© 1996 British Society for Rheumatology
research-article |
HANDICAP IN INFLAMMATORY ARTHRITIS
Department of Public Health, Royal Free Hospital Medical School London NW3 2PF
*Department of Rheumatology, Poole Hospital NHS Trust Poole, Dorset BH15 2JB
Correspondence to:
Correspondence to: R. Harwood, Department of Health Care of the Elderly, B Floor Medical School, Queen's Medical Centre, Nottingham NG7 2UH
Two instruments measuring handicap were evaluated and compared with clinical, laboratory and disability measures. Participants were 133 patients attending a rheumatology follow-up clinic in a district general hospital, of whom 102 were followed up after 3 months. Measurements included acute-phase response, early morning stiffness, pain, wellbeing, joint involvement (impairments), the Stanford Health Assessment Questionnaire (disability), the Disease Repercussion Profile and the London Handicap Scale (handicap). A substantial burden of disability and handicap was recorded. There were moderate correlations between impairments (0.4 < rho < 0.6), and moderate to strong correlations between disability and handicap measures (0.4 < rho < 0.8). Correlations between impairment and disability/handicap were weak (rho < 0.4). Mean changes in all variables over 3 months were small, and none was statistically significant. A comprehensive description of the impact of disease and treatment requires measurements to be made of impairments, disabilities and handicaps. The use of clinical and laboratory variables alone may be misleading.
KEY WORDS: Outcomes, Health status, Impairments, Disability evaluation, Handicaps, Rheumatoid arthritis
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