Rheumatoid arthritis

Predicting Disease Activity in Rheumatoid Arthritis With the Fibromyalgia Survey Questionnaire: Does the Severity of Fibromyalgia Symptoms Matter?

J RheumatolPublished Prospective cohort study

Authors' conclusion

Higher levels of FM symptoms weakly predicted worse disease activity after treatment. The primary factor that informed the FSQ's prediction of disease activity was the spatial extent of pain, as measured by the WPI.

Study context

Population
Patients with active rheumatoid arthritis (RA) followed for 12 weeks after initiation or change of disease-modifying antirheumatic drug (DMARD) therapy
Participants
192 patients
Outcome
Association between baseline FSQ score and follow-up DAS28-CRP
Follow-up
12 weeks
Methodological detailsmultiple linear regression adjusted for clinical and demographic variables
  • Multiple linear regression adjusted for clinical and demographic variables

Main finding

As reported in the abstract

FSQ score and follow-up DAS28-CRP (multiple linear regression) · 12 weeks after DMARD initiation
Fibromyalgia Survey Questionnaire (FSQ) score independently associated with elevated DAS28-CRP, B
0.04
P
P = 0.01

Observational data: associations, not effects.

Further findings

Widespread Pain Index (WPI) and follow-up DAS28-CRP

WPI significantly associated with increased DAS28-CRP, B
0.08
P
P = 0.001

Symptom Severity Scale (SSS) and follow-up DAS28-CRP

SSS not significantly associated with DAS28-CRP, B
−0.03
P
P = 0.43

Original publication

Predicting Disease Activity in Rheumatoid Arthritis With the Fibromyalgia Survey Questionnaire: Does the Severity of Fibromyalgia Symptoms Matter? J Rheumatol. Published 15 December 2022. doi:10.3899/jrheum.220507

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