- 作者：Everardo Á ; lvarez-Herná ; ndez ; everalvh@yahoo.com.mx ; Jorge A. Zamudio-Lerma ; Gabriela Burgos-Martí ; nez ; Sandra E. Á ; lvarez-Etchegaray ; Ingris Pelaez-Ballestas ; J. Vá ; zquez-Mellado
- 关键词：Gota cró ; nica tofá ; cea ; Calidad de vida relacionada con la salud ; Capacidad funcional
- 刊名：Reumatolog¨ªa Cl¨ªnica
- 出版年：2009
- 出版时间：May-June 2009
- 年：2009
- 卷：5
- 期：3
- 页码：103-108
- 全文大小：160 K
Introduction
In gout there are few instruments validated for the evaluation of activity, functional capacity or quality of life. It is not known if generic instruments such as the MOS-20, or specific for other illnesses, such as the AIMS, can be applied to patients with Gout.
Objective
To evaluate the clinimetric characteristic of the MOS-20 and AIMS questionnaires, and their correlation with HAQ-DI, as well as with clinical variables in patient with tophaceous gout (TG).
Methods
49 patients with TG were included. Demographic and clinical variables were obtained. The 3 questionnaires were applied at the basal evaluation. A second evaluation was applied to 20 patients, 8 weeks later.
Results
All patients were male. The time of since onset of the illness was 14.9¡À8.3 years. The HAQ-DI was 0.43¡À0.56 with an alpha of Cronbach (¦ÁC) of 0.95 and the intraclass correlation coefficient (ICC) was 0.86. The MOS-20 had an ¦ÁC of 0.68 to 1.0 and a ICC of 0.27 to 0.61 between the several components. The AIMS had an ¦ÁC of 0.66 to 0.96, and a ICC of 0.11 to 0.79 between the several components. Reliability was better between the physical components in MOS-20 and AIMS. The MOS-20, AIMS and the HAQ-DI correlated with the presence of joints with functional limitation. There weren¡¯t any significant differences among the patients with inflamed joints, nor in those with tophi. The HAQ-DI was best correlated with the physical component than with the mental component of the AIMS and the MOS-20.
Conclusion
The AIMS, the MOS-20 and the HAQ-DI are useful in measuring the functional capacity and the quality of life in patient with TG.