AB0863-HPR FUNCTIONAL STATUS ASSESSMENT THROUGH SELF-REPORTED QUESTIONNAIRES IN RHEUMATIC DISEASES
Authors: P. Herrera-Sandate, D. Vega-Morales, A. L. De-Leon-Ibarra, P. Valdes-Torres, L. A. Chavez-Alvarez, A. Limon-del Toro, I. D. J. Hernandez-Galarza, R. Pineda-Sic, D. Á. Galarza-Delgado
Journal: Annals of the Rheumatic Diseases (2021)

Background: Health and disease status assessment is of paramount importance in rheumatic diseases. Self-report functional status questionnaires provide a cost and time-efficient means of systematic evaluation for physicians. The Health Assessment Questionnaire (HAQ) is one of the most utilized comprehensive measures of outcome, and is divided in 8 sections of activity domains, namely, dressing, arising, eating, walking, hygiene, reach, grip and outside activities. Other disease-specific instruments such as the Western Ontario and McMaster Osteoarthritis Index (WOMAC) share most of the functional domains evaluated by HAQ, whereas Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and WOMAC share domains mostly regarding pain and stiffness. Here, we present the results of the application of self-administered surveys in a third-level reference center in Mexico. Objectives: Determine the functional status and most affected activity domains of patients with rheumatic diseases measured by generic (HAQ) and disease-specific (WOMAC and BASDAI) questionnaires in a reference center of northeastern Mexico. Methods: We carried out a cross-sectional study in Rheumatology consultation in University Hospital “Dr. José Eleuterio González” in Monterrey, Mexico from August 2019 to December 2020. Nursery personnel systematically applied self-reported questionnaires HAQ, WOMAC and BASDAI in patients during their medical follow-up. Patient-reported outcomes were categorized by HAQ activity domains and/or pain and stiffness symptoms in WOMAC and BASDAI. Demographical characteristics were retrieved as well. Results: Demographic characteristics are shown in Table 1. HAQ showed a higher prevalence of difficulty performing daily activities in the Grip domain. WOMAC question regarding heavy domestic duties had the higher degree of difficulty, as well as pain ascending stairs and stiffness after awakening. Fatigue was the most severe symptom in BASDAI, followed by pain in areas tender to touch and pressure and stiffness after awakening. Conclusion: Disease activity and functional status impact is present on a mild-moderate level in self-reported questionnaires in the Rheumatology consultation of a northeastern center of reference in Mexico. The most affected domain in patients with rheumatic diseases is Grip domain, the most affected daily activities to perform are heavy domestic duties and the most prevalent symptoms are pain ascending stairs and stiffness after awakening as measured by HAQ, WOMAC and BASDAI, respectively. References: [1]Ferreira, P. L., Gonçalves, S. P., Ferreira, L. N., Pereira, L. N., Antunes, P., Gouveia, N., Rodrigues, A., Canhão, H., &amp; Branco, J. (2016). Assessing quality of life of self-reported rheumatic patients. Rheumatology international, 36(9), 1265–1274. https://doi.org/10.1007/s00296-016-3517-0 . Table 1. Clinical and demographic characteristics of self-reported questionnaires HAQ, WOMAC and BASDAI. HAQ n = 293 Female, n (%) 53.96 (95.6%) Age in years, mean (SD) 51.96 (14.2) Mean score 0.8 WOMAC n = 59 Female, n (%) 56 (94.9%) Age in years, mean (SD) 61.64 (9.19) Mean score 35.6% BASDAI n = 8 Male, n (%) 5 (62.5%) Age in years, mean (SD) 42.12 (14.77) Mean score 4.98 HAQ, Health Assessment Questionnaire; WOMAC, Western Ontario and McMaster Osteoarthritis Index; BASDAI, Bath Ankylosing Spondylitis Disease Activity Index; SD, standard deviation. Figure 1. HAQ, WOMAC and BASDAI questions arranged by HAQ activity domains and/or symptoms showing the prevalence of difficulty degree per activity. Disclosure of Interests: None declared