Systemic sclerosis & Raynaud's

Predictors of Perceived Functional Status in Early Systemic Sclerosis: A Prospective Longitudinal Study of an Early Disease Cohort

Arthritis Care Res (Hoboken)Published Prospective cohort study

Authors' conclusion

This large, longitudinal study of early disease SSc demonstrates that severity of skin disease and socioeconomic factors such as educational level and income are important predictors of perceived functional disability in SSc.

Study context

Population
Patients with early systemic sclerosis (SSc) (mean disease duration 2.5 years) with baseline modified Health Assessment Questionnaire (M-HAQ) scores, GENISOS cohort1,950 M-HAQ measurements
Participants
388 patients
Outcome
M-HAQ scores over time (predictors among clinical, demographic and socioeconomic factors)
Methodological detailslongitudinal, early disease cohort, Mean follow-up 3.9 years; median follow-up 7.2 years
  • Longitudinal
  • Early disease cohort
  • Mean follow-up 3.9 years; median follow-up 7.2 years

Main finding

As reported in the abstract

Independent predictors of worse perceived functional disability over time (higher longitudinal M-HAQ)
Higher longitudinal modified Rodnan skin scores correlated with higher M-HAQ scores (univariable and multivariable)
P < 0.001
Higher longitudinal FVC % predicted correlated with lower M-HAQ scores (univariable and multivariable)
P < 0.001

Observational data: associations, not effects.

Further findings

Mortality by baseline M-HAQ score

HR (95% CI)P value
Higher baseline M-HAQ1.29 (1.09–1.52)P = 0.003

Original publication

Predictors of Perceived Functional Status in Early Systemic Sclerosis: A Prospective Longitudinal Study of an Early Disease Cohort. Arthritis Care Res (Hoboken). Published 9 December 2022. doi:10.1002/acr.24812

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