Abstract：
:Disability is a common problem in patients with gout. Recently, the Health Assessment Questionnaire Disability Index (HAQ-DI) was recommended for assessing patient reported activity limitations in gout. However, few studies have explored experiences and issues of disability from the perspective of gout patients themselves. The objectives of this study were to explore disability issues in patients with gout and to examine the content validity of the HAQ-DI in this patient group. Two studies were performed: a semi-structured interview study with seven male gout patients and a cross-sectional survey study among 34 other patients with gout. In both studies, specific examples of activity limitations were elicited using open-ended methods. The survey study additionally aimed to quantify the relevance of the activities listed in the HAQ-DI. Most patients experienced several gout attacks in the previous year. Limitations were reported to occur during a flare, but patients were generally not limited between attacks. During an attack, patients mainly experienced limitations related to mobility, especially walking and climbing stairs. Patients also mentioned limitations in activities related to domestic life, such as gardening and doing housework. Limitations related to self-care or activities requiring the use of the upper extremities were rarely mentioned. Corresponding HAQ-DI items were skewed towards very low disability scores over the past week. Assessments of gout-related disability should particularly focus on mobility and lower extremity functioning and should consider the intermittent nature of the disease. The HAQ-DI may not adequately meet these requirements, suggesting the need to explore other measures of gout-related disability
journal_name
Clin Rheumatoljournal_title
Clinical rheumatologyauthors
ten Klooster PM,Vonkeman HE,Voshaar MA,Bode C,van de Laar MAdoi
10.1007/s10067-013-2400-6subject
Has Abstractpub_date
2014-08-01 00:00:00pages
1145-54issue
8eissn
0770-3198issn
1434-9949journal_volume
33pub_type
杂志文章abstract：:The higher incidence of arterial and venous events is well established in patients with rheumatoid arthritis (RA). Our aim here was to investigate whether there is a prothrombotic state in RA patients by using rotational thromboelastometry (ROTEM) method and to demonstrate whether the disease variables play a role in ...
journal_title：Clinical rheumatology
pub_type： 杂志文章
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更新日期：2018-09-01 00:00:00
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journal_title：Clinical rheumatology
pub_type： 杂志文章,meta分析
doi：10.1007/s10067-015-3045-4
更新日期：2015-11-01 00:00:00
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journal_title：Clinical rheumatology
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journal_title：Clinical rheumatology
pub_type： 杂志文章
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journal_title：Clinical rheumatology
pub_type： 杂志文章
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journal_title：Clinical rheumatology
pub_type： 杂志文章
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journal_title：Clinical rheumatology
pub_type： 杂志文章
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journal_title：Clinical rheumatology
pub_type： 杂志文章,评审
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pub_type： 杂志文章
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journal_title：Clinical rheumatology
pub_type： 杂志文章,meta分析
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journal_title：Clinical rheumatology
pub_type： 杂志文章
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journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-008-1009-7
更新日期：2009-02-01 00:00:00
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journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-017-3707-5
更新日期：2017-07-01 00:00:00
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journal_title：Clinical rheumatology
pub_type： 杂志文章
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更新日期：2017-08-01 00:00:00
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journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-008-0860-x
更新日期：2008-12-01 00:00:00
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journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-002-0639-4
更新日期：2003-02-01 00:00:00
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journal_title：Clinical rheumatology
pub_type： 临床试验,杂志文章
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pub_type： 杂志文章
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journal_title：Clinical rheumatology
pub_type： 杂志文章,随机对照试验
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更新日期：2008-07-01 00:00:00
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pub_type： 杂志文章
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pub_type： 杂志文章
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pub_type： 杂志文章
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pub_type： 杂志文章
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更新日期：2017-10-01 00:00:00
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journal_title：Clinical rheumatology
pub_type： 杂志文章
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更新日期：2020-02-01 00:00:00
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journal_title：Clinical rheumatology
pub_type： 杂志文章
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更新日期：2001-01-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/BF03342660
更新日期：2001-11-01 00:00:00
