14 results on '"Laura Cano-García"'
Search Results
2. Interstitial Lung Disease Is Associated with Sleep Disorders in Rheumatoid Arthritis Patients
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Natalia Mena-Vázquez, Rocío Redondo-Rodriguez, Pablo Cabezudo-García, Aimara Garcia-Studer, Fernando Ortiz-Márquez, Paula Borregón-Garrido, Manuel Martín-Valverde, Inmaculada Ureña-Garnica, Sara Manrique-Arija, Laura Cano-García, and Antonio Fernández-Nebro
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interstitial lung disease ,rheumatoid arthritis ,sleep disorders ,insomnia ,sleep satisfaction ,Medicine - Abstract
Objective: To evaluate sleep disorders and associated factors in patients with rheumatoid-arthritis-associated interstitial lung disease (RA-ILD). Methods: We performed an observational study of 35 patients with RA-ILD (cases) and 35 age- and sex-matched RA patients without ILD (controls). We evaluated sleep disorders (Oviedo Sleep Questionnaire), positive psychological factors (resilience using the Wagnild and Young Resilience Scale, emotional intelligence using the 24-item Trait Meta-Mood Scale), anxiety and depression (Hospital Anxiety and Depression Scale), quality of life (36-item short-form survey), and fatigue (Functional Assessment of Chronic Illness Therapy Questionnaire). Other variables studied included the Charlson Comorbidity Index (CCI) and RA activity according to the DAS28-ESR. Results: Compared to the controls, the cases were characterized by poorer sleep quality with a higher prevalence of insomnia (42% vs. 20%; p = 0.039), greater severity of insomnia (p = 0.001), and lower sleep satisfaction (p = 0.033). They also had poorer resilience and emotional recovery and more severe anxiety and depression. A diagnosis of ILD was the only factor independently associated with the three dimensions of sleep quality. The predictors of poorer sleep satisfaction in patients with RA-ILD were age (β = −0.379), DAS28-ESR (β = −0.331), and usual interstitial pneumonia pattern (β = −0.438). The predictors of insomnia were DAS28-ESR (β = 0.294), resilience (β = −0.352), and CCI (β = 0.377). Conclusions: RA-ILD is associated with significant sleep disorders. RA-ILD seems to be an independent risk factor for sleep alterations, with a greater impact on insomnia. Age, disease activity, and comorbidity also play a role in sleep disorders in patients with RA-ILD.
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- 2023
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3. Severity and impact of digestive impairment perceived by patients with systemic sclerosis: a cross-sectional study
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Antonio Fernández-Nebro, Sara Manrique-Arija, Natalia Mena-Vazquez, Laura Cano-García, Rocío Redondo-Rodríguez, Aimara García-Studer, Fernando Ortiz-Marquez, and Paula Borregón-Garrido
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Medicine - Abstract
Objectives To describe the severity and impact of gastrointestinal involvement in patients with systemic sclerosis (SSc) and identify associated factors.Patients and methods Non-controlled cross-sectional study of patients with SSc (2013 American College of Rheumatology/European League Against Rheumatism criteria). The main variables were severity of gastrointestinal involvement according to the University of California, Los Angeles Scleroderma Clinical Trials Consortium Gastrointestinal Tract 2.0 instrument (UCLA SCTC GIT 2.0) and dysphagia according to the Eating Assessment Tool-10 (EAT-10). We evaluated reflux, distension, diarrhoea, faecal soilage, constipation, emotional well-being and social functioning, as well as dysphagia. Clinical and epidemiological data were collected using the Mini Nutritional Assessment Short Form (MNA-SF) and the EuroQol-5D-3L. The degree of skin fibrosis was assessed using the modified Rodnan skin score (mRSS). Multivariate models were constructed to analyse factors associated with gastrointestinal involvement and dysphagia.Results Of the 75 patients with SSc included, 58.7% had moderate, severe or very severe reflux, 57.4% had constipation according to UCLA SCTC GIT 2.0 and 49.7% had abdominal distension. Gastrointestinal symptoms interfered significantly with social functioning (42.7%) and emotional well-being (40.0%). Dysphagia (EAT-10≥3) was recorded in 52% of patients, and according to MNA-SF poor nutrition in 30.7%, and clear malnutrition requiring a nutritional intervention in 5.3%. Multivariate adjustment revealed an association between severity of gastrointestinal symptoms according to the mRSS (β=0.249; p=0.002) and Visual Analogue Scale 3-Level EuroQol-5D (VAS-EQ-5D-3L) (β=–0.302; p=0.001), whereas presence of dysphagia was associated with the mRSS (OR=2.794; p=0.015), VAS-EQ-5D-3L (OR=0.950; p=0.005) and malnutrition (MNA-SF≤7; OR=3.920; p=0.041).Conclusions Patients with SSc frequently present severe gastrointestinal symptoms. These are associated with poor quality of life, more severe skin involvement and malnutrition.
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- 2024
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4. Adiposity is associated with expansion of the genus Dialister in rheumatoid arthritis patients
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Natalia Mena-Vázquez, Patricia Ruiz-Limón, Isabel Moreno-Indias, Sara Manrique-Arija, Jose Manuel Lisbona-Montañez, José Rioja, Arkaitz Mucientes, Gracia María Martin-Núñez, Laura Cano-García, Francisco J. Tinahones, and Antonio Fernández-Nebro
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Rheumatoid arthritis ,Gut microbiota ,Obesity ,Adiposity ,Body composition ,Inflammation ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Objective: To analyze the intestinal microbiota of patients with rheumatoid arthritis (RA) and obesity and a higher percentage of fatty tissue. Methods: Nested case-control study of 80 RA patients and 80 age and sex-matched controls. Obesity was defined as a body mass index ≥ 30, and body composition using dual-energy x-ray absorptiometry. The gut microbiota was analyzed using 16 S rRNA gene sequencing; bioinformatics analysis was performed using QIIME2 and PICRUSt. Other variables included averaged 28-joint Disease Activity Score (DAS28-ESR), cytokines and adipokines. Two multivariate were constructed with obesity and fat mass index (FMI). Results: Obesity was more frequent in RA patients than in controls (36.3 % vs 25.1 %; p = 0.026), as was a higher FMI value (mean [SE]=11.6 [3.9] vs 10.2 [3.9]; p = 0.032). Alpha and beta diversity analysis revealed differences in gut microbiota between RA patients with and without obesity. Dialister and Odoribacter were more abundant in RA patients with obesity than in RA patients without obesity, while the genus Clostridium was more abundant in RA patients without obesity. The factors associated with obesity in RA patients were age (OR [95 % CI], 1.09 [1.02–1.17]), mean DAS28-ESR (OR [95 % CI], 1.46 [1.12–1.67]), leptin levels (OR [95 % CI], 1.06 [1.01–1.10]), the genus Dialister (OR [95 % CI], 1.03 [1.01–1.07]), and the genus Clostridium (OR [95 % CI], 0.013 [0.00–0.36]). The associations observed for FMI were similar. Conclusions: In patients with RA, obesity, and a higher percentage of fatty tissue, intestinal microbiota differed from that of controls and of the other patients. The genus Dialister was associated with obesity and FMI.
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- 2023
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5. Prevalence of Malnutrition and Associated Factors in Older Patients with Rheumatoid Arthritis: A Cross-Sectional Study
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Laura Cano-García, Rocío Redondo-Rodríguez, Sara Manrique-Arija, Carmen Domínguez-Quesada, Juan Crisóstomo Vacas, Pedro Armenteros-Ortiz, Desiree Ruiz-Vilchez, José María Martín-Martín, Aimara García-Studer, Fernando Ortiz-Márquez, Natalia Mena-Vázquez, and Antonio Fernández-Nebro
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rheumatoid arthritis ,elderly ,malnutrition ,inflammation ,quality of life ,physical function ,Nutrition. Foods and food supply ,TX341-641 - Abstract
Objective: To describe the frequency of malnutrition in older patients with rheumatoid arthritis (RA) and investigate associated risk factors. Methods: This multicenter, cross-sectional study included participants aged ≥65 years who met the 2010 ACR/EULAR criteria for RA. Nutritional status was assessed using the Mini Nutritional Assessment Short Form (MNA-SF) and based on variables, such as albumin level, the Geriatric Nutritional Risk Index (GNRI), and vitamin D. Data were also collected on epidemiological variables, inflammatory disease activity, quality of life, physical function, and frailty. Multivariate models were used to study factors associated with nutritional status. Results: The study population comprised 76 RA patients aged ≥65 years, of whom 68.4% had a normal nutritional status, and 31.5% had an impaired nutritional status: 28.9% were at risk of malnutrition, and 2.6% were malnourished. Additionally, 10% had albumin levels p = 0.035), DAS28-ESR (1.8 [1.0–3.2]; p = 0.024), and EuroQoL-5D-5L (0.9 [0.9–0.9]; p = 0.040). Furthermore, the GNRI was associated with the MNA score (0.06 [0.0–0.1]; p = 0.014). Conclusions: Approximately one-third of older patients with RA have impaired nutritional status. Older age, higher inflammatory disease activity, and decreased quality of life are associated with impaired nutritional status. The MNA and GNRI are valuable tools for assessing the nutritional status of patients with RA.
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- 2023
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6. Inflammatory profile of incident cases of late-onset compared with young-onset rheumatoid arthritis: A nested cohort study
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Natalia Mena-Vázquez, Jose Manuel Lisbona-Montañez, Rocío Redondo-Rodriguez, Arkaitz Mucientes, Sara Manrique-Arija, José Rioja, Aimara Garcia-Studer, Fernando Ortiz-Márquez, Laura Cano-García, and Antonio Fernández-Nebro
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late-onset rheumatoid arthritis ,young-onset rheumatoid arthritis ,aging ,inflammation ,early rheumatoid arthritis ,Medicine (General) ,R5-920 - Abstract
ObjectivesTo describe the characteristics of patients between late-onset rheumatoid arthritis (LORA) with young-onset (YORA), and analyze their association with cumulative inflammatory burden.MethodsWe performed a nested cohort study in a prospective cohort comprising 110 patients with rheumatoid arthritis (RA) and 110 age- and sex-matched controls. The main variable was cumulative inflammatory activity according to the 28-joint Disease Activity Score with erythrocyte sedimentation rate (DAS28-ESR). High activity was defined as DAS28 ≥ 3.2 and low activity as DAS28 < 3.2. The other variables recorded were inflammatory cytokines, physical function, and comorbid conditions. Two multivariate models were run to identify factors associated with cumulative inflammatory activity.ResultsA total of 22/110 patients (20%) met the criteria for LORA (≥ 60 years). Patients with LORA more frequently had comorbid conditions than patients with YORA and controls. Compared with YORA patients, more LORA patients had cumulative high inflammatory activity from onset [13 (59%) vs. 28 (31%); p = 0.018] and high values for CRP (p = 0.039) and IL-6 (p = 0.045). Cumulative high inflammatory activity in patients with RA was associated with LORA [OR (95% CI) 4.69 (1.49–10.71); p = 0.008], smoking [OR (95% CI) 2.07 (1.13–3.78); p = 0.017], anti–citrullinated peptide antibody [OR (95% CI) 3.24 (1.15–9.13); p = 0.025], average Health Assessment Questionnaire (HAQ) score [OR (95% CI) 2.09 (1.03–14.23); p = 0.034], and physical activity [OR (95% CI) 0.99 (0.99–0.99); p = 0.010]. The second model revealed similar associations with inflammatory activity in patients with LORA.ConclusionControl of inflammation after diagnosis is poorer and comorbidity more frequent in patients with LORA than in YORA patients and healthy controls.
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- 2022
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7. Collinsella is associated with cumulative inflammatory burden in an established rheumatoid arthritis cohort
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Patricia Ruiz-Limón, Natalia Mena-Vázquez, Isabel Moreno-Indias, Sara Manrique-Arija, Jose Manuel Lisbona-Montañez, Laura Cano-García, Francisco J. Tinahones, and Antonio Fernández-Nebro
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Gut microbiota ,Inflammation ,Rheumatoid arthritis ,Collinsella ,Cumulative inflammatory burden ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Objective: To analyze the gut microbiota of patients with rheumatoid arthritis (RA) according to disease activity. Methods: An observational cross-sectional study of 110 patients with RA and 110 age- and sex-matched controls was performed. Patients were classified according to the disease activity (DAS28 ≥3.2 or DAS28
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- 2022
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8. Sarcopenia and Nutrition in Elderly Rheumatoid Arthritis Patients: A Cross-Sectional Study to Determine Prevalence and Risk Factors
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Laura Cano-García, Sara Manrique-Arija, Carmen Domínguez-Quesada, Juan Crisóstomo Vacas-Pérez, Pedro J. Armenteros-Ortiz, Desiré Ruiz-Vilchez, José María Martín-Martín, Rocío Redondo-Rodríguez, Aimara García-Studer, Fernando Ortiz-Márquez, Natalia Mena-Vázquez, and Antonio Fernández-Nebro
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rheumatoid arthritis ,elderly ,obesity ,sarcopenia ,nutrition ,malnutrition ,Nutrition. Foods and food supply ,TX341-641 - Abstract
Objective: To describe the prevalence of sarcopenia in rheumatoid arthritis (RA) patients aged ≥65 years and identify the risk factors associated with sarcopenia. Methods: This is a multicenter, controlled, cross-sectional study of 76 RA patients and 76 age- and sex-matched healthy controls. Sarcopenia was defined according to the revised criteria of the European Working Group on Sarcopenia in Older People (EWGSOP2). Whole-body dual-energy X-ray absorptiometry (DXA) was performed. Binary regression was used to assess the relationship between sarcopenia and sex, age, duration of RA, Mini Nutritional Assessment (MNA) score, and Short Physical Performance Battery (SPPB) score in patients with RA. Results: Nearly 80% of participants were female, and the average age was >70 years. Patients with RA had lower muscle mass and greater adiposity (fat-to-muscle ratio mean [SD] 0.9 [0.2] vs. 0.8 [0.2]; p = 0.017) than controls, mainly in the central area (android/gynoid ratio, median [p25–p75]: 1.0 [0.9–1.2] vs. 0.9 [0.8–1.1]; p < 0.001). Twelve patients (15.8%) and three controls (3.9%) had confirmed sarcopenia (p = 0.014). Sarcopenic obesity was observed in 8/76 patients with RA (10.5%) and in 1/76 controls (1.3%) (p = 0.016). The factors associated with sarcopenia were male sex (OR [95% CI]: 9.3 [1.1–80.4]; p = 0.042), disease duration (OR [95% CI]: 1.1 [1.0–1.2]; p = 0.012), and nutritional status according to the MNA (OR [95% CI]: 0.7 [0.5–0.9]; p = 0.042). Conclusions: Our results suggest that patients with RA aged ≥65 years may be at increased risk for sarcopenia, adiposity, and malnutrition (especially male patients with long-standing disease) and have poor nutritional status.
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- 2023
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9. Inflammatory Biomarkers in the Diagnosis and Prognosis of Rheumatoid Arthritis–Associated Interstitial Lung Disease
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Natalia Mena-Vázquez, Francisco Javier Godoy-Navarrete, Jose Manuel Lisbona-Montañez, Rocío Redondo-Rodriguez, Sara Manrique-Arija, José Rioja, Arkaitz Mucientes, Patricia Ruiz-Limón, Aimara Garcia-Studer, Fernando Ortiz-Márquez, Begoña Oliver-Martos, Laura Cano-García, and Antonio Fernández-Nebro
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rheumatoid arthritis ,interstitial lung disease ,biomarkers ,cytokines ,morbidity ,inflammation ,Biology (General) ,QH301-705.5 ,Chemistry ,QD1-999 - Abstract
This study aimed to identify inflammatory factors and soluble cytokines that act as biomarkers in the diagnosis and prognosis of rheumatoid arthritis-associated interstitial lung disease (RA-ILD). We performed a nested prospective observational case–control study of patients with RA-ILD matched by sex, age, and time since the diagnosis of RA. All participants underwent pulmonary function testing and high-resolution computed tomography. ILD was defined according to the criteria of the American Thoracic Society/European Respiratory Society; the progression of lung disease was defined as the worsening of FVC > 10% or DLCO > 15%. Inflammation-related variables included the inflammatory activity measured using the DAS28-ESR and a multiplex cytokine assay. Two Cox regression models were run to identify factors associated with ILD and the progression of ILD. The study population comprised 70 patients: 35 patients with RA-ILD (cases) and 35 RA patients without ILD (controls). A greater percentage of cases had higher DAS28-ESR (p = 0.032) and HAQ values (p = 0.003). The variables associated with RA-ILD in the Cox regression analysis were disease activity (DAS28) (HR [95% CI], 2.47 [1.17–5.22]; p = 0.017) and high levels of ACPA (HR [95% CI], 2.90 [1.24–6.78]; p = 0.014), IL-18 in pg/mL (HR [95% CI], 1.06 [1.00–1.12]; p = 0.044), MCP-1/CCL2 in pg/mL (HR [95% CI], 1.03 [1.00–1.06]; p = 0.049), and SDF-1 in pg/mL (HR [95% CI], 1.00 [1.00–1.00]; p = 0.010). The only variable associated with the progression of ILD was IL-18 in pg/mL (HR [95% CI], 1.25 [1.07–1.46]; p = 0.004). Our data support that the inflammatory activity was higher in patients with RA-ILD than RA patients without ILD. Some cytokines were associated with both diagnosis and poorer prognosis in patients with RA-ILD.
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- 2023
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10. Postprandial Hyperlipidemia: Association with Inflammation and Subclinical Atherosclerosis in Patients with Rheumatoid Arthritis
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Natalia Mena-Vázquez, Rocío Redondo-Rodríguez, José Rioja, Francisco Gabriel Jimenez-Nuñez, Sara Manrique-Arija, Jose Manuel Lisbona-Montañez, Laura Cano-García, Marta Rojas-Gimenez, Inmaculada Ureña, Pedro Valdivielso, and Antonio Fernández-Nebro
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rheumatoid arthritis ,postprandial lipemia ,triglycerides ,apolipoprotein B48 ,inflammation ,subclinical atherosclerosis ,Biology (General) ,QH301-705.5 - Abstract
Objective: To describe postprandial lipidemia in patients with rheumatoid arthritis (RA) and to analyze its association with subclinical atherosclerosis and inflammatory activity. Methods: Observational study of 80 cases of RA and 80 sex- and age-matched controls. We excluded individuals with dyslipidemia. Postprandial hyperlipidemia (PPHL) was defined as postprandial triglycerides >220 mg/dL and/or postprandial ApoB48 levels >75th percentile (>p75). Plasma lipids, cholesterol, triglycerides, ApoB48, and total ApoB were evaluated at baseline and after a meal. Other variables analyzed included subclinical atherosclerosis (defined as presence of carotid atheromatous plaque), inflammatory activity (disease activity score (DAS28-ESR)), cytokines, apolipoproteins, and physical activity. A multivariate analysis was performed to identify factors associated with PPHL in patients with RA. Results: A total of 75 patients with RA and 67 healthy controls fulfilled the inclusion criteria. PPHL was more frequent in patients with RA than controls (No. (%), 29 (38.70) vs. 15 (22.40); p = 0.036), as was subclinical atherosclerosis (No. (%), 22 (30.10) vs. 10 (14.90); p = 0.032). PPHL in patients with RA was associated with subclinical atherosclerosis (OR (95% CI) 4.69 (1.09–12.11); p = 0.037), TNF-α (OR (95% CI) 2.00 (1.00–3.98); p = 0.048), high-sensitivity C-reactive protein (OR (95% CI) 1.10 (1.01–1.19); p = 0.027), and baseline triglycerides (OR (95% CI) 1.02 (1.00–1.04); p = 0.049). Conclusion: PPHL was more frequent in patients with RA than in controls. PPHL in patients with RA was associated with inflammation and subclinical atherosclerosis.
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- 2022
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11. Ability to Participate in Social Activities of Rheumatoid Arthritis Patients Compared with Other Rheumatic Diseases: A Cross-Sectional Observational Study
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Laura Cano-García, Natalia Mena-Vázquez, Sara Manrique-Arija, Rocío Redondo-Rodriguez, Carmen María Romero-Barco, and Antonio Fernández-Nebro
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rheumatic diseases ,rheumatoid arthritis ,spondyloarthritis ,systemic lupus erythematosus ,participate in social activities ,psychological factors ,Medicine (General) ,R5-920 - Abstract
Objectives: To compare the ability to participate in social activities among rheumatoid arthritis patients with other rheumatic disease patients and identify potentially implicated factors. Patients and methods: Between June and November 2019, we consecutively selected patients aged ≥18 years with RA (defined according to ACR/EULAR 2010), SpA (ASAS/EULAR 2010), and SLE (ACR 1997). Main outcome measures: Ability to participate in social roles and activities evaluated using the PROMIS score v2.0 short-form 8a (PROMIS-APS). Secondary outcomes: Participation in social activities according to a series of variables (mobility, depression, satisfaction with social relationships, social isolation, company, emotional support, instrumental support, and support via information). We evaluated the association between the ability to participate in social activities and associated variables using multivariable linear regression analysis. Results: The study population comprised 50 patients with RA (33.1%), 51 patients (33.8%) with SpA, and 50 patients (33.1%) with SLE. The mean PROMIS-APS scores were similar in the three groups. The multivariable analysis for the whole sample showed that the ability to participate in social activities was inversely associated with depression and directly with social satisfaction, mobility, company, and age. The stratified analysis revealed an inverse association between inflammatory activity and ability to participate in social activities in patients with RA and SpA, but not in those with SLE. Conclusion: All patients with RA, SpA, and SLE had a similar ability to participate in social activities. This was associated with other psychosocial factors (social satisfaction, mobility, company, depression) and clinical factors (age and inflammatory activity).
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- 2021
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12. Openreuma Consensus on the role of nursing in the care of patients with rheumatoid arthritis and diffuse interstitial lung disease
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Laura Cano García, María Jesús García de Yébenes, Natalia Mena Vázquez, José Ma Martín Martín, Carmen Domínguez Quesada, Silvia García-Díaz, Ana Isabel Rodríguez Vargas, Francisco Jiménez Núñez, Francisco Espíldora Hernández, Leticia León Mateos, Ana Vázquez Lojo, Elena Marcos Pérez, Laura Castiblanco, and Loreto Carmona
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Community and Home Care ,Health (social science) ,Nursing (miscellaneous) ,Maternity and Midwifery ,Geriatrics and Gerontology ,Family Practice ,General Nursing - Abstract
Objective. To develop practical recommendations, based on the best available evidence and experience, on the nursing management of patients with rheumatoid arthritis (RA) and interstitial lung disease (ILD). Methods. The usual consensus methodology was used, with a nominal group, systematic reviews (SRs), and Delphi survey. The expert panel, consisting of rheumatology nurses, rheumatologists, a psychologist, a physiotherapist, and a patient, defined the scope, the users, the topics on which to explore the evidence and on which to issue recommendations. Results. Three PICO questions evaluated the efficacy and safety of pulmonary rehabilitation and non-pharmacological measures for the treatment of chronic cough and gastroesophageal reflux by means of SR of the literature. With the results of the reviews, 15 recommendations were established for which the degree of agreement was obtained with a Delphi survey. Three recommendations were rejected in the second round. The 12 recommendations were in patient assessment (n=4); patient education (n=4); and risk management (n=4). Only one recommendation was based on available evidence, while the remaining were based on expert opinion. The degree of agreement ranged from 77% to 100%. Conclusion. This document presents a series of recommendations with the aim of improving the prognosis and quality of life of patients with RA-ILD. Nursing knowledge and implementation of these recommendations can improve the follow-up and prognosis of patients with RA who present with ILD.
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- 2022
13. Evaluation of the impact of nursing clinics in the rheumatology services
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Santiago, Muñoz-Fernández, Ma Dolores, Aguilar, Amparo, Rodríguez, Raquel, Almodóvar, Laura, Cano-García, Luís Antonio, Gracia, José A, Román-Ivorra, J Ramón, Rodríguez, Teresa, Navío, Pablo, Lázaro, and Raúl, Veiga-Cabello
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Male ,medicine.medical_specialty ,viruses ,Immunology ,Nurses ,Quality indicators ,Nursing ,Personal paramédico ,Hospital ,03 medical and health sciences ,0302 clinical medicine ,Rheumatology ,Quality of life ,Rheumatic Diseases ,Internal medicine ,Hospitales - Calidad - Control ,medicine ,Humans ,Health services research ,Immunology and Allergy ,In patient ,Prospective Studies ,030212 general & internal medicine ,Rheumatoid arthritis ,Prospective cohort study ,Nursing clinics in rheumatology (NCRs) ,Aged ,030203 arthritis & rheumatology ,Ankylosing spondylitis ,business.industry ,virus diseases ,Middle Aged ,medicine.disease ,Treatment Outcome ,Control de calidad ,Quality of Life ,Physical therapy ,Female ,Observational study ,business - Abstract
Nursing clinics in rheumatology (NCRs) are organisational care models that provide care centred within the scope of a nurse’s abilities. To analyse the impact of NCR in the rheumatology services, national multicenter observational prospective cohort studied 1-year follow-up, comparing patients attending rheumatology services with and without NCR. NCR was defined by the presence of: (1) office itself; (2) at least one dedicated nurse; and (3) its own appointment schedule. Variables included were (baseline, 6 and 12 months): (a) test to evaluate clinical activity of the disease, research and training, infrastructure of unit and resources of NCR and (b) tests to evaluate socio-demographics, work productivity (WPAI), use of services and treatments and quality of life. A total of 393 rheumatoid arthritis and ankylosing spondylitis patients were included: 181 NCR and 212 not NCR, corresponding to 39 units, 21 with NCR and 18 without NCR (age 53 + 11.8 vs 56 + 13.5 years). Statistically significant differences were found in patients attended in sites without NCR, at some of the visits (baseline, 6 or 12 months), for the following parameters: higher CRP level (5.9 mg/l ± 8.3 vs 4.8 mg/l ± 7.8; p < 0.005), global disease evaluation by the patient (3.6 ± 2.3 vs 3.1 ± 2.4), physician (2.9 ± 2.1 vs 2.3 ± 2.1; p < 0.05), use of primary care consultations (2.7 ± 5.4 vs 1.4 ± 2.3; p < 0.001) and worse work productivity. The presence of NCR in the rheumatology services contributes to improve some clinical outcomes, a lower frequency of primary care consultations and better work productivity of patients with rheumatic diseases. Sin financiación 1.824 JCR (2016) Q3, 21/30 Rheumatology UEM
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- 2016
14. SCORE study: quality indicators for rheumatology nursing clinics
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Raquel Almodóvar, José R Rodríguez, Pablo Lázaro, Ma Dolores Aguilar, Santiago Muñoz-Fernández, Laura Cano-García, Cristina Alcañiz-Escandell, Laura Cebrián, and Sandra Fortea
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Adult ,Male ,Health Knowledge, Attitudes, Practice ,medicine.medical_specialty ,viruses ,Immunology ,Artritis reumatoide ,03 medical and health sciences ,0302 clinical medicine ,Rheumatology ,Nursing ,Rheumatic Diseases ,Surveys and Questionnaires ,Internal medicine ,Health care ,Humans ,Immunology and Allergy ,Medicine ,Prospective Studies ,030212 general & internal medicine ,Prospective cohort study ,Health Education ,Aged ,Quality of Health Care ,Servicio de enfermería ,030203 arthritis & rheumatology ,Practice Patterns, Nurses' ,Study quality ,business.industry ,virus diseases ,Middle Aged ,Espondilitis anquilosante ,Patient Satisfaction ,Case-Control Studies ,Physical therapy ,Patient Compliance ,Female ,Observational study ,Enfermería ,Rheumatology department ,business ,Follow-Up Studies - Abstract
Nursing clinics in rheumatology (NCR) are organizational care models that provide care centred within the scope of nurses abilities. To analyse patients differences in the knowledge of the disease, adherence to the treatment, quality indicators of the Rheumatology Departments included quality perceived by the patients with and without NCR. National multicenter observational prospective cohort study 1 year follow-up, comparing patients attending rheumatology services with and without NCR. NCR was defined by the presence of: (1) office itself; (2) at least one dedicated nurse; (3) its own appointment schedule, and (4) phone. Variables included were (baseline and 12 months) Batalla, Haynes–Sackett, Morisky–Green and quality perceived tests. In addition, another specific questionnaire was drawn up to collect the healthcare, teaching and research activities of each Rheumatology Department. A total of 393 patients were included; 181 NCR and 212 not NCR, corresponding to 39 units, 21 with NCR and 18 without NCR (age 53 ± 11.8 vs 56 ± 13.5 years). Significant differences in favour of the NCR group were found in Haynes–Sackett (p = 0.033) and Morisky–Green (p = 0.03) tests in the basal visit. Significant differences were found in questions about “the courtesy and/or kindness received by the nurse”, being “good or very good” in greater proportion in the NCR group. The publications from the last 5 years were significantly higher in the NCR group in both, national (p = 0.04) and international (p = 0.03) journals. A higher research activity and quality perceived by the patients are observed in the Rheumatology Departments with NCR. Spanish Society of Rheumatology and Abbvie 1.952 JCR (2017) Q4, 25/31 Rheumatology UEM
- Published
- 2017
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