The relationship between synovitis quantified by an ultrasound
7-joint inflammation score and physical disability in
rheumatoid arthritis – a cohort study

J 2017

The relationship between synovitis quantified by an ultrasound 7-joint inflammation score and physical disability in rheumatoid arthritis – a cohort study

ZÁVADA, Jakub, Petra HÁNOVÁ, Jana HURŇÁKOVÁ, Lenka SZCZUKOVÁ, Michal UHER et. al.

Basic information

Original name

The relationship between synovitis quantified by an ultrasound 7-joint inflammation score and physical disability in rheumatoid arthritis – a cohort study

Authors

ZÁVADA, Jakub (203 Czech Republic), Petra HÁNOVÁ (203 Czech Republic), Jana HURŇÁKOVÁ (203 Czech Republic), Lenka SZCZUKOVÁ (203 Czech Republic, belonging to the institution), Michal UHER (203 Czech Republic, belonging to the institution), Šárka FOREJTOVÁ (203 Czech Republic), Martin KLEIN (203 Czech Republic), Herman MANN (203 Czech Republic), Marta OLEJÁROVÁ (203 Czech Republic), Olga RŮŽIČKOVÁ (203 Czech Republic), Olga ŠLÉGLOVÁ (203 Czech Republic), Karel HEJDUK (203 Czech Republic, guarantor, belonging to the institution) and Karel PAVELKA (203 Czech Republic)

Edition

Arthritis Research & Therapy, London, BioMed Central, 2017, 1478-6354

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30226 Rheumatology

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 4.269

RIV identification code

RIV/00216224:14110/17:00096206

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1186/s13075-016-1208-6

UT WoS

000396271600002

Keywords in English

Rheumatoid arthritis; Ultrasonography; Synovitis; Health assessment questionnaire

Abstract

V originále

Background: Restoring normal physical functioning is a major therapeutic aim in the management of rheumatoid arthritis (RA). It is unknown, whether the extent of synovial inflammation quantified by musculoskeletal ultrasound (US) can predict current or future capacity for physical functioning. To answer this question we investigated the longitudinal relationship between physical function assessed by the health assessment questionnaire (HAQ) and the German 7-joint ultrasound score (US7S) in a prospective cohort of patients with RA. Methods: Patients with RA (n = 185 (46 with incident and 139 with prevalent disease) were followed for 30.9 +/- 9. 1 months. Baseline and annual assessments comprised the disease activity score in 28 joints (DAS28), HAQ and US7S. The US7S includes semiquantitative measurements of synovitis assessed by greyscale (GS) and power Doppler (PD) in seven joints of the clinically dominant hand and foot, which are then aggregated in PD and GS synovitis sum-scores (PDsynSS and GSsynSS). A linear mixed-effect model was used to assess the longitudinal relationship between GSsynSS, PDsynSS and HAQ. We used standard and time-lag models to explore the association between HAQ, and GSsynSS, PDsynSS and DAS28 measured at the same time or at the previous visit 12 months ago, respectively. Results: When the standard model was applied, in univariate analyses HAQ score was positively associated with GSsynSS and PDsynSS with a coefficients significantly higher in incident than in prevalent disease. In multivariate analysis both synSSs were individually no longer significant predictors of HAQ score. When using the time-lag model, after adjustment for the previous DAS28 or HAQ score, both PDsynSS and GSsynSS were significantly and negatively associated with the current HAQ. Conclusions: US7 PD and GS synovitis sum-scores alone were positively associated with current functional status reflected by the HAQ in patients with RA, and this relationship was stronger in patients with early disease. When combined with the DAS28 or HAQ, US7 PD and GS synovitis sum-scores were predictive of the change in HAQ score over one year.

Citovat

ZÁVADA, Jakub, Petra HÁNOVÁ, Jana HURŇÁKOVÁ, Lenka SZCZUKOVÁ, Michal UHER, Šárka FOREJTOVÁ, Martin KLEIN, Herman MANN, Marta OLEJÁROVÁ, Olga RŮŽIČKOVÁ, Olga ŠLÉGLOVÁ, Karel HEJDUK and Karel PAVELKA. The relationship between synovitis quantified by an ultrasound 7-joint inflammation score and physical disability in rheumatoid arthritis – a cohort study. Arthritis Research & Therapy. London: BioMed Central, 2017, vol. 19, No 5, p. 1-10. ISSN 1478-6354. Available from: https://dx.doi.org/10.1186/s13075-016-1208-6.

@article{1373495,
   author = {Závada, Jakub and Hánová, Petra and Hurňáková, Jana and Szczuková, Lenka and Uher, Michal and Forejtová, Šárka and Klein, Martin and Mann, Herman and Olejárová, Marta and Růžičková, Olga and Šléglová, Olga and Hejduk, Karel and Pavelka, Karel},
   article_location = {London},
   article_number = {5},
   doi = {http://dx.doi.org/10.1186/s13075-016-1208-6},
   keywords = {Rheumatoid arthritis; Ultrasonography; Synovitis; Health assessment questionnaire},
   language = {eng},
   issn = {1478-6354},
   journal = {Arthritis Research & Therapy},
   title = {The relationship between synovitis quantified by an ultrasound 7-joint inflammation score and physical disability in rheumatoid arthritis – a cohort study},
   volume = {19},
   year = {2017}
}

TY  - JOUR
ID  - 1373495
AU  - Závada, Jakub - Hánová, Petra - Hurňáková, Jana - Szczuková, Lenka - Uher, Michal - Forejtová, Šárka - Klein, Martin - Mann, Herman - Olejárová, Marta - Růžičková, Olga - Šléglová, Olga - Hejduk, Karel - Pavelka, Karel
PY  - 2017
TI  - The relationship between synovitis quantified by an ultrasound 7-joint inflammation score and physical disability in rheumatoid arthritis – a cohort study
JF  - Arthritis Research & Therapy
VL  - 19
IS  - 5
SP  - 1-10
EP  - 1-10
PB  - BioMed Central
SN  - 14786354
KW  - Rheumatoid arthritis
KW  - Ultrasonography
KW  - Synovitis
KW  - Health assessment questionnaire
N2  - Background: Restoring normal physical functioning is a major therapeutic aim in the management of rheumatoid arthritis (RA). It is unknown, whether the extent of synovial inflammation quantified by musculoskeletal ultrasound (US) can predict current or future capacity for physical functioning. To answer this question we investigated the longitudinal relationship between physical function assessed by the health assessment questionnaire (HAQ) and the German 7-joint ultrasound score (US7S) in a prospective cohort of patients with RA. Methods: Patients with RA (n = 185 (46 with incident and 139 with prevalent disease) were followed for 30.9 +/- 9. 1 months. Baseline and annual assessments comprised the disease activity score in 28 joints (DAS28), HAQ and US7S. The US7S includes semiquantitative measurements of synovitis assessed by greyscale (GS) and power Doppler (PD) in seven joints of the clinically dominant hand and foot, which are then aggregated in PD and GS synovitis sum-scores (PDsynSS and GSsynSS). A linear mixed-effect model was used to assess the longitudinal relationship between GSsynSS, PDsynSS and HAQ. We used standard and time-lag models to explore the association between HAQ, and GSsynSS, PDsynSS and DAS28 measured at the same time or at the previous visit 12 months ago, respectively. Results: When the standard model was applied, in univariate analyses HAQ score was positively associated with GSsynSS and PDsynSS with a coefficients significantly higher in incident than in prevalent disease. In multivariate analysis both synSSs were individually no longer significant predictors of HAQ score. When using the time-lag model, after adjustment for the previous DAS28 or HAQ score, both PDsynSS and GSsynSS were significantly and negatively associated with the current HAQ. Conclusions: US7 PD and GS synovitis sum-scores alone were positively associated with current functional status reflected by the HAQ in patients with RA, and this relationship was stronger in patients with early disease. When combined with the DAS28 or HAQ, US7 PD and GS synovitis sum-scores were predictive of the change in HAQ score over one year.
ER  -

ZÁVADA, Jakub, Petra HÁNOVÁ, Jana HURŇÁKOVÁ, Lenka SZCZUKOVÁ, Michal UHER, Šárka FOREJTOVÁ, Martin KLEIN, Herman MANN, Marta OLEJÁROVÁ, Olga RŮŽIČKOVÁ, Olga ŠLÉGLOVÁ, Karel HEJDUK and Karel PAVELKA. The relationship between synovitis quantified by an ultrasound 7-joint inflammation score and physical disability in rheumatoid arthritis – a cohort study. \textit{Arthritis Research \&{} Therapy}. London: BioMed Central, 2017, vol.~19, No~5, p.~1-10. ISSN~1478-6354. Available from: https://dx.doi.org/10.1186/s13075-016-1208-6.

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