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Relevance and feasibility of a systematic screening of multimorbidities in patients with chronic inflammatory rheumatic diseases
- Source :
- Joint Bone Spine, Joint Bone Spine, 2018, 86 (1), pp.49-54. ⟨10.1016/j.jbspin.2018.03.016⟩, Joint Bone Spine, Elsevier Masson, 2018, ⟨10.1016/j.jbspin.2018.03.016⟩, Joint Bone Spine, Elsevier Masson, 2018, 〈10.1016/j.jbspin.2018.03.016〉, Joint Bone Spine, Elsevier Masson, 2018, 86 (1), pp.49-54. ⟨10.1016/j.jbspin.2018.03.016⟩
- Publication Year :
- 2018
- Publisher :
- HAL CCSD, 2018.
-
Abstract
- International audience; Objectives: EULAR recently proposed to screen multimorbidities in chronic inflammatory rheumatic diseases. The aims of the study were to define the most common multimorbidities in chronic inflammatory rheumatic diseases, compare the screening approach performed in the clinic with the recent EULAR recommendations, validate the points to consider for the systematic standardized multimorbidity screening proposed by EULAR and assess feasibility of such a screening in a daily clinic.Methods: Data were collected prospectively during a 1-day multimorbidity clinic. Diabetes, hypertension, CVD damage, chronic respiratory diseases, osteoporosis and preventive measures were assessed. The comparison with EULAR points to consider was performed retrospectively.Results: We included 200 consecutive patients (157 with rheumatoid arthritis, 37 spondyloarthritis, and 6 connective tissue diseases or vasculitis). The most common multimorbidities already diagnosed in our patients were hypertension (26%) and diabetes (7.5%). Screening showed that 61.5% (CI95%: 54.6%-67.9%) patients presented at least one undiagnosed or uncontrolled diseases: diabetes (6%), hypertension (20.6%), dyslipidemia (16.1%) valvulopathies (16.8%), peripheral artery disease (4.5%); carotid stenosis (6.5%) and aortic aneurysm (5.5%). Overall, 39.9% patients had incomplete cancer screening and 52.8% incomplete vaccine schedule. Undiagnosed pulmonary obstruction and risk of sleep apnea were suspected in 15.5% and 40.1% patients, respectively.Conclusion: This study underlines the relevance of a systematic screening of multimorbidities in chronic inflammatory rheumatic diseases and its feasibility in a 1-day clinic. Spirometry and sleep apnea screening should be added to EULAR points to consider. The long-term impact of such screening needs to be evaluated.
- Subjects :
- Lung Diseases
Male
[SDV]Life Sciences [q-bio]
Disease
Arthritis, Rheumatoid
0302 clinical medicine
Risk Factors
Cancer screening
Lupus Erythematosus, Systemic
Mass Screening
030212 general & internal medicine
Connective Tissue Diseases
skin and connective tissue diseases
EULAR point to consider
[SDV.MHEP.RSOA] Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system
medicine.diagnostic_test
Vaccination
Sleep apnea
Middle Aged
3. Good health
[SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system
Rheumatoid arthritis
Psoriatic arthritis
Screening
Female
Spirometry
Vasculitis
musculoskeletal diseases
medicine.medical_specialty
education
Risk Assessment
03 medical and health sciences
Rheumatology
Internal medicine
Diabetes mellitus
Rheumatic Diseases
Spondylarthritis
Spondyloarthritis
medicine
Humans
Aged
030203 arthritis & rheumatology
[ SDV ] Life Sciences [q-bio]
business.industry
Multimorbidity
medicine.disease
Cardiovascular disease risk
Polymyositis
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
Lung disease
Chronic Disease
Feasibility Studies
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
Dyslipidemia
Subjects
Details
- Language :
- English
- ISSN :
- 1297319X
- Database :
- OpenAIRE
- Journal :
- Joint Bone Spine, Joint Bone Spine, 2018, 86 (1), pp.49-54. ⟨10.1016/j.jbspin.2018.03.016⟩, Joint Bone Spine, Elsevier Masson, 2018, ⟨10.1016/j.jbspin.2018.03.016⟩, Joint Bone Spine, Elsevier Masson, 2018, 〈10.1016/j.jbspin.2018.03.016〉, Joint Bone Spine, Elsevier Masson, 2018, 86 (1), pp.49-54. ⟨10.1016/j.jbspin.2018.03.016⟩
- Accession number :
- edsair.doi.dedup.....c47cbce893c6df947e14f41a50a89dfe