TY - JOUR
T1 - Correlación y concordancia de la autoclinimetría en artritis reumatoide
T2 - Revisión sistemática de la literatura y metaanálisis
AU - Amaya-Amaya, Jenny
AU - Torralvo-Morato, Gloria
AU - Calixto, Omar Javier
AU - Calderón-Rojas, Rolando
AU - Caro-Moreno, Julián
AU - Domínguez, Aura María
AU - Mantilla, Rubén Darío
AU - Anaya, Juan Manuel
AU - Rojas-Villarraga, Adriana
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2013/3
Y1 - 2013/3
N2 - Introduction: There is a worldwide interest about the evaluation of rheumatoid arthritis (RA) from the perspective of the patient, using patient-reported outcomes (PROs), in order to assess disease activity, quality of life, prognosis, and treatment adherence. Objective: To evaluate and analyze the instruments of PROs and the degree of correlation with the objective measures done by the health practitioners through a systematic review and metaanalysis. Materials and methods: A systematic review was done in PubMed, LILACS, Embase, SciELO y Virtual Library Health (Biblioteca Virtual de la Salud) databases, using the MeSH terms and DeCS, with limit: Humans. A metaanalysis was done using the software Comprehensive Meta-Analysis version 2. Results: 85 articles were included, finding high to moderate correlations between the objective measures performed by trained health care practitioners [DAS28, CDAI, SDAI, swollen joint count (SJC) and tender joint count (TJC) among others] and PROs (RAPIDs, RADAI, RADAR, HAQ, SJC and TJC) through metaanalysis applying the random effect models (p<0.0001). Conclusions: PROs have an adequate correlationand concordance with the objective measures done by the health care practitioners. It can be administrated in the clinical practice and clinical trials, without pretending to replace the clinical concept but with the aim to facilitate and optimize the clinical consult and the patient outcomes.
AB - Introduction: There is a worldwide interest about the evaluation of rheumatoid arthritis (RA) from the perspective of the patient, using patient-reported outcomes (PROs), in order to assess disease activity, quality of life, prognosis, and treatment adherence. Objective: To evaluate and analyze the instruments of PROs and the degree of correlation with the objective measures done by the health practitioners through a systematic review and metaanalysis. Materials and methods: A systematic review was done in PubMed, LILACS, Embase, SciELO y Virtual Library Health (Biblioteca Virtual de la Salud) databases, using the MeSH terms and DeCS, with limit: Humans. A metaanalysis was done using the software Comprehensive Meta-Analysis version 2. Results: 85 articles were included, finding high to moderate correlations between the objective measures performed by trained health care practitioners [DAS28, CDAI, SDAI, swollen joint count (SJC) and tender joint count (TJC) among others] and PROs (RAPIDs, RADAI, RADAR, HAQ, SJC and TJC) through metaanalysis applying the random effect models (p<0.0001). Conclusions: PROs have an adequate correlationand concordance with the objective measures done by the health care practitioners. It can be administrated in the clinical practice and clinical trials, without pretending to replace the clinical concept but with the aim to facilitate and optimize the clinical consult and the patient outcomes.
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U2 - 10.1016/S0121-8123(13)70010-0
DO - 10.1016/S0121-8123(13)70010-0
M3 - Artículo de revisión
AN - SCOPUS:85025711349
SN - 0121-8123
VL - 20
SP - 30
EP - 57
JO - Revista Colombiana de Reumatologia
JF - Revista Colombiana de Reumatologia
IS - 1
ER -