Benchmarking: the five year outcome of rheumatoid arthritis assessed using a pain score, the Health Assessment Questionnaire, and the Short Form-36 (SF-36) in a community and a clinic based sample

doi:10.1136/ard.60.10.956

Annals of the Rheumatic Diseases 2001;60:956-961; doi:10.1136/ard.60.10.956

Ann Rheum Dis 2001;60:956-961 ( October )

Extended report

Benchmarking: the five year outcome of rheumatoid arthritis assessed using a pain score, the Health Assessment Questionnaire, and the Short Form-36 (SF-36) in a community and a clinic based sample N J Wiles^a, D G I Scott^b, E M Barrett^c, P Merry^b, E Arie^b, K Gaffney^b, A J Silman^a, D P M Symmons^a

^a ARC Epidemiology Unit, University of Manchester Medical School, Oxford Road, Manchester M13 9PT, UK, ^b Department of Rheumatology, Norfolk and Norwich Hospital, Norfolk NR1 3SR, UK, ^c Norfolk Arthritis Register, St Michael's Hospital, Aylsham, Norfolk NR11 6NA, UK

Correspondence to: Professor Symmons deborah.symmons{at}man.ac.uk

Accepted for publication 27 March 2001

BACKGROUND $---$ Treatment, and therefore outcome, of rheumatoid arthritis (RA) will improve in the next few years. However, improvement inoutcome can only be judged against the probability of certainoutcomes with current conventionaltreatment.
AIM $---$ To document the five year outcome of RA in the late1990s.
SETTING $---$ Norfolk Arthritis Register(NOAR).
DESIGN $---$ Longitudinal observational cohortstudy.
METHODS $---$ 318 patients with recent onset inflammatory polyarthritis recruited by NOAR in 1990-91 completed five years of follow up.Four groups were assessed: the whole cohort, all those referredto hospital, those who satisfied criteria for RA at baseline,and those referred to hospital who satisfied criteria for RA atbaseline. Outcome was assessed with a visual analogue scale forpain, the Health Assessment Questionnaire (HAQ), and the ShortForm-36 (SF-36).
RESULTS $---$ Of the RA hospital attenders, 50% had a visual analogue scale pain score of 5 cm or less and an HAQ score of 1.125 or less.SF-36 scores were reduced in all domains. Results are presentedas cumulativepercentages.
CONCLUSIONS $---$ These results can be used for comparison and to set targets forimprovement.

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