Higher education is associated with a better rheumatoid arthritis outcome concerning pain and function but not disease activity: Results from Swedish registers

  • X. J
  • M. S
  • S. S
 et al. 
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Abstract

Background/Purpose: To investigate the influence of education (achieving university/college degree (high) or not (low)) on the outcomes of early RA, in terms of disease activity, pain, and functional impairment. Methods: We used DMARD-naive RA patients recruited in the Epidemiological Investigation of RA (EIRA) study with outcomes followed in the Swedish Rheumatology Quality (SRQ) register (N=3021). Outcomes were categorized in three ways: 1) scores equal to/above median vs. below median; 2) DAS28-based low disease activity, good response, remission; 3) scores decreased over the median vs. less than median. Associations between education and outcomes were calculated by Poisson regressions, at diagnosis and at each of the three (3, 6, 12 months) follow-up visits. Results: High and low educated patients had similar symptom durations (195 days) and anti-rheumatic therapies at baseline, and comparable treatment patterns during follow-up. Higher educated patients had less pain, less functional disability at baseline and throughout the whole follow-up period (VAS-pain: baseline: 49 (28-67) vs. 53 (33-71), p

Author-supplied keywords

  • *American
  • *college
  • *disease activity
  • *education
  • *health practitioner
  • *human
  • *pain
  • *register
  • *rheumatoid arthritis
  • *rheumatology
  • Sweden
  • diagnosis
  • disability
  • follow up
  • functional disease
  • health care system
  • patient
  • remission
  • smoking
  • tax
  • therapy

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Authors

  • Jiang X.

  • Sandberg M.

  • Saevarsdottir S.

  • Alfredsson L.

  • Klareskog L.

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