The association of pain and stiffness with fatigue in incident polymyalgia rheumatica: baseline results from the polymyalgia rheumatica cohort study.
James A PriorS MullerT HelliwellS L HiderK BarracloughB DasguptaC D MallenPublished in: Primary health care research & development (2019)
We aimed to examine the association between pain, stiffness and fatigue in newly diagnosed polymyalgia rheumatica (PMR) patients using baseline data from a prospective cohort study. Fatigue is a known, but often ignored symptom of PMR. Newly diagnosed PMR patients were recruited from general practice and mailed a baseline questionnaire. This included a numerical rating scale for pain and stiffness severity, manikins identifying locations of pain and stiffness and the FACIT-Fatigue questionnaire. A total of 652 PMR patients responded (88.5%). The mean age of responders was 72.6 years (SD 9.0) and the majority were female (62.0%). Manikin data demonstrated that bilateral shoulder and hip pain and stiffness were common. The mean fatigue score (FACIT) was 33.9 (SD 12.4). Adjusted regression analysis demonstrated that a higher number of pain sites (23-44 sites) and higher pain and stiffness severity were associated with greater levels of fatigue. In newly diagnosed PMR patients, fatigue was associated with PMR symptom severity.
Keyphrases
- newly diagnosed
- chronic pain
- end stage renal disease
- pain management
- ejection fraction
- neuropathic pain
- chronic kidney disease
- general practice
- prognostic factors
- peritoneal dialysis
- sleep quality
- patient reported
- cardiovascular disease
- type diabetes
- machine learning
- giant cell
- physical activity
- electronic health record
- artificial intelligence