SAT0065 Pain and Anxiety are the Major Predictors of Discrepancies Between Patients' and Physicians' Perception of Disease Activity in Rheumatoid Arthritis

BackgroundPatient global perception of disease activity is included in the different indices of disease activity in Rheumatoid Arthritis (RA). However, patients and physicians frequently disagree in their assessment of this parameter.ObjectivesWith this study we aim to evaluate the extent of this discrepancy and explore its determinants.MethodsConsecutive RA patients followed in a Tertiary Rheumatology Department were included in this cross-sectional study. Patient demographics and clinical data were collected through a standardized protocol which includes age, gender, educational level, disease duration, DAS283v (and its individual measures), Hospital Anxiety and Depression Scale (HADS), Happiness Scale (HS), Health Assessment Questionnaire (HAQ), Pain (VAS 0-100 mm),Fatigue (VAS 0-100 mm), Mobility and Deformity in patient perception (0-100mm). Physician (PhGA) and Patient Global Assessment of Disease Activity (PGA) were collected as VAS 0-100 mm at the same time. The discrepancy between Patients and Physicians (ΔGA) was defined as PGA minus PhGA. Correlations between ΔGA and other variables were evaluated through Pearson's Correlation Coefficient. Variables identified as correlated in the univariate analysis (p