Vasculitis & polymyalgia rheumatica

Health-related quality of life in patients with ANCA vasculitides compared to rheumatoid arthritis: a cross-sectional comparative study

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

In patients with AAVs, HRQoL correlated more with organ damage and less with disease activity whereas in RA patients, it correlated with both.

Study context

Population
Patients with AAV and RA recruited from three tertiary rheumatology clinics
Participants
66 / 71 / 1,007
Exposure
AAV vs RA vs healthy controls
  • AAVn = 66
  • RAn = 71
  • Healthy controls (HC)n = 1,007reference
Outcome
HRQoL by Short Form 36 Health Survey (PCS and MCS)
Methodological detailsmulticentre, comparative, historical controls
  • Multicentre
  • Comparative
  • Historical controls

Main finding

As reported in the abstract

SF-36 PCS and MCS vs HC
  • Overall, RA had similar health-related quality of life (HRQoL) compared with AAV
  • AAV vs HC: P < 0.05
  • RA vs HC: P < 0.05

Observational data: associations, not effects.

Further findings

HRQoL within AAV by subtype, damage and activity

Worse in MPA vs GPA (physical components)
Worse with high (VDI ≥ 3) vs low (VDI < 3) damage scores
Did not differ between active (BVASv3 ≥ 1) vs inactive (BVASv3 < 1) disease

HRQoL within RA

Correlated with disease activity (DAS28-ESR) and functional impairment/damage (HAQ)

Active RA vs active AAV

Active RA had worse HRQoL compared with active AAV

Original publication

Health-related quality of life in patients with ANCA vasculitides compared to rheumatoid arthritis: a cross-sectional comparative study. Rheumatology (Oxford). Published 12 May 2023. doi:10.1093/rheumatology/kead214

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