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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:
Marwa Ahmed Hany Buheirah
Staff Zu Site
Abstract In Staff Site
Journal:
Clinical Rheumatology Springer Nature
Volume:
Keywords :
Comparison between different disease activity scores
Abstract:
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
Marwa Ahmed Hany Buheirah, "Carotid plaques in adult rheumatoid arthritis patients; association with paroxonase 1 enzymatic activity and Q192R paroxonase 1 gene polymorphism", Springer Nature, 2020
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Marwa Ahmed Hany Buheirah, "Audio‑vestibular Dysfunction in Rheumatoid Arthritis: An Undervalued Extra‑articular Feature", Wolters Kluwer – Medknow, 2020
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Marwa Ahmed Hany Buheirah, "Impact of coronavirus disease 2019 (COVID- 19) pandemic on attitude, behavior, and mental health of patients with rheumatic diseases", Elsevier, 2020
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Marwa Ahmed Hany Buheirah, "Anti-mullerian Hormone Levels in Premenopausal Systemic Lupus Erythematosus Patient", Zagazig University, 2020
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Marwa Ahmed Hany Buheirah, "Albumin to Fibrinogen Ratio and C-Reactive Protein to Albumin Ratio in Ankylosing Spondylitis Patients: Correlation with Disease Activity.", Zagazig University, 2021
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Department Related Publications
Wafaa Kamal Fattouh Mustafa Makram, "Impact of home exercise program on self-efficacy and quality of life among primary knee osteoarthritis patients: a randomized controlled clinical study", Springer, 2021
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Wafaa Kamal Fattouh Mustafa Makram, "Correlation between Relative Expression of IL 17 and PERP in Rheumatoid Arthritis Patients and Disease Activity", Modern Commercial Press, 2019
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Sahar Mahfouz Abdelgelil, "Serum hepcidin and interleukin-6 in systemic lupus erythematosus patients; crucial factors for correction of anemia", Springer, 2020
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Sahar Mahfouz Abdelgelil, "Influence of Matrix Metalloproteinase 1 and 3 Genetic Variations on Susceptibility and Severity of Juvenile Idiopathic Arthritis", IUBMB, 2015
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Amany Mohamed Ibrahim Mouhmmed, "Association of Tumor Necrosis Like factor 1 A (TL1A) and its Decoy Receptor (DcR3) with The Disease Activity and Autoantibody Production in Rheumatoid Arthritis Patients.", Modern Commercial Press, 2019
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