RT Journal Article
SR Electronic
T1 Joint-specific hand symptoms and self-reported and performance-based functional status in African-Americans and Caucasians: The Johnston County Osteoarthritis Project
JF Annals of the Rheumatic Diseases
JO Ann Rheum Dis
FD BMJ Publishing Group Ltd and European League Against Rheumatism
DO 10.1136/ard.2006.057422
A1 Alan L. Elliott
A1 Virginia B. Kraus
A1 Fang Fang
A1 Jordan B. Renner
A1 Todd A Schwartz
A1 Alfredo Salazar
A1 Tatiana Huguenin
A1 Marc C. Hochberg
A1 Charles G. Helmick
A1 Joanne M. Jordan
YR 2007
UL http://ard.bmj.com/content/early/2007/05/15/ard.2006.057422.abstract
AB Objective: To assess associations between joint-specific hand symptoms and self-reported and performance-based functional status. Methods: Participants were from the population-based Johnston County Osteoarthritis Project. Symptoms in the distal interphalangeal (DIP), proximal interphalangeal (PIP), first carpometacarpal (CMC), and metacarpophalangeal (MCP) joints were assessed on a 30-joint diagram of both hands. Self-reported function was assessed by Health Assessment Questionnaire (HAQ) and performance-based function by timed repeated chair stands and 8 foot walk time. Separate multiple logistic regression models examined associations between symptoms in specific hand joint groups, symptoms in ≥ 2 hand joint groups, and number of symptomatic hand joints, and functional status measures, controlling for age, race/ethnicity, sex, body mass index, radiographic knee and hip OA, knee and hip symptoms, and depressive symptoms. Results: Those with symptomatic hand joint groups were more likely than those without these complaints to report more difficulty and require longer times for performance measures. Those with 2 or more symptomatic hand joint groups were more likely to have higher HAQ scores (OR = 1.97 [1.53 - 2.53]) and require more time to complete 5 chair stands (OR=1.98 [1.23 - 3.18]) and the 8 foot walk test (OR=1.49 [1.12 - 1.99]). Conclusions: Joint-specific hand symptoms are associated with difficulty performing upper or lower extremity tasks, independent of knee and hip OA and symptoms, suggesting that studies examining functional status in OA should not ignore symptomatic joints beyond the joint site of interest, even when functional measures appear to be specific for the joint site under study.