Discordance of Global Estimates by Patients and Their Physicians in Usual Care of Many Rheumatic Diseases: Association With 5 Scores on a Multidimensional Health Assessment Questionnaire (MDHAQ) That Are Not Found on the Health Assessment Questionnaire (HAQ)

摘要: Objective To analyze discordance between global estimates by patients (PATGL) and their physicians (DOCGL) according to demographic self-report variables on a Multidimensional Health Assessment Questionnaire (MDHAQ) in with many rheumatic diseases seen usual care. Methods Each patient completed an MDHAQ at each visit, which includes scores for physical function, pain, PATGL, found the traditional (HAQ), sleep quality, anxiety, depression, joint count, fatigue, are not HAQ. A random visit of 980 any diagnosis was analyzed 3 categories: PATGL=DOCGL (within 2 10 units), PATGL>DOCGL (by ≥2 DOCGL>PATGL using descriptive statistics multinomial logistic regression models. Results Patients included 145 rheumatoid arthritis, 57 systemic lupus erythematosus, 173 osteoarthritis, 348 other inflammatory diseases, 257 noninflammatory diseases. Overall, 509 (52%), 371 (38%), 100 (10%). associated significantly older age, female sex, low formal education, Hispanic ethnicity, working, high function pain scores, poor sleep, available Pain fatigue were significant final regression; may raise awareness clinicians. Conclusion Global indicated poorer status than 38% conditions, 5