The objective is to measure time delay from onset of symptoms to diagnosis and time to disease-modifying anti-rheumatic drug treatments in Turkish patients with rheumatoid arthritis. The investigators will also evaluate actual work limitation status of patients and impact of demographic and clinical factors on work limitations in rheumatoid arthritis patients.
This post marketing observational study will be conducted in cross-sectional, non-interventional, multi-center format in Turkey. As this is a post marketing observational study, Abbott is not involved in the product supply since the drug is being used according to the approved marketing label and is to be prescribed by the physician under usual and customary practice of physician prescription. Subjects will be recruited from rheumatology outpatient clinics of university hospitals and/or private offices. Patients diagnosed with rheumatoid arthritis who had received at least one disease-modifying anti-rheumatic drug, who are already employed at a paid work and able to provide disease history data will be included. Patient data will be collected with a single visit. During the single visit, all required demographic and clinical data will be recorded on the case report forms by the investigators and every subject will be asked to fill out the Work Productivity and Activity Impairment questionnaire and the Health Assessment Questionnaire - Disability Index.
Study Type
OBSERVATIONAL
Enrollment
356
Site Reference ID/Investigator# 39111
Adana, Turkey (Türkiye)
Evaluation of Disease Duration: Time From Diagnosis to Disease-Modifying Anti-Rheumatic Drug Treatment in Rheumatoid Arthritis
The time elapsed from diagnosis of rheumatoid arthritis to initiation of treatment with disease-modifying anti-rheumatic drugs (DMARDs).
Time frame: Day 1
Work Limitation: Health Assessment Questionnaire-Disability Index (HAQ-DI)
The HAQ-DI measures physical function by assessing the ability to perform daily living tasks. Each task is rated from 0 (no difficulty) to 3 (unable to do). The total score ranges from 0 to 3. Higher scores indicate impairment.
Time frame: Day 1
Work Limitation: Work Productivity and Activity Impairment (WPAI) Questionnaire
The WPAI evaluates the ability to work and perform regular activities. The scale yields 4 types of scores (range 0 to 100): Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Higher scores indicate impairment.
Time frame: Day 1
Evaluation of Global Rheumatoid Arthritis Severity Scale
Global rheumatoid arthritis severity was assessed by asking the participants to consider all the ways their rheumatoid arthritis affected them and to rate how they were doing on a scale of 0 (very well) to 10 (very poor).
Time frame: Day 1
Evaluation of Disease Activity Score 28 (DAS28)
The DAS28 index measures disease activity in rheumatoid arthritis and is derived from the number of swollen/tender joints, laboratory tests of inflammation, and participant assessment of global health (by marking a 100 mm line from "very good" to "very bad"). A higher score indicates worse control of disease. A DAS28 less than 3.2 indicates low disease activity and a DAS28 greater than 5.1 indicates high disease activity.
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Site Reference ID/Investigator# 39102
Ankara, Turkey (Türkiye)
Site Reference ID/Investigator# 39104
Ankara, Turkey (Türkiye)
Site Reference ID/Investigator# 39109
Ankara, Turkey (Türkiye)
Site Reference ID/Investigator# 52448
Ankara, Turkey (Türkiye)
Site Ref # / Investigator 52451
Antalya, Turkey (Türkiye)
Site Reference ID/Investigator# 52442
Aydin, Turkey (Türkiye)
Site Reference ID/Investigator# 52447
Bursa, Turkey (Türkiye)
Site Reference ID/Investigator# 52446
Bursa, Turkey (Türkiye)
Site Ref # / Investigator 52443
Denizli, Turkey (Türkiye)
...and 11 more locations
Time frame: Day 1
Evaluation of Visual Analog Scale (VAS) for Pain and Fatigue
Participants rated their pain and fatigue using a visual analog scale from 0 to 10, where 10 was the worst case.
Time frame: Day 1
Number of Disease Modifying Anti-Rheumatic Drugs
The number of disease-modifying anti-rheumatic drugs (DMARDs) that participants were taking to treat their rheumatoid arthritis.
Time frame: Day 1
Biologics Usage
Biologic treatments participants were taking for their rheumatoid arthritis.
Time frame: Day 1
Stiffness Duration
Participants' duration of morning joint stiffness.
Time frame: Day 1
Number of Comorbidities
Number of comorbid (coexisting) medical conditions of the study participants.
Time frame: Day 1
Rheumatoid Factor
Rheumatoid factor test results.
Time frame: Day 1
Anti-cyclic Citrullinated Peptide
Anti-cyclic citrullinated peptide (anti-CCP) test results.
Time frame: Day 1
Sedimentation Rate
The erythrocyte (red blood cell) sedimentation rates of study participants were assessed.
Time frame: Day 1
Number of Deformities at Inspection
The number of joint deformities of the study participants.
Time frame: Day 1
Evaluation of Rheumatoid Arthritis Treatments Duration
Time elapsed from onset of symptoms to diagnosis of rheumatoid arthritis (that is, from the first rheumatoid arthritis-related symptoms to diagnosis by a related specialist) and the time elapsed from diagnosis with rheumatoid arthritis to initiation of anti-tumor necrosis factor (anti-TNF) treatment.
Time frame: Day 1