The prevalence and meaning of fatigue in rheumatic disease.

摘要: Objective. To determine the prevalence of fatigue in rheumatic disease ; to characterize strength associations between demographic and clinical features identify predictors fatigue, consequence clinically significant fatigue. Methods. 1488 consecutive patients with were assessed Clinical Health Assessment Questionnaire, a health status instrument scales for pain, global severity, sleep disturbance, gastrointestinal problems, anxiety, depression, status, satisfaction, work ability. All underwent examinations laboratory testing. Results. Fatigue measured by visual analog scale (VAS) was present 88-98% patients, but important levels (≥ 2.0 on VAS) more than 41% rheumatoid arthritis (RA) or osteoarthritis (OA) 76% those fibromyalgia (FM). related almost all variables, multivariate analyses strongest independent tender point count Questionnaire (HAQ) disability. About 90% R 2 model (all patients=0.51, RA=0.49, OA=0.45, FM=0.41) explained depression. In RA erythrocyte sedimentation rate, joint grip strength, no association inflammatory process could be found analyses. measuring strongly associated dysfunction general measures (VAS satisfaction). Conclusion. is common across diseases, associates distress, predictor overall status. The correlates are generally similar RA, OA FM. assessment adds much understanding management diseases.