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Comparison between different disease activity scores in rheumatoid arthritis: an Egyptian multicenter study
Faculty
Medicine
Year:
2017
Type of Publication:
ZU Hosted
Pages:
Authors:
Abeer Mohamed Ahmed Elshafaei
Staff Zu Site
Abstract In Staff Site
Journal:
Clinical Rheumatology Clinical Rheumatology
Volume:
Keywords :
Comparison between different disease activity scores in
Abstract:
The aim of our work was to assess the performance of different Disease Activity Score (DAS) other than DASESR in daily clinical practice in our Egyptian outpatient clinics and also to evaluate the accuracy of European League Against Rheumatism Classification (EULAR) proposed cutoffs for these scores to stratify Egyptian patients into different categories of disease activity. This study is a cross-sectional Egyptian multicenter study. It included 130 rheumatoid arthritis (RA) patients who visited our Rheumatology and Rehabilitation outpatient and inpatient clinics; 80 patients from Cairo University Hospitals and 50 patients from Zagazig University Hospitals. The patients fulfilled the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism Classification criteria for rheumatoid arthritis. Disease Activity Score 28-ESR (DAS28-ESR), DAS28-CRP, Simplified Disease Activity Index (SDAI), and Clinical Disease Activity Index (CDAI) were calculated. A significant positive correlation was found between all three scores and morning stiffness, ESR, Modified Health Assessment Questionnaire (MHAQ), and DAS-ESR. Also, there was a significant negative correlation between DASCRP and hemoglobin and a significant positive correlation with CRP. Also, there was a highly significant moderate agreement between DAS-ESR and DAS-CRP using Fleischmann et al. thresholds and also between DAS-ESR and SDAI. While a highly significant fair agreement was found between DAS-ESR and DAS-CRP using DAS-ESR thresholds and between DAS-ESR and CDAI. We conclude that DAS-CRP, SDAI, and CDAI are very useful in representing disease activity in RA patients in our outpatient clinics being well correlated with many markers of disease activity. We recommend huge multicenter studies in Egypt and in different populations to define new cutoff values to optimize their use in clinical setting.
Author Related Publications
Abeer Mohamed Ahmed Elshafaei, "Interferon alpha gene expression and serum level association with low vitamin D levels in Egyptian female patients with systemic lupus erythematosus", Lupus, 2018
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Abeer Mohamed Ahmed Elshafaei, "Serum interleukin-23 level in rheumatoid arthritis patients: Relation to disease activity and severity", Egyptian Rheumatologist, 2018
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Abeer Mohamed Ahmed Elshafaei, "Baseline serum level of matrix metalloproteinase-3 as a biomarker of progressive joint damage in rheumatoid arthritis patients", الانترنت, 2014
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Abeer Mohamed Ahmed Elshafaei, "Polymorphism in vitamin D receptor and osteoprotegerin genes in Egyptian rheumatoid arthritis patients with and without osteoporosis", الانترنت, 2012
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Abeer Mohamed Ahmed Elshafaei, "Effectiveness of the intra-articular injection of platelet rich plasma in the treatment of patients with primary knee osteoarthritis", المجلة, 2014
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