Spondyloarthritis & psoriatic arthritis

Determinants of health-related quality of life and global functioning and health in axial SpA (axSpA), peripheral SpA (pSpA) and PsA: results from the ASAS-PerSpA study

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Disease activity and physical function are major HRQoL and GH determinants across SpA types, and clinical characteristics and sociodemographic factors play an important role

Study context

Population
Patients with axSpA, pSpA and PsA in the ASAS-perSpA study
Participants
4,185 patients
Exposure
axSpA vs pSpA vs PsA
  • axSpAn = 2,719
  • pSpAn = 433
  • PsAn = 1,033
Outcome
Determinants of HRQoL (EQ-5D) and global functioning and health (ASAS-HI)
Methodological detailsanalysis of the ASAS-perSpA study data, separate models per disease group
  • Analysis of the ASAS-perSpA study data
  • Separate models per disease group

Main finding

As reported in the abstract

axSpA, health-related quality of life (HRQoL): disease activity (worse)
β = −0.061
axSpA, HRQoL: physical function (worse)
β = −0.041
axSpA, HRQoL: female sex (worse)
β = −0.019
axSpA, HRQoL: Fibromyalgia (FM) (worse)
β = −0.068
axSpA, HRQoL: age (better)
β = 0.001
axSpA, HRQoL: university education (better)
β = 0.014
pSpA, HRQoL: disease activity (worse)
β = −0.04
pSpA, HRQoL: physical function (worse)
β = −0.054
PsA, HRQoL: disease activity (worse)
β = −0.045
PsA, HRQoL: physical function (worse)
β = −0.053
PsA, HRQoL: axial disease (worse)
β = −0.041
PsA, HRQoL: female sex (worse)
β = −0.028
axSpA, GH: disease activity (worse)
β = 0.889
axSpA, GH: physical function (worse)
β = 0.887
axSpA, GH: peripheral disease (worse)
β = 0.564
axSpA, GH: female sex (worse)
β = 0.812
axSpA, GH: FM (worse)
β = 1.639
axSpA, GH: age (better)
β = −0.013
axSpA, GH: university education (better)
β = −0.274
pSpA, GH: physical function (worse)
β = 1.142
pSpA, GH: female sex (worse)
β = 1.060
pSpA, GH: university education (better)
β = −0.611
PsA, GH: disease activity (worse)
β = 0.703
PsA, GH: physical function (worse)
β = 1.025
PsA, GH: axial involvement (worse)
β = 0.659
PsA, GH: female sex (worse)
β = 0.924
PsA, GH: FM (worse)
β = 1.387
PsA, GH: age (better)
β = −0.024
PsA, GH: university education (better)
β = −0.856

Observational data: associations, not effects.

Original publication

Determinants of health-related quality of life and global functioning and health in axSpA, pSpA and PsA: results from the ASAS-PerSpA study. Rheumatology (Oxford). Published 21 September 2023. doi:10.1093/rheumatology/kead503

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