Favourable social functioning and health related quality of life of patients with JIA in early adulthood

Objective: To evaluate the social functioning and health related quality of life (HRQoL) in patients with juvenile idiopathic arthritis (JIA) in early adulthood. Methods: The patient files of the Rheumatism Foundation Hospital were screened to identify patients born in 1976–1980 diagnosed as having...

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Veröffentlicht in:Annals of the rheumatic diseases 2005-06, Vol.64 (6), p.875-880
Hauptverfasser: Arkela-Kautiainen, M, Haapasaari, J, Kautiainen, H, Vilkkumaa, I, Mälkiä, E, Leirisalo-Repo, M
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container_issue 6
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container_title Annals of the rheumatic diseases
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creator Arkela-Kautiainen, M
Haapasaari, J
Kautiainen, H
Vilkkumaa, I
Mälkiä, E
Leirisalo-Repo, M
description Objective: To evaluate the social functioning and health related quality of life (HRQoL) in patients with juvenile idiopathic arthritis (JIA) in early adulthood. Methods: The patient files of the Rheumatism Foundation Hospital were screened to identify patients born in 1976–1980 diagnosed as having JIA. HRQoL was measured by the RAND 36-item health survey 1.0; spousal relationships and educational and employment status were assessed by questionnaire. The patients were invited to a follow up study. Age and sex matched controls from the community were identified in the Finnish population registry. Results: Of 187 patients identified, 123 participated. Spousal relationships, educational level, and employment status were similar to controls. HRQoL in JIA patients was similar to controls except on the physical functioning scale. At follow up 35% of patients were in remission. Patients with active disease had poorer HRQoL in the physical component than those in remission or controls. The extended oligoarthritis group had the lowest physical and mental score in HRQoL compared with the other JIA subgroups. The patient’s own evaluation was the explanatory factor in both the physical and mental component of HRQoL. Conclusion: Social functioning and HRQoL were similar in JIA patients and age, sex, and municipality matched controls. However, patients with extended oligoarthritis attained significantly lower scores in the physical and mental component of HRQoL than oligo- or polyarthritis patients. Special attention in everyday care should be paid to those patients who have active disease or the extended oligoarthritis type of disease.
doi_str_mv 10.1136/ard.2004.026591
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Methods: The patient files of the Rheumatism Foundation Hospital were screened to identify patients born in 1976–1980 diagnosed as having JIA. HRQoL was measured by the RAND 36-item health survey 1.0; spousal relationships and educational and employment status were assessed by questionnaire. The patients were invited to a follow up study. Age and sex matched controls from the community were identified in the Finnish population registry. Results: Of 187 patients identified, 123 participated. Spousal relationships, educational level, and employment status were similar to controls. HRQoL in JIA patients was similar to controls except on the physical functioning scale. At follow up 35% of patients were in remission. Patients with active disease had poorer HRQoL in the physical component than those in remission or controls. The extended oligoarthritis group had the lowest physical and mental score in HRQoL compared with the other JIA subgroups. The patient’s own evaluation was the explanatory factor in both the physical and mental component of HRQoL. Conclusion: Social functioning and HRQoL were similar in JIA patients and age, sex, and municipality matched controls. However, patients with extended oligoarthritis attained significantly lower scores in the physical and mental component of HRQoL than oligo- or polyarthritis patients. Special attention in everyday care should be paid to those patients who have active disease or the extended oligoarthritis type of disease.</description><identifier>ISSN: 0003-4967</identifier><identifier>EISSN: 1468-2060</identifier><identifier>DOI: 10.1136/ard.2004.026591</identifier><identifier>PMID: 15897308</identifier><identifier>CODEN: ARDIAO</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and European League Against Rheumatism</publisher><subject>Adult ; Age ; Arthritis ; Arthritis, Juvenile - psychology ; Arthritis, Juvenile - rehabilitation ; Biological and medical sciences ; Disease ; Diseases of the osteoarticular system ; Education ; Educational Status ; Employment ; Extended Report ; Female ; Finn-AIMS2 ; Finnish version of the arthritis impact measurement scales questionnaire ; health related quality of life ; Health Surveys ; Hospitals ; HRQoL ; Humans ; Inflammatory joint diseases ; Interpersonal Relations ; JIA ; juvenile arthritis ; juvenile idiopathic arthritis ; Logistic Models ; Male ; Marital Status ; MCS ; Medical sciences ; mental component scales ; Patients ; PCS ; physical component scales ; QoL ; Quality of Life ; RAND 36 item health survey 1.0 questionnaire ; RAND-36 ; Rehabilitation ; Severity of Illness Index ; social functioning ; Studies ; young adult ; Young adults</subject><ispartof>Annals of the rheumatic diseases, 2005-06, Vol.64 (6), p.875-880</ispartof><rights>Copyright 2005 by Annals of the Rheumatic Diseases</rights><rights>2005 INIST-CNRS</rights><rights>Copyright: 2005 Copyright 2005 by Annals of the Rheumatic Diseases</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b522t-112a8e7d5f88f084cc62e989f65a49aa65ce7153c26c33e4a4d912503ca1259c3</citedby><cites>FETCH-LOGICAL-b522t-112a8e7d5f88f084cc62e989f65a49aa65ce7153c26c33e4a4d912503ca1259c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1755522/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1755522/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=16808618$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15897308$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arkela-Kautiainen, M</creatorcontrib><creatorcontrib>Haapasaari, J</creatorcontrib><creatorcontrib>Kautiainen, H</creatorcontrib><creatorcontrib>Vilkkumaa, I</creatorcontrib><creatorcontrib>Mälkiä, E</creatorcontrib><creatorcontrib>Leirisalo-Repo, M</creatorcontrib><title>Favourable social functioning and health related quality of life of patients with JIA in early adulthood</title><title>Annals of the rheumatic diseases</title><addtitle>Ann Rheum Dis</addtitle><description>Objective: To evaluate the social functioning and health related quality of life (HRQoL) in patients with juvenile idiopathic arthritis (JIA) in early adulthood. Methods: The patient files of the Rheumatism Foundation Hospital were screened to identify patients born in 1976–1980 diagnosed as having JIA. HRQoL was measured by the RAND 36-item health survey 1.0; spousal relationships and educational and employment status were assessed by questionnaire. The patients were invited to a follow up study. Age and sex matched controls from the community were identified in the Finnish population registry. Results: Of 187 patients identified, 123 participated. Spousal relationships, educational level, and employment status were similar to controls. HRQoL in JIA patients was similar to controls except on the physical functioning scale. At follow up 35% of patients were in remission. Patients with active disease had poorer HRQoL in the physical component than those in remission or controls. The extended oligoarthritis group had the lowest physical and mental score in HRQoL compared with the other JIA subgroups. The patient’s own evaluation was the explanatory factor in both the physical and mental component of HRQoL. Conclusion: Social functioning and HRQoL were similar in JIA patients and age, sex, and municipality matched controls. However, patients with extended oligoarthritis attained significantly lower scores in the physical and mental component of HRQoL than oligo- or polyarthritis patients. Special attention in everyday care should be paid to those patients who have active disease or the extended oligoarthritis type of disease.</description><subject>Adult</subject><subject>Age</subject><subject>Arthritis</subject><subject>Arthritis, Juvenile - psychology</subject><subject>Arthritis, Juvenile - rehabilitation</subject><subject>Biological and medical sciences</subject><subject>Disease</subject><subject>Diseases of the osteoarticular system</subject><subject>Education</subject><subject>Educational Status</subject><subject>Employment</subject><subject>Extended Report</subject><subject>Female</subject><subject>Finn-AIMS2</subject><subject>Finnish version of the arthritis impact measurement scales questionnaire</subject><subject>health related quality of life</subject><subject>Health Surveys</subject><subject>Hospitals</subject><subject>HRQoL</subject><subject>Humans</subject><subject>Inflammatory joint diseases</subject><subject>Interpersonal Relations</subject><subject>JIA</subject><subject>juvenile arthritis</subject><subject>juvenile idiopathic arthritis</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Marital Status</subject><subject>MCS</subject><subject>Medical sciences</subject><subject>mental component scales</subject><subject>Patients</subject><subject>PCS</subject><subject>physical component scales</subject><subject>QoL</subject><subject>Quality of Life</subject><subject>RAND 36 item health survey 1.0 questionnaire</subject><subject>RAND-36</subject><subject>Rehabilitation</subject><subject>Severity of Illness Index</subject><subject>social functioning</subject><subject>Studies</subject><subject>young adult</subject><subject>Young adults</subject><issn>0003-4967</issn><issn>1468-2060</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkc1vEzEQxS0EoqFw5oYsITggbeqPtde-IFWBlFYVHAhcrYnX2zg469TeLeS_x1GiFrhwGlnzm6f3_BB6ScmUUi7PILVTRkg9JUwKTR-hCa2lqhiR5DGaEEJ4VWvZnKBnOa_LkyiqnqITKpRuOFETtJrDXRwTLIPDOVoPAXdjbwcfe9_fYOhbvHIQhhVOLsDgWnw7QvDDDscOB9-5_dzC4F0_ZPzTF_Dq8hz7HjtIYYehHctxjO1z9KSDkN2L4zxF3-YfF7NP1fWXi8vZ-XW1FIwNFaUMlGta0SnVEVVbK5nTSndSQK0BpLCuoYJbJi3nroa61ZQJwi2UoS0_Re8PuttxuXGtLb4SBLNNfgNpZyJ48_em9ytzE-8MbYQoForA26NAirejy4PZ-GxdCNC7OGYjG8UZk7SAr_8B1-Un-xKuaDWNqmWtVaHODpRNMefkunsrlJh9h6Z0aPYdmkOH5eLVnwke-GNpBXhzBCBbCF2C3vr8wElFlKR7rjpwPg_u1_0e0o8SgjfCfP4-M_rrYv5hcXFlZOHfHfjlZv1fl78Bk73Bqg</recordid><startdate>20050601</startdate><enddate>20050601</enddate><creator>Arkela-Kautiainen, M</creator><creator>Haapasaari, J</creator><creator>Kautiainen, H</creator><creator>Vilkkumaa, I</creator><creator>Mälkiä, E</creator><creator>Leirisalo-Repo, M</creator><general>BMJ Publishing Group Ltd and European League Against Rheumatism</general><general>BMJ</general><general>Elsevier Limited</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20050601</creationdate><title>Favourable social functioning and health related quality of life of patients with JIA in early adulthood</title><author>Arkela-Kautiainen, M ; 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Methods: The patient files of the Rheumatism Foundation Hospital were screened to identify patients born in 1976–1980 diagnosed as having JIA. HRQoL was measured by the RAND 36-item health survey 1.0; spousal relationships and educational and employment status were assessed by questionnaire. The patients were invited to a follow up study. Age and sex matched controls from the community were identified in the Finnish population registry. Results: Of 187 patients identified, 123 participated. Spousal relationships, educational level, and employment status were similar to controls. HRQoL in JIA patients was similar to controls except on the physical functioning scale. At follow up 35% of patients were in remission. Patients with active disease had poorer HRQoL in the physical component than those in remission or controls. The extended oligoarthritis group had the lowest physical and mental score in HRQoL compared with the other JIA subgroups. The patient’s own evaluation was the explanatory factor in both the physical and mental component of HRQoL. Conclusion: Social functioning and HRQoL were similar in JIA patients and age, sex, and municipality matched controls. However, patients with extended oligoarthritis attained significantly lower scores in the physical and mental component of HRQoL than oligo- or polyarthritis patients. Special attention in everyday care should be paid to those patients who have active disease or the extended oligoarthritis type of disease.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and European League Against Rheumatism</pub><pmid>15897308</pmid><doi>10.1136/ard.2004.026591</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Age
Arthritis
Arthritis, Juvenile - psychology
Arthritis, Juvenile - rehabilitation
Biological and medical sciences
Disease
Diseases of the osteoarticular system
Education
Educational Status
Employment
Extended Report
Female
Finn-AIMS2
Finnish version of the arthritis impact measurement scales questionnaire
health related quality of life
Health Surveys
Hospitals
HRQoL
Humans
Inflammatory joint diseases
Interpersonal Relations
JIA
juvenile arthritis
juvenile idiopathic arthritis
Logistic Models
Male
Marital Status
MCS
Medical sciences
mental component scales
Patients
PCS
physical component scales
QoL
Quality of Life
RAND 36 item health survey 1.0 questionnaire
RAND-36
Rehabilitation
Severity of Illness Index
social functioning
Studies
young adult
Young adults
title Favourable social functioning and health related quality of life of patients with JIA in early adulthood
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