Functional disability in rheumatoid arthritis: two different models in early and established disease.

Fiche publication


Date publication

mars 1992

Journal

The Journal of rheumatology

Auteurs

Membres identifiés du Cancéropôle Est :
Pr BRIANCON Serge, Pr GUILLEMIN Francis


Tous les auteurs :
Guillemin F, Briançon S, Pourel J

Résumé

A hypothesis that the development of functional disability in rheumatoid arthritis (RA) would be more rapid at the beginning than in established disease was studied in a group of 82 patients with RA referred to the Rheumatology Unit of Nancy, France. The relationship between disease activity, articular destruction and functional disability indicated a significant interaction (moderating effect) of disease duration. Two different models are proposed to explain functional disability. A model for early RA (less than 5 years duration) includes biological activity, and a model for established disease (more than 5 years) includes disease duration, extraarticular lesions and radiographic damage. These models could be useful in designs of therapeutic trials.

Mots clés

Arthritis, Rheumatoid, physiopathology, Disability Evaluation, Female, Humans, Male, Middle Aged, Models, Biological, Regression Analysis

Référence

J. Rheumatol.. 1992 Mar;19(3):366-9