Calidad de vida relacionada con la salud en pacientes con artritis reumatoide de Medellín-Colombia, 2014

Abstract

BackgroundRheumatoid arthritis affects the health related quality of life (HRQOL); the HRQOL complements clinical evaluation and is explained by multiple clinical and sociodemographic factors. ObjectiveTo evaluate the impact of rheumatoid arthritis on HRQOL and identify its main associated factors in a population of Medellín. Materials and methodsCross-sectional study all patients with rheumatoid arthritis of an institution of Medellín. A survey with demographic, socioeconomic and clinical variables, the Health Asssesment Questionaire Disability Index and International Physical Activity Questionnaires were applied. HRQOL was assessed with the Medical Outcome Study Short Form 36 (MOSSF-36). Analyses were based on frequencies, summary measures, U Mann Whitney test and Kruskal Wallis, Spearman correlations and multiple linear regression model in SPSS 21.0. Results112 patients were included with a mean age of 53±12years, 63.4% sedentary, the average years of diagnosis of the disease was 10.6±6.5years, 75% with any comorbidity; the mean HAQ-DI score was 0.84±.57. The dimension most affected in the HRQOL was physical performance with 35.3points and lower was social function with 67.7points. The functionality and physical activity, overweight, years of diagnosis, sex, age, and socioeconomic status were established as the main associated factors with HRQOL. ConclusionRheumatoid arthritis negatively impacts HRQOL. The identification of associated factors with HRQOL allows the implementation of interventions to improve the quality of life of these patients, while allowing focus the attention and monitoring in high risk groups such as sedentary and overweight or obese patients.