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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1995-5-9
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pubmed:abstractText |
This study compares functional changes to change in measures of disease activity following the introduction of slow-acting anti-rheumatic drugs (SAARD) in patients with active rheumatoid arthritis (RA). Clinical and laboratory variables were simultaneously monitored at 6-monthly intervals, over approximately 18 months. Function was measured by a performance testing, the Keitel function index (KFI), which was divided into sections representing small and large joints [hand (HFI); wrist (WFI) and limb function index (LFI)]. One-hundred-and-fifteen patients were studied, of whom 21 were male. The mean age of the subjects was 49 yr (S.D. +/- 12) and mean duration of disease 7 yr (S.D. +/- 7). The mean KFI at entry was 38 (S.D. +/- 18) while at the end of the study it was 31 (S.D. +/- 17) (P < 0.0001). The change in KFI following therapy correlated with the change in Ritchie articular index (RAI) (r = 0.4; P < 0.0001), early morning stiffness (EMS) (r = 0.3; P = 0.004), swollen joint count (JC) (r = 0.4; P = 0.0005), C-reactive protein (CRP) (r = 0.2; P < 0.05) and Lansbury systemic index (LSI) (r = 0.35; P = 0.002), but not with change in Westergren erythrocyte sedimentation rate (ESR) or change in time to onset of fatigue. Multiple regression analysis showed that 32% of the variation in KFI at the end of the study could be predicted by a combination of ESR, sulphasalazine therapy, RAI, disease duration and chloroquine treatment at onset (P < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0263-7103
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
34
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
141-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7704460-Anti-Inflammatory Agents,
pubmed-meshheading:7704460-Arthritis, Rheumatoid,
pubmed-meshheading:7704460-Blood Sedimentation,
pubmed-meshheading:7704460-C-Reactive Protein,
pubmed-meshheading:7704460-Cohort Studies,
pubmed-meshheading:7704460-Disability Evaluation,
pubmed-meshheading:7704460-Extremities,
pubmed-meshheading:7704460-Female,
pubmed-meshheading:7704460-Hand,
pubmed-meshheading:7704460-Humans,
pubmed-meshheading:7704460-Joints,
pubmed-meshheading:7704460-Male,
pubmed-meshheading:7704460-Middle Aged,
pubmed-meshheading:7704460-Regression Analysis,
pubmed-meshheading:7704460-Wrist
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pubmed:year |
1995
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pubmed:articleTitle |
Responsiveness of Keitel functional index compared with laboratory measures of disease activity in rheumatoid arthritis.
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pubmed:affiliation |
Department of Medicine, Groote Schuur Hospital, Cape, South Africa.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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