Functional capacity and quality of life in patients with rheumatoid arthritis
Keywords:
Rheumatoid arthritis; quality of life; functional capacityAbstract
Introduction: Rheumatoid arthritis is a chronic and inflammatory autoimmune disease that primarily affects the joints, although its impact can extend to other systems and organs. In Ecuador, although epidemiological information remains limited, Rheumatology services are registering a sustained increase in patients with advanced functional impairment, chronic pain, and significant impacts on their quality of life. This situation highlights the need to strengthen comprehensive care, rehabilitation, and clinical follow-up strategies in this population.
Objective: To analyze the functional capacity and quality of life in patients with RA who attended the Rheumatology Service of the “Carlos Andrade Marín” Hospital.
Material and Method: An analytical, descriptive and cross-sectional study was carried out in the period September 2023-February 2024, using a non-probabilistic sample which was composed of 73 patients who were previously diagnosed with rheumatoid arthritis. A survey was used to collect information.
Results: Most of the patients evaluated with RA have a mild disability and a good quality of life. Certain factors such as pain, nervous tension, and time with the disease significantly affect both functional capacity and quality of life.
Conclusions: The study emphasizes the importance of a comprehensive care that addresses multiple aspects that affect patients with RA, including the control of physical symptoms, functional rehabilitation, and the strengthening of social and emotional resources.
Downloads
References
1. Fraenkel L, Bathon JM, England BR, St Clair EW, Arayssi T, Carandang K. et al. 2021 American College of Rheumatology Guideline for the treatment of rheumatoid arthritis. Arthritis Care Res (Hoboken) [Internet]. 2021 Jul [Citado 11/10/2024];73(7):924-39. Disponible en: https://doi.org/10.1002/acr.24596
2. GBD 2019: Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet [Internet]. 2020 [Citado 11/10/2024];396(10258):1204-22. Disponible en: https://vizhub.healthdata.org/gbd-results/
3. Cieza A, Causey K, Kamenov K, Wulf Hansen S, Chatterji S, Vos T. Global estimates of the need for rehabilitation based on the Global Burden of Disease Study 2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet [Internet]. 2020 Dec [Citado 11/10/2024];396(10267):2006-17. Disponible en: https://doi.org/10.1016/S0140-6736(20)32340-0
4. Long H, Liu Q, Yin H, Diao N, Zhang Y, Lin J, et al. Prevalence trends of site-specific osteoarthritis from 1990 to 2019: findings from the Global Burden of Disease Study 2019. Arthritis Rheumatol [Internet]. 2022 [Citado 11/10/2024];74(7):1172-83. Disponible en: https://doi.org/10.1002/art.42089
5. Safiri S, Kolahi AA, Hoy D, Smith E, Bettampadi D, Mansournia MA, et al. Global, regional and national burden of rheumatoid arthritis 1990-2017: a systematic analysis of the Global Burden of Disease Study 2017. Ann Rheum Dis [Internet]. 2019 Nov [Citado 11/10/2024];78(11):1463-71. Disponible en: https://doi.org/10.1136/annrheumdis-2019-215920
6. Cuervo FM, Santos AM, Londono J, Angarita JI, Rueda JC, Giraldo-Bustos R, et al. The burden of the most common rheumatic disease in Colombia. BMC Rheumatol [Internet]. 2022 Dec [Citado 11/10/2024];6(1):7. Disponible en: https://bmcrheumatol.biomedcentral.com/articles/10.1186/s41927-021-00234-y
7. Alzate J, Ávila D, Bello JM, Beltrán A, Gaona A, Jaramillo P, et al. Informe técnico del posicionamiento terapéutico para el tratamiento farmacológico de la artritis reumatoide. Bogotá D.C: Instituto de Evaluación Tecnológica en Salud (IETS) y Ministerio de Salud y Protección Social; 2022.
8. Taylor P. Update on the diagnosis and management of early rheumatoid arthritis. Clin Med (Lond) [Internet]. 2020 [Citado 11/10/2024];20(6):561-4. Disponible en: https://doi.org/10.7861/clinmed.2020-0727
9. Kirkeskov L, Bray K. Employment of patients with rheumatoid arthritis: a systematic review and meta-analysis. BMC Rheumatol [Internet]. 2023 [Citado 11/10/2024];7(4):1-13. Disponible en: https://doi.org/10.1186/s41927-023-00365-4
10. McCurdy D, Parsa MF. Updates in juvenile idiopathic arthritis. Adv Pediatr [Internet]. 2019 [Citado 11/10/2024];68:143-70. Disponible en: https://doi.org/10.1016/j.yapd.2021.05.014
11. Martínez del Val E, Rodríguez Martínez A, Sánchez Becerra V, Cruz Rojo J, Enríquez Merayo E, Barral Mena E, et al. Characteristics of synovial fluid in patients with juvenile idiopathic arthritis. An Pediatr (Barc) [Internet]. 2019 [Citado 11/10/2024];91(4):244-50. Disponible en: https://doi.org/10.1016/j.anpedi.2019.01.004
12. Berg-Weger M, Morley J. Editorial: Loneliness in Old Age: An unaddressed Health Problem. J Nutr Health Aging [Internet]. 2020 [Citado 11/10/2024];24(3):243-5. Disponible en: https://doi.org/10.1007/s12603-020-1323-6
13. Santo RCDE, Baker JF, Dos Santos LP. Changes in physical function over time in rheumatoid arthritis patients: A cohort study. PLoS One [Internet]. 2023 Jan [Citado 11/10/2024];18(1):e0280846. Disponible en: https://doi.org/10.1371/journal.pone.0280846
14. Son KM, Kang SH, Seo YI, Kim HA. Association of body composition with disease activity and disability in rheumatoid arthritis. Korean J Intern Med [Internet]. 2021 [Citado 11/10/2024];36(1):214-22. Disponible en: https://doi.org/10.3904/kjim.2019.006
15. Muñoz A, Bautista W, Castrejón I, Hernández B, Martín JM, Pinedo C, et al. Propuesta de actualización del Health Assessment Questionnaire. Reumatol Clin [Internet]. 2023 [Citado 11/10/2024];19(5):266-72. Disponible en: https://doi.org/10.1016/j.reuma.2022.05.004
16. Isnardi CA, Schneeberger EE, Capelusnik D. A useful tool to assess quality of life in rheumatoid arthritis patients that does not require a license: QOL-RA II. Clin Rheumatol [Internet]. 2020 [Citado 11/10/2024];39(11):3309-15. Disponible en: https://doi.org/10.1007/s10067-020-05139-8
17. O'Neil LJ, Alpízar-Rodríguez D, Deane KD. Rheumatoid arthritis: The continuum of disease and strategies for prediction, early intervention, and prevention. J Rheumatol [Internet]. 2024 [Citado 11/10/2024];51(4):337-49. Disponible en: https://doi.org/10.3899/jrheum.2023-0334
18. Hernández JD. Artritis reumatoide y su correlación con la calidad de vida y la capacidad funcional en pacientes atendidos en el Hospital General de zona no. 50 del Instituto Mexicano del Seguro Social de San Luis Potosí [Tesis especialidafd]. San Luis Potosí: Universidad Autónoma de San Luis Potosí, Facultad de Medicina; 2020.
19. Liu I, Huang YJ, Wang LK, Tsai YH, Hsu SL, Chang CJ, et al. Dual trajectories of loneliness and depression and their baseline correlates over a 14-year follow-up period in older adults: Results from a nationally representative sample in Taiwan. Int J Older People Nurs [Internet]. 2021 [Citado 11/10/2024];16(6):e12410. Disponible en: https://doi.org/10.1111/opn.12410
20. Isnardi CA, Schneeberger EE, Capelusnik D, De Los Ángeles Correa M, Lim R, Hu M, et al. A useful tool to assess quality of life in rheumatoid arthritis patients that does not require a license: QOL-RA II. Clin Rheumatol [Internet]. 2020 [Citado 11/10/2024];1-7. Disponible en: https://doi.org/10.1007/s10067-020-05139-8
21. Yang Z, Bai G, Ding H, Chen M, Xie T, Wan C. Development and validation of the rheumatoid arthritis scale among the system of quality of life instruments for chronic diseases QLICD-RA (V2.0). Sci Rep [Internet]. 2024 [Citado 11/10/2024];14:1-7. Disponible en: https://doi.org/10.1038/s41598-024-58910-1
22. Cuervo F, Santos A, Saldarriaga E, Rueda J, Angarita I, Ballesteros J, et al. AB1299 Functional capacity measured by HAQ in patients with rheumatic diseases in Colombia. Ann Rheum Dis [Internet]. 2018 [Citado 11/10/2024];77:1742. Disponible en: https://doi.org/10.1136/annrheumdis-2018-eular.4336
23. Herrera-Sandate P, Vega-Morales D, De-León-Ibarra A, Valdés-Torres P, Chavez-Alvarez L, Toro A, et al. AB0863-HPR Functional status assessment through self-reported questionnaires in rheumatic diseases. Ann Rheum Dis [Internet]. 2021 [Citado 11/10/2024];80. Disponible en: https://doi.org/10.1136/ANNRHEUMDIS-2021-EULAR.2781
24. Uzgör F, Yaşar Bilge NŞ, Özkaraman A. Evaluation of quality of life and functional status in elderly patients with rheumatoid arthritis. Bezmialem Science [Internet]. 2023 [Citado 11/10/2024];11(4):390-9. Disponible en: https://doi.org/10.14235/bas.galenos.2023.09825
25. Fernández DG, Rincón DN, Bernal S, Gutiérrez JM, Rosselli D. Prevalencia de la artritis reumatoide en Colombia según información del Sistema Integral de Información de la Protección Social. Rev Colomb Reumatol [Internet]. 2019 Abr [Citado 11/10/2024];26(2):83-7. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0121812319300167
26. Cruz Y, Montero N, Salazar R, Villacís R. Calidad de vida en pacientes ecuatorianos con artritis reumatoide: un estudio transversal. Reumatol Clin [Internet]. 2019 [Citado 11/10/2024];15(5):296-300. Disponible en: https://doi.org/10.1016/j.reuma.2017.08.012
27. Suh CH, Lee K, Kim JW, Boo S. Factors affecting quality of life in patients with rheumatoid arthritis in South Korea: a cross-sectional study. Clin Rheumatol [Internet]. 2022 [Citado 11/10/2024];41(2):367-75. Disponible en: https://doi.org/10.1007/s10067-021-05944-9
28. Tanski W, Dudek K, Adamowski T. Work ability and quality of life in patients with rheumatoid arthritis. Int J Environ Res Public Health [Internet]. 2022 [Citado 11/10/2024];19(20):13260. Disponible en: https://doi.org/10.3390/ijerph192013260
29. Sosa O, Cáceres VI, López MR, Rodríguez MI. Calidad de vida y capacidad funcional en pacientes con artritis reumatoide de una Asociación de Paraguay 2022. Rev Cient Cienc Salud [Internet]. 2022 [Citado 11/10/2024];4(2):9-18. Disponible en: https://doi.org/10.53732/rccsalud/04.02.2022.09
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista Habanera de Ciencias Médicas
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All the content of this magazine is in Open Access, distributed according to the terms of the Creative Commons Attribution-Noncommercial 4.0 License that allows non-commercial use, distribution and reproduction without restrictions in any medium, provided that the primary source is duly cited.
Download PDF
