Assessment of residual symptoms in patients with axial spondyloarthritis with low disease activity and analysis of its related factors
10.19723/j.issn.1671-167X.2024.06.007
- VernacularTitle:低疾病活动度的中轴型脊柱关节炎患者残留症状评估及其相关因素分析
- Author:
Jiayu ZHAI
1
;
Jinxia ZHAO
1
;
Zhuo AN
1
;
Rui LIU
1
Author Information
1. 北京大学第三医院风湿免疫科,北京 100191
- Publication Type:Journal Article
- Keywords:
Axial spondyloarthritis;
Disease activity;
Pain;
Fatigue;
Related factors
- From:
Journal of Peking University(Health Sciences)
2024;56(6):987-993
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To comprehensively assess the occurrence of residual symptoms in patients with axial spondyloarthritis who have successfully attained the treatment goal of low disease activity,and to conduct a thorough analysis of the related factors.Methods:An analysis was performed on axial spondyloarthritis patients who achieved low disease activity for the first time during their visits at the Rheumatology and Immunology Department of Peking University Third Hospital,spanning from May 1,2021,to February 29,2024.Based on the ankylosing spondylitis disease activity score-C-reactive protein(ASDAS-CRP),the patients who achieved low disease activity were divided into a non-remission low disease activity group and a remission group.The occurrence of residual fatigue and pain symptoms in both groups was assessed,and binary Logistic regression analysis was used to evaluate the related factors.Results:In the study,201 patients achieved low disease activity during treatment.The gender distribu-tion was skewed towards males,with 151 male patients(75.1％)and 50 female patients(24.9％).The median age of the patients who achieved low disease activity was 32.0(28.0,37.0)years,and the median disease duration was 6.7(3.8,11.5)years.Notably,140 patients(69.7％)achieved low disease activity but did not experience complete remission,while 61 patients(30.3％)attained remis-sion.A substantial proportion of the patients,45.8％,reported residual fatigue visual analogue scale(VAS)≥4,with a marked difference between the non-remission low disease activity group and the remission group(53.6％vs.27.9％,P=0.001).Similarly,24.4％of the patients had residual pain VAS ≥4,with a significant disparity between the non-remission low disease activity group and the remission group(30.0％vs.11.5％,P=0.005).Binary Logistic regression analysis revealed that C-reactive protein levels had a notable negative influence on residual fatigue symptom(B=-0.142,P=0.008,OR=0.868),whereas ASAS-HI had a positive effect on residual fatigue(B=0.288,P＜0.001,OR=1.334).Gender was found to have a significant impact on residual pain symptoms,with females exhibi-ting a higher risk(B=1.135,P=0.002,OR=3.112).Conclusion:The residual fatigue and pain symptoms are common in axial spondyloarthritis patients who have achieved low disease activity,particu-larly among female patients.More assessment and recognition of the residual disease burden in these pa-tients will be needed to optimize the treatment strategies.
