2012 February | 2 | 0 | 2 |
| 2012 January | 4 | 0 | 4 |
| 2011 December | 5 | 0 | 5 |
| 2011 November | 6 | 0 | 6 |
| 2011 October | 4 | 0 | 4 |
| 2011 September | 1 | 0 | 1 |
| 2011 August | 1 | 0 | 1 |
| 2011 June | 3 | 0 | 3 |
| 2011 May | 1 | 0 | 1 |
| 2011 April | 1 | 0 | 1 |
| 2011 March | 6 | 0 | 6 |
| 2011 February | 5 | 0 | 5 |
| 2011 January | 4 | 0 | 4 |
| 2010 December | 5 | 0 | 5 |
| 2010 November | 6 | 0 | 6 |
| 2010 October | 4 | 0 | 4 |
| 2010 September | 3 | 0 | 3 |
| 2010 August | 6 | 0 | 6 |
| 2010 July | 11 | 0 | 11 |
| 2010 June | 2 | 0 | 2 |
| 2010 May | 3 | 0 | 3 |
| 2010 April | 3 | 0 | 3 |
| 2010 March | 3 | 0 | 3 |
| 2010 February | 7 | 0 | 7 |
| 2010 January | 5 | 0 | 5 |
| 2009 December | 12 | 0 | 12 |
| 2009 November | 10 | 0 | 10 |
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