Association of pain and clinical factors on disability and quality of life in systemic sclerosis: A cross-sectional study from Turkish League Against Rheumatism Network

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dc.authorid0000-0002-4124-1586en_US
dc.authorid0000-0002-7608-1236en_US
dc.authorid0000-0002-5845-0851en_US
dc.authorid0000-0002-6490-4645en_US
dc.authorid0000-0002-8143-3048en_US
dc.authorid0000-0002-1184-0772en_US
dc.authorid0000-0003-1324-2108en_US
dc.authorid0000-0003-0273-6268en_US
dc.authorid0000-0003-3975-1373en_US
dc.authorid0000-0002-0234-3440en_US
dc.authorid0000-0002-9463-8413en_US
dc.authorid0000-0001-7519-9470en_US
dc.authorid0000-0003-4299-5627en_US
dc.authorid0000-0003-3584-2788en_US
dc.authorid0000-0001-8790-304Xen_US
dc.authorid0000-0001-9274-168Xen_US
dc.contributor.authorÇevik, Remzi
dc.contributor.authorEm, Serda
dc.contributor.authorNas, Kemal
dc.contributor.authorToprak, Murat
dc.contributor.authorCengiz, Gizem
dc.contributor.authorÇalış, Mustafa
dc.contributor.authorSezer, İlhan
dc.contributor.authorEnginar, Ayşe Ünal
dc.contributor.authorKarslı, Pınar Bora
dc.contributor.authorSağ, Sinem
dc.contributor.authorSargın, Betül
dc.contributor.authorMelikoğlu, Meltem Alkan
dc.contributor.authorAydın, Yıldıray
dc.contributor.authorDuruöz, Mehmet Tuncay
dc.contributor.authorGezer, Halise Hande
dc.contributor.authorEcesoy, Hilal
dc.date.accessioned2023-06-16T10:43:08Z
dc.date.available2023-06-16T10:43:08Z
dc.date.issued2023en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalıen_US
dc.description.abstractObjectives: In this study, we aimed to evaluate the factors associated with disability and quality of life (QoL) in Turkish patients with systemic sclerosis (SSc). Patients and methods: Between January 2018 and January 2019, a total of 256 SSc patients (20 males, 236 females; mean age: 50.9±12.4 years; range, 19 to 87 years) who were diagnosed with SSc were included in the study. Disability and health-related QoL (HRQoL) were evaluated by the Health Assessment Questionnaire (HAQ), scleroderma HAQ (SHAQ), Duruöz Hand Index (DHI), and Short Form-36 (SF-36). Linear regression analysis methods were used to describe factors associated with disability and QoL of the patients. Results: All disability scores were higher and HRQoL scores were lower in diffuse cutaneous SSc patients compared limited cutaneous SSc, and differentiations were significant (p=0.001 and p=0.007). In multiple regression, pain (VAS) was the strongest predictor for high disability and low QoL scores (p<0.001) as HAQ (β=0.397, 0.386, 0.452), SHAQ (β=0.397, 0.448, 0.372), DHI (β=0.446, 0.536, 0.389), PCS (β=-0.417,-0.499, -0.408) and MCS (β=-0.478, -0.441, -0.370) in combined, lcSSc and dcSSc patients respectively. The factors associated with high disability and low QoL scores were forced vital capacity for HAQ (β=-0.172, p=0.002) and SF-36 PCS (β=0.187, p=0.001); disease duration for HAQ (β=0.208, p<0.001), DHI (β=0.147, p=0.006), and SF-36 PCS (β=-0.134, p=0.014); 6-minute walk test for HAQ (β=-0.161, p=0.005) and SF-36 PCS (β=0.153, p=0.009); and modified Rodnan skin score for SHAQ (β=0.250, p<0.001) and DHI (β=0.233, p<0.001) in SSc patients. Diffusing capacity of the lungs for carbon monoxide for HAQ (β=-0.189, p=0.010) and SHAQ (β=-0.247, p=0.002); erythrocyte sedimentation rate for DHI (β=0.322, p<0.001); age for SF-36 PCS (β=-0.221, p=0.003) and body mass index for SF-36 PCS (β=-0.200, p=0.008) and MCS (β=-0.175, p=0.034) were the other variables associated with high disability or low QoL scores in SSc subsets. Conclusion: Clinicians should consider the management of the pain and its sources as a key to improve better functional state and quality of daily life in SSc.en_US
dc.identifier.citationÇevik, R., Em, S., Nas, K., Toprak, M., Cengiz, G., Çalış, M. ve diğerleri. (2023). Association of pain and clinical factors on disability and quality of life in systemic sclerosis: A cross-sectional study from Turkish League Against Rheumatism Network. Archives of Rheumatology, 38(1), 9-21.en_US
dc.identifier.doi10.46497/ArchRheumatol.2023.9243
dc.identifier.endpage21en_US
dc.identifier.issn2148-5046
dc.identifier.issn2618-6500
dc.identifier.issue1en_US
dc.identifier.pmid37235112
dc.identifier.scopus2-s2.0-85150263701
dc.identifier.scopusqualityQ3
dc.identifier.startpage9en_US
dc.identifier.trdizinid1178423
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1178423
dc.identifier.urihttps://hdl.handle.net/11468/12070
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1178423
dc.identifier.volume38en_US
dc.identifier.wosWOS:001101876400002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorÇevik, Remzi
dc.institutionauthorEm, Serda
dc.language.isoenen_US
dc.publisherBayçınar Tıbbi Yayıncılıken_US
dc.relation.ispartofArchives of Rheumatology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDisabilityen_US
dc.subjectPainen_US
dc.subjectQuality of lifeen_US
dc.subjectSystemic sclerosisen_US
dc.titleAssociation of pain and clinical factors on disability and quality of life in systemic sclerosis: A cross-sectional study from Turkish League Against Rheumatism Networken_US
dc.titleAssociation of pain and clinical factors on disability and quality of life in systemic sclerosis: A cross-sectional study from Turkish League Against Rheumatism Network
dc.typeArticleen_US

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