Rheumatoid arthritis

Contribution of inflammation markers and quantitative sensory testing (QST) indices of central sensitisation to rheumatoid arthritis pain

Arthritis Res TherPublished Cross-sectional study

Authors' conclusion

In individuals with clinically active RA, markers of inflammatory disease activity best explain RA pain with only marginal contributions from QST indices of central sensitisation.

Study context

Population
Individuals with clinically active rheumatoid arthritis (RA) (age 65 ± 10y, 77% females)
Participants
96 individuals
Outcome
Proportion of RA pain severity (NRS) explained by markers of inflammation (Disease Activity Score (DAS28), US greyscale and power Doppler) and QST indices of central sensitisation (PPT-TA/PPT-BR, TS, CPM)

Main finding

As reported in the abstract

Associations with pain severity

Bivariate: pain severity vs inflammation indices, r

0.20 to 0.55

Bivariate: pain severity vs CPM, r

−0.26

Pain variance explained by multivariable models

22 to 27%

Observational data: associations, not effects.

Further findings

Pain subscores (pain now, strongest, average over past 4 weeks)

Heterogeneity apparent for associations with pain between subscores

Original publication

Contribution of inflammation markers and quantitative sensory testing (QST) indices of central sensitisation to rheumatoid arthritis pain. Arthritis Res Ther. Published 8 October 2024. doi:10.1186/s13075-024-03407-5

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