Original Article

J Rheum Dis 2015; 22(4): 231-237

Published online August 30, 2015

© Korean College of Rheumatology

Effect of Formal Education Level on Measurement of Rheumatoid Arthritis Disease Activity

Hyeon Su Kim1, Ui Hong Jung1, Hyesun Lee1, Seong-Kyu Kim1, Hwajeong Lee1, Jung-Yoon Choe1, Sang Gyu Kwak2, Theodore Pincus3, Sung-Hoon Park1

Departments of 1Internal Medicine and 2Medical Statistics, Catholic University of Daegu School of Medicine, Daegu, Korea, 3Division of Rheumatology, Rush University School of Medicine, Chicago, IL, USA

Correspondence to : Sung-Hoon Park

Received: April 30, 2015; Revised: June 4, 2015; Accepted: June 4, 2015

Abstract

Objective. The aim of this study is to analyze the capacity of three demographic variables - age, sex, and formal education level - as well as disease duration to explain variation in 7 Core Data Set variables and 4 indices used to assess rheumatoid arthritis (RA), in a cohort of Korean patients seen in usual care. Methods. All RA Core Data Set measures were collected in usual care of 397 RA patients, including tender/swollen joint counts (TJC, SJC) 28, physician global estimate of status, erythrocyte sedimentation rate, C-reactive protein, and a multidimensional health assessment questionnaire to assess physical function, pain, and patient global estimate of status (PATGL). Four indices were computed: disease activity score with 28 joint count (DAS28), simplified disease activity index (SDAI), clinical disease activity index (CDAI), and routine assessment of patient index data 3 (RAPID3). Descriptive statistics and multivariate generalized linear models were used in data analysis. Results. Patients with lower education had higher scores, indicating greater severity, for all 7 Core Data Set measures and 4 indices (significant for TJC, function, pain, PATGL, DAS28, SDAI, CDAI, RAPID3). In a series of regressions that included age, sex, disease duration, and education, formal education level was the only significant variable to explain variation in TJC, pain, PATGL, physician global estimate of status (DOCGL), DAS28, SDAI, CDAI, and RAPID3. Conclusion. Significant associations with education were found in Korean RA patients according to most RA Core Data Set measures and 4 indices. Education was more likely than age, sex, or disease duration to explain variation in most measures and indices. (J Rheum Dis 2015;22:231-237)

Keywords Rheumatoid arthritis, Social class, Education

Article

Original Article

J Rheum Dis 2015; 22(4): 231-237

Published online August 30, 2015

Copyright © Korean College of Rheumatology.

Effect of Formal Education Level on Measurement of Rheumatoid Arthritis Disease Activity

Hyeon Su Kim1, Ui Hong Jung1, Hyesun Lee1, Seong-Kyu Kim1, Hwajeong Lee1, Jung-Yoon Choe1, Sang Gyu Kwak2, Theodore Pincus3, Sung-Hoon Park1

Departments of 1Internal Medicine and 2Medical Statistics, Catholic University of Daegu School of Medicine, Daegu, Korea, 3Division of Rheumatology, Rush University School of Medicine, Chicago, IL, USA

Correspondence to:Sung-Hoon Park

Received: April 30, 2015; Revised: June 4, 2015; Accepted: June 4, 2015

Abstract

Objective. The aim of this study is to analyze the capacity of three demographic variables - age, sex, and formal education level - as well as disease duration to explain variation in 7 Core Data Set variables and 4 indices used to assess rheumatoid arthritis (RA), in a cohort of Korean patients seen in usual care. Methods. All RA Core Data Set measures were collected in usual care of 397 RA patients, including tender/swollen joint counts (TJC, SJC) 28, physician global estimate of status, erythrocyte sedimentation rate, C-reactive protein, and a multidimensional health assessment questionnaire to assess physical function, pain, and patient global estimate of status (PATGL). Four indices were computed: disease activity score with 28 joint count (DAS28), simplified disease activity index (SDAI), clinical disease activity index (CDAI), and routine assessment of patient index data 3 (RAPID3). Descriptive statistics and multivariate generalized linear models were used in data analysis. Results. Patients with lower education had higher scores, indicating greater severity, for all 7 Core Data Set measures and 4 indices (significant for TJC, function, pain, PATGL, DAS28, SDAI, CDAI, RAPID3). In a series of regressions that included age, sex, disease duration, and education, formal education level was the only significant variable to explain variation in TJC, pain, PATGL, physician global estimate of status (DOCGL), DAS28, SDAI, CDAI, and RAPID3. Conclusion. Significant associations with education were found in Korean RA patients according to most RA Core Data Set measures and 4 indices. Education was more likely than age, sex, or disease duration to explain variation in most measures and indices. (J Rheum Dis 2015;22:231-237)

Keywords: Rheumatoid arthritis, Social class, Education

JRD
Oct 01, 2024 Vol.31 No.4, pp. 191~263
COVER PICTURE
Ancestry-driven pathways for SLE-risk SNP-associated genes. The ancestry-driven key signaling pathways in Asians, Europeans, and African Americans were analyzed by enrichr (https://maayanlab.cloud/Enrichr/#libraries) using non-HLA SNP-associated genes. SLE: systemic lupus erythematosus, SNP: single-nucleotide polymorphism, JAK–STAT: janus kinase–signal transducers and activators of transcription, IFN: interferon gamma. (J Rheum Dis 2024;31:200-211)

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