Effect of Enthesitis on 1505 Brazilian Patients with Spondyloarthritis

dc.contributor.authorCarneiro, Sueli
dc.contributor.authorADRIANA BRUSCATO BORTOLUZZO
dc.contributor.authorGonçalves, Celio
dc.contributor.authorSilva, José Antonio Braga da
dc.contributor.authorXimenes, Antonio C.
dc.contributor.authorBértolo, Manoel
dc.contributor.authorRibeiro, Sandra Lúcia
dc.contributor.authorKeiserman, Mauro
dc.contributor.authorSkare, Thelma
dc.contributor.authorMenin, Rita
dc.contributor.authorAzevedo, Valderilio
dc.contributor.authorVieira, Walber
dc.contributor.authorAlbuquerque, Elisa
dc.contributor.authorBianchi, Washington
dc.contributor.authorBonfiglioli, Rubens
dc.contributor.authorCampanholo, Cristiano
dc.contributor.authorCarvalho, Hellen Mary de
dc.contributor.authorCosta, Izaias da
dc.contributor.authorDuarte, Angela
dc.contributor.authorKohem, Charles
dc.contributor.authorLeite, Nocy
dc.contributor.authorLima, Sonia A L
dc.contributor.authorMeirelles, Eduardo S
dc.contributor.authorPereira, Ivânio A
dc.contributor.authorPinheiro, Marcelo M
dc.contributor.authorPolito, Elizandra
dc.contributor.authorResende, Gustavo G
dc.contributor.authorRocha, Francisco Airton C
dc.contributor.authorSantiago, Mittermayer B
dc.contributor.authorSauma, Maria de Fátima L C
dc.contributor.authorValim, Valéria
dc.contributor.authorSampaio-Barros, Percival D
dc.coverage.cidadeTorontopt_BR
dc.coverage.paisCanadápt_BR
dc.creatorCarneiro, Sueli
dc.creatorGonçalves, Celio
dc.creatorSilva, José Antonio Braga da
dc.creatorXimenes, Antonio C.
dc.creatorBértolo, Manoel
dc.creatorRibeiro, Sandra Lúcia
dc.creatorKeiserman, Mauro
dc.creatorSkare, Thelma
dc.creatorMenin, Rita
dc.creatorAzevedo, Valderilio
dc.creatorVieira, Walber
dc.creatorAlbuquerque, Elisa
dc.creatorBianchi, Washington
dc.creatorBonfiglioli, Rubens
dc.creatorCampanholo, Cristiano
dc.creatorCarvalho, Hellen Mary de
dc.creatorCosta, Izaias da
dc.creatorDuarte, Angela
dc.creatorKohem, Charles
dc.creatorLeite, Nocy
dc.creatorLima, Sonia A L
dc.creatorMeirelles, Eduardo S
dc.creatorPereira, Ivânio A
dc.creatorPinheiro, Marcelo M
dc.creatorPolito, Elizandra
dc.creatorResende, Gustavo G
dc.creatorRocha, Francisco Airton C
dc.creatorSantiago, Mittermayer B
dc.creatorSauma, Maria de Fátima L C
dc.creatorValim, Valéria
dc.creatorSampaio-Barros, Percival D
dc.date.accessioned2022-10-08T12:13:51Z
dc.date.available2022-10-08T12:13:51Z
dc.date.issued2013
dc.description.otherAbstract Objective. To analyze the clinical effect of enthesitis in a large Brazilian cohort of patients with spondyloarthritis (SpA). Methods. A common protocol of investigation was prospectively applied to 1505 patients with SpA in 29 centers in Brazil. Clinical and demographic variables and disease indexes were investigated. The Maastricht Ankylosing Spondylitis Enthesitis Score was used to investigate the enthesitis component. Ankylosing spondylitis was the most frequent disease in the group (65.4%). Others were psoriatic arthritis (18.4%), undifferentiated SpA (6.7%), reactive arthritis (3.3%), and enteropathic arthritis (3.2%). Results. At least 1 affected enthesis was observed in 54% of the patients with SpA, with a mean of 2.12 ± 2.98 entheses affected. According to the clinical presentation, enthesitis was significantly more frequent in patients with axial + peripheral joint involvement compared to isolated axial or peripheral involvement (p < 0.001). There was a statistical association between the presence of enthesites and axial symptoms (buttock pain, cervical pain, and hip pain), and peripheral symptoms (lower limb arthritis, number of painful and swollen joints; p < 0.05). Patients with enthesitis also presented higher mean scores of Bath Ankylosing Spondylitis Functional Index (BASFI; p < 0.001), Bath Ankylosing Spondylitis Disease Activity Index (p < 0.001), and Ankylosing Spondylitis Quality of Life (ASQoL; p < 0.001). Multivariate logistic regression showed that BASFI (p < 0.0001; OR 74.839), ASQoL (p = 0.0001; OR 14.645), and Achilles tendonitis (p = 0.0059; OR 7.593) were associated with work incapacity. Conclusion. The clinical presence of enthesitis in this large cohort of patients with SpA was frequent and was associated with a significant increase in disease activity and decline in functional capacity and quality of life.pt_BR
dc.format.extent1719 - 1725pt_BR
dc.format.mediumDigitalpt_BR
dc.identifier.doiDOI: https://doi.org/10.3899/jrheum.121145pt_BR
dc.identifier.issn0315-162Xpt_BR
dc.identifier.issue10pt_BR
dc.identifier.urihttps://repositorio.insper.edu.br/handle/11224/4196
dc.identifier.volume40pt_BR
dc.language.isoInglêspt_BR
dc.publisherCanadian Rheumatology Associationpt_BR
dc.relation.ispartofThe Journal of Rheumatologypt_BR
dc.relation.urihttps://www.jrheum.org/content/40/10/1719pt_BR
dc.rights.licenseO INSPER E ESTE REPOSITÓRIO NÃO DETÊM OS DIREITOS DE USO E REPRODUÇÃO DOS CONTEÚDOS AQUI REGISTRADOS. É RESPONSABILIDADE DOS USUÁRIOS INDIVIDUAIS VERIFICAR OS USOS PERMITIDOS NA FONTE ORIGINAL, RESPEITANDO-SE OS DIREITOS DE AUTOR OU EDITOR;pt_BR
dc.subject.keywordsSPONDYLOARTHRITISpt_BR
dc.subject.keywordsANKYLOSING SPONDYLITISpt_BR
dc.subject.keywordsPSORIATIC ARTHRITISpt_BR
dc.subject.keywordsENTHESITISpt_BR
dc.subject.keywordsMAASTRICHT ANKYLOSING SPONDYLITIS ENTHESITIS SCOREpt_BR
dc.titleEffect of Enthesitis on 1505 Brazilian Patients with Spondyloarthritispt_BR
dc.typejournal article
dspace.entity.typePublication
local.subject.cnpqCiências da Saúdept_BR
local.typeArtigo Científicopt_BR
relation.isAuthorOfPublicationccfd47d5-bd80-4464-98ce-629abb672e3d
relation.isAuthorOfPublication.latestForDiscoveryccfd47d5-bd80-4464-98ce-629abb672e3d
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