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Psoriatic arthritis and ankylosing spondylitis impact on health-related quality of life and working life: a comparative population-based study.

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.fosCiências Médicas::Medicina Clínica
datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg04:Educação de Qualidade
datacite.subject.sdg17:Parcerias para a Implementação dos Objetivos
dc.contributor.authorRodrigues, Joana
dc.contributor.authorRodrigues, Ana Maria
dc.contributor.authorSousa, Rute Dinis
dc.contributor.authorBranco, Jaime Cunha
dc.contributor.authorCanhão, Helena
dc.contributor.authorDias, Sara
dc.date.accessioned2025-11-17T21:23:23Z
dc.date.available2025-11-17T21:23:23Z
dc.date.issued2019
dc.description.abstractPsoriatic arthritis (PsA) and ankylosing spondylitis (AS) are chronic disorders that significantly impact patients' quality of life (QoL), health care systems and society. There is very limited data on the epidemiology and the impact of PsA and AS in Portugal, so in this study we aim to: 1) estimate the prevalence of PsA and AS in the adult Portuguese population; 2) compare health-related quality of life (QoL) of PsA and AS with the one of other rheumatic and musculoskeletal diseases (RMD) and with subjects with no rheuma - tic diseases; 3) compare early retirement and productivity loss among PsA and AS with other RMD. Methods: We used data from EpiReumaPt, a population-based survey, conducted from 2011 to 2013, in which 10661 subjects, over 18 years old, were screened for RMD. Spondyloarthritis (SpA) was defined by a posi tive expert opinion combined with the fulfillment of the Assessment of Spondyloarthritis International Socie ty (ASAS) criteria for axial and peripheral SpA. Estimates were computed as weighted proportions considering the study design. Logistic regressions were used to compare AS/PsA subjects with other RMD and the adult Portuguese population without rheumatic di - seases. Results: Prevalence rate of SpA was of 1.6% (95% CI 1.2% to 2.1%). Subjects with AS or PsA had worse QoL, reflected by EQ5D score when compared with the adult Portuguese population without rheumatic diseases (b=- 0.08; p=0.031). AS and PsA also had worse QoL when compared with participants with other RMD (b=-0.22; p>0.001). AS and in comparison to patients with other RMD, PsA subjects retired early due to their illness (OR=4.95; 95% CI 1.54% to 15.93%). A significant proportion of patients with SpA (13.6%) referred absenteeism in the previous 12 months to the interview. Conclusions: AS and PsA were found to be associated with poor QoL and a high rate of disease-related early retirement, emphasizing the burden of such rheuma tic conditions in Portugal.eng
dc.identifier.citationRodrigues, J., Rodrigues, A. M., Dias, S. S., Sousa, R. D., Branco, J. C., & Canhão, H. (2019). Psoriatic arthritis and ankylosing spondylitis impact on health-related quality of life and working life: a comparative population-based study. Acta reumatologica portuguesa, 44(4), 254–265
dc.identifier.other32008031
dc.identifier.urihttp://hdl.handle.net/10400.8/14638
dc.language.isoen
dc.peerreviewedyes
dc.publisherSociedade Portuguesa de Reumatologia
dc.relation.hasversionhttps://pubmed.ncbi.nlm.nih.gov/32008031/
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAbsenteeism
dc.subjectAnkylosing spondylitis
dc.subjectHealth-related quality of life
dc.subjectPsoriatic arthritis
dc.subjectSpondylarthropathies
dc.titlePsoriatic arthritis and ankylosing spondylitis impact on health-related quality of life and working life: a comparative population-based study.eng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage265
oaire.citation.issue4
oaire.citation.startPage254
oaire.citation.titleActa Reumatológica Portuguesa
oaire.citation.volume44
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameDias
person.givenNameSara
person.identifier.ciencia-idAA1F-9375-B5E6
person.identifier.orcid0000-0001-6782-7481
person.identifier.ridI-9965-2018
person.identifier.scopus-author-id33367487300
relation.isAuthorOfPublicationa49e0bc6-cfea-4033-aebf-a1ef9e4c5e7b
relation.isAuthorOfPublication.latestForDiscoverya49e0bc6-cfea-4033-aebf-a1ef9e4c5e7b

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