COMORBID CONDITIONS IN PATIENTS WITH RHEUMATOID ARTHRITIS : A PROSPECTIVE OBSERVATIONAL STUDY IN A TERTIARY CARE HOSPITAL.

Dr Shahbaz Khan, Dr Annil Mahajan, Dr Annil Mahajan, Dr Vishal Tandon, Dr Vishal Tandon

Abstract


Background :Rehumatoid arthritis is a systemic disease characterised by inflammation the principal hallmark of which is symmetric polyarthritis
with main involvement of the small joints in hands and feet.In this prospective study a total of 110 patients were taken and various comorbid
conditions associated with RA were noted. Rheumatoid arthritis (RA) is a systemic disease whose morbidity exceeds its mortality.
Materials and methods: In this prospective study conducted over one year a total of 110 patients who were diagnosed cases of rheumatoid
arthritis were observed and various comorbid conditions present in these patients in addition to rheumatoid arthritis were noted so as to find
incidence of the comorbid conditions. Inclusion of patients was done of those patients who fulfilled ACR/EULAR criteria for diagnosing
rheumatoid arthritis.
Results: In this prospective study of 110 patients it was found that the most common comorbid condition was hypertension followed by diabetes
followed by anaemia and hypothyroidism which is in accordance with most of the previous studies.
Conclusions: The current study highlights Rheumatoid arthritis to be very common rheumatological problem presenting commonly in 5th to 6th
decade of life with female predominance. It vindicates the fact that various comorbid conditions in patients with rheumatoid arthriris are on rise and
contributes to increase in mortality and morbidity in patients with rheumatoid arthritis.


Keywords


Rehumatoid Arthritis,Depression,Quality Of Life,Comorbidities.

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References


Malaviya AN, Singh RR, Kapoor SK. Prevalence of rheumatic diseases in India: results of a population study. J Ind Rheumatism Assoc 1994; 2: 13-17

Chopra A, Pat HJ, Billempelly V.Prevalence of rheumatic disease in a rural population in western India: A WHO-ILAR COPCORD Study. J Assoc Physicians India 2001; 49: 240-46

Kudial S, Tandon VR, Mahajan A. Rheumatological disorder (RD) in Indian women above 40 years of age: A cross-sectional WHO-ILAR-COPCORD-based survey. Journal Mid-life Health 2015; 6(2): 76

Gabriel SE, Crowson CS, Kremers HM, Doran MF, Turesson C, O'Fallon WMet al.Survival in rheumatoid arthritis: a population-based analysis of trends over 40 years.Arthritis Rheum 2003; 48(1): 54-58

Matcham F, Scott IC, Rayner L, Hotopf M, Kingsley GH. The impact of rheumatoid arthritis on quality-of-life assessed using the SF-36: a systematic review and meta-analysis. Semin Arthritis Rheum 2014; 44(2): 123-30

Al-Bishri J, Attar SM, Bassuni N, Al-Nofaiey Y, Qutbuddeen H, Al-Harthi S, et al.Comorbidity profile among patients with rheumatoid arthritis and the impact on prescriptions trend. Clinical medicine insights. Arthritis Musculoskeletal Disorders 2013; 6:11

Wolfe F, Michaud K. Severe rheumatoid arthritis (RA), worse outcomes, comorbid illness, and sociodemographic disadvantage characterize RA patients with fibromyalgia. The Journal Rheumatology 2004; 31(4): 695-700

Scott DL, Smith C & Kingsley G. What are the consequences of early rheumatoid arthritis for the individual. Best Pract Res ClinRheumatol 2005; 19(1): 117-36


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