Comparison of chronic widespread pain prevalence with different criteria in two cohorts of rheumatoid arthritis
Aronsson, M. LU
; Bergman, S.
LU
; Lindqvist, E.
LU
and Andersson, M. L.E.
LU
(2022)
In Clinical Rheumatology
41(4).
p.1023-1032
- Abstract
Objective: This study aims to investigate chronic widespread pain with the 1990 (CWP1990) and 2019 (CWP2019) definitions 6 years after the onset of rheumatoid arthritis (RA), in one patient cohort with tight controls and one conventional cohort, and factors associated with reporting CWP1990 and CWP2019, respectively. Methods: A cohort of 80 RA patients with monthly visits to the physician the first 6 months was compared to a cohort of 101 patients from the same clinic with conventional follow-up. Both cohorts had early RA (< 13 months). The prevalence of CWP1990 and the more stringent CWP2019 were in a 6-year follow-up investigated with a questionnaire, including a pain mannequin and a fear-avoidance beliefs questionnaire. Results:... (More)
Objective: This study aims to investigate chronic widespread pain with the 1990 (CWP1990) and 2019 (CWP2019) definitions 6 years after the onset of rheumatoid arthritis (RA), in one patient cohort with tight controls and one conventional cohort, and factors associated with reporting CWP1990 and CWP2019, respectively. Methods: A cohort of 80 RA patients with monthly visits to the physician the first 6 months was compared to a cohort of 101 patients from the same clinic with conventional follow-up. Both cohorts had early RA (< 13 months). The prevalence of CWP1990 and the more stringent CWP2019 were in a 6-year follow-up investigated with a questionnaire, including a pain mannequin and a fear-avoidance beliefs questionnaire. Results: In the tight control cohort, 10% reported CWP2019 after 6 years compared to 23% in the conventional cohort (p = 0.026). There was no difference when using the CWP1990 definition (27% vs 31%, p = 0.546). When adjusted for important baseline data, the odds ratio for having CWP2019 was 2.57 (95% CI 1.02–6.50), in the conventional group compared to the tight control group (p = 0.046). A high level of fear-avoidance behaviour towards physical activity was associated with CWP2019, OR 10.66 (95% CI 1.01–112.14), but not with CWP1990 in the tight control cohort. Conclusion: A more stringent definition of CWP identifies patients with a more serious pain condition, which potentially could be prevented by an initial tight control management. Besides tight control, caregivers should pay attention to fear-avoidance behaviour and tailor treatment. Key Points: • CWP2019 is a more stringent definition of chronic widespread pain and identifies patients with a more serious pain condition. • Patients with a serious pain condition could be helped by frequent follow-ups. • This study suggests that a special attention of fear-avoidance behaviour towards physical activity in patients with RA is needed.
(Less)
- author
- Aronsson, M.
LU
; Bergman, S.
LU
; Lindqvist, E.
LU
and Andersson, M. L.E.
LU
- organization
- publishing date
- 2022
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Arthritis, Chronic pain, Lifestyle, Pain, Physical activity, Rheumatoid
- in
- Clinical Rheumatology
- volume
- 41
- issue
- 4
- pages
- 1023 - 1032
- publisher
- Springer
- external identifiers
-
- pmid:34812975
- scopus:85119843311
- ISSN
- 0770-3198
- DOI
- 10.1007/s10067-021-05999-8
- language
- English
- LU publication?
- yes
- id
- 0b14a3a3-a4a7-4f83-b366-4ed48653166c
- date added to LUP
- 2021-12-15 08:38:09
- date last changed
- 2023-03-25 00:46:14
@article{0b14a3a3-a4a7-4f83-b366-4ed48653166c,
abstract = {{<p>Objective: This study aims to investigate chronic widespread pain with the 1990 (CWP1990) and 2019 (CWP2019) definitions 6 years after the onset of rheumatoid arthritis (RA), in one patient cohort with tight controls and one conventional cohort, and factors associated with reporting CWP1990 and CWP2019, respectively. Methods: A cohort of 80 RA patients with monthly visits to the physician the first 6 months was compared to a cohort of 101 patients from the same clinic with conventional follow-up. Both cohorts had early RA (< 13 months). The prevalence of CWP1990 and the more stringent CWP2019 were in a 6-year follow-up investigated with a questionnaire, including a pain mannequin and a fear-avoidance beliefs questionnaire. Results: In the tight control cohort, 10% reported CWP2019 after 6 years compared to 23% in the conventional cohort (p = 0.026). There was no difference when using the CWP1990 definition (27% vs 31%, p = 0.546). When adjusted for important baseline data, the odds ratio for having CWP2019 was 2.57 (95% CI 1.02–6.50), in the conventional group compared to the tight control group (p = 0.046). A high level of fear-avoidance behaviour towards physical activity was associated with CWP2019, OR 10.66 (95% CI 1.01–112.14), but not with CWP1990 in the tight control cohort. Conclusion: A more stringent definition of CWP identifies patients with a more serious pain condition, which potentially could be prevented by an initial tight control management. Besides tight control, caregivers should pay attention to fear-avoidance behaviour and tailor treatment. Key Points: • CWP2019 is a more stringent definition of chronic widespread pain and identifies patients with a more serious pain condition. • Patients with a serious pain condition could be helped by frequent follow-ups. • This study suggests that a special attention of fear-avoidance behaviour towards physical activity in patients with RA is needed.</p>}},
author = {{Aronsson, M. and Bergman, S. and Lindqvist, E. and Andersson, M. L.E.}},
issn = {{0770-3198}},
keywords = {{Arthritis; Chronic pain; Lifestyle; Pain; Physical activity; Rheumatoid}},
language = {{eng}},
number = {{4}},
pages = {{1023--1032}},
publisher = {{Springer}},
series = {{Clinical Rheumatology}},
title = {{Comparison of chronic widespread pain prevalence with different criteria in two cohorts of rheumatoid arthritis}},
url = {{http://dx.doi.org/10.1007/s10067-021-05999-8}},
doi = {{10.1007/s10067-021-05999-8}},
volume = {{41}},
year = {{2022}},
}