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Sociodemographic Differences in Quality of Life in Rheumatoid Arthritis

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Abstract

Assessment of health-related quality of life (HR-QOL) in people with rheumatoid arthritis (RA) has become important in health research and can inform clinical care. Many studies have found sociodemographic differences in the HR-QOL of people with RA, and interpreting these differences can be challenging. Biological, health disparity, reporting and assessment instrument differences are a few of the possible explanations that should be considered when interpreting results. Our review of the evidence of sociodemographic differences in HR-QOL in people with RA produced 34 articles describing 49 studies.

Typically, patients with RA who were older, female, less educated, non-employed and/or less affluent tended to have significantly lower HR-QOL than other groups. Some evidence also indicated that people with RA who are non-White or who live in rural settings may also tend to have lower HR-QOL scores, but the number of studies supporting these findings was sparse.

Researchers and clinicians can optimise their assessment of HR-QOL by finding well validated instruments for the context they are working in. Additional research is needed to identify the exact causes of HR-QOL differences so that quality treatment can be provided to those in need.

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References

  1. Spilker B. Introduction. In: Spilker B, editor. Quality of life assessments in clinical trials. New York: Raven, 1990: 3–9

    Google Scholar 

  2. Orley JWK, Kuyken W. Quality of life assessment: international perspectives. In: Orley JWK, editor. Proceedings of the Joint-Meeting Organized by the WHO and the Foundation IPSEN; 1993. Paris, France: Springer-Verlag, 1993: 1–200

    Google Scholar 

  3. Wu AW. Quality-of-life assessment in clinical research: application in diverse populations. Med Care 2000; 38 (9 Suppl.): 11130–11135

    Google Scholar 

  4. Cramer JA. Quality of life assessment in clinical practice. Neurology 1999; 53 (5 Suppl. 2): S49–S52

    PubMed  CAS  Google Scholar 

  5. Grossman HA, Sullivan PS, Wu AW. Quality of life and HIV: current assessment tools and future directions for clinical practice. AIDS Read 2003; 13 (12): 583–590, 595, 597

    PubMed  Google Scholar 

  6. Sloan JA, Cella D, Frost MH, et al. Quality of life III: translating the science of quality-of-life assessment into clinical practice. An example-driven approach for practicing clinicians and clinical researchers. Clin Ther 2003; 25 Suppl. D: D1–D5

    Google Scholar 

  7. Baars RM, van der Pal SM, Koopman HM, et al. Clinicians’ perspective on quality of life assessment in paediatric clinical practice. Acta Paediatr 2004; 93 (10): 1356–1362

    Article  PubMed  CAS  Google Scholar 

  8. Wolfe F, Pincus T. Listening to the patient: a practical guide to self-report questionnaires in clinical care. Arthritis Rheum 1999; 42 (9): 1797–1808

    Article  PubMed  CAS  Google Scholar 

  9. Guillemin F. Functional disability and quality-of-life assessment in clinical practice. Rheumatology (Oxford) 2000; 39 Suppl. 1: 17–23

    Article  Google Scholar 

  10. Lubeck DP. Health-related quality of life measurements and studies in rheumatoid arthritis. Am J Manag Care 2002; 8 (9): 811–820

    PubMed  Google Scholar 

  11. Kaplan RM, Anderson JP. The quality of well-being scale: rationale for a single quality of life index. In: Walker SR, Rosser R, editors. Centre for Medicines Research Workshop, 1988; CIBA Foundation; Lancaster, England. Boston (MA): MTP Press, 1988: 325

    Google Scholar 

  12. Lubeck DP. Patient-reported outcomes and their role in the assessment of rheumatoid arthritis. Pharmacoeconomics 2004; 22 (2 Suppl.): 27–38

    PubMed  Google Scholar 

  13. Stewart AL, Napoles-Springer A. Health-related quality-of-life assessments in diverse population groups in the United States. Med Care 2000; 38 (9 Suppl.): 11102–11124

    Google Scholar 

  14. Barofsky I. The role of cognitive equivalence in studies of health-related quality-of-life assessments. Med Care 2000; 38 (9 Suppl.): 11125–11129

    Google Scholar 

  15. Ferketich S, Phillips L, Verran J. Focus on psychometrics: development and administration of a survey instrument for cross-cultural research. Res Nurs Health 1993; 16 (3): 227–230

    Article  PubMed  CAS  Google Scholar 

  16. Angel R, Thoits P. The impact of culture on the cognitive structure of illness. Cult Med Psychiatry 1987; 11 (4): 465–494

    Article  PubMed  CAS  Google Scholar 

  17. MacGregor AJ, Snieder H, Rigby AS, et al. Characterizing the quantitative genetic contribution to rheumatoid arthritis using data from twins. Arthritis Rheum 2000; 43 (1): 30–37

    Article  PubMed  CAS  Google Scholar 

  18. Gorman JD, Criswell LA. The shared epitope and severity of rheumatoid arthritis. Rheum Dis Clin North Am 2002; 28 (1): 59–78

    Article  PubMed  Google Scholar 

  19. Gabriel SE. The epidemiology of rheumatoid arthritis. Rheum Dis Clin North Am 2001; 27 (2): 269–281

    Article  PubMed  CAS  Google Scholar 

  20. Willkens RF, Nepom GT, Marks CR, et al. Association of HLA-Dw16 with rheumatoid arthritis in Yakima Indians: further evidence for the “shared epitope” hypothesis. Arthritis Rheum 1991; 34 (1): 43–47

    Article  PubMed  CAS  Google Scholar 

  21. Alarcon GS. Is rheumatoid arthritis in African descendants from North and South America the same? Semin Arthritis Rheum 2001; 31 (3): 143–145

    Article  PubMed  CAS  Google Scholar 

  22. Drosos AA, Moutsopoulos HM. Rheumatoid arthritis in Greece: clinical, serological and genetic considerations. Clin Exp Rheumatol 1995; 13 Suppl. 12: S7–S12

    PubMed  Google Scholar 

  23. Stavropoulos C, Spyropoulou M, Koumantaki Y, et al. HLA-DRB1 alleles in Greek rheumatoid arthritis patients and their association with clinical characteristics. Eur J Immunogenet 1997; 24 (4): 265–274

    Article  PubMed  CAS  Google Scholar 

  24. Abdel-Nasser AM, Rasker JJ, Valkenburg HA. Epidemiological and clinical aspects relating to the variability of rheumatoid arthritis. Semin Arthritis Rheum 1997; 27 (2): 123–140

    Article  PubMed  CAS  Google Scholar 

  25. Williams DR. Race, socioeconomic status, and health: the added effects of racism and discrimination. Ann N Y Acad Sci 1999; 896: 173–188

    Article  PubMed  CAS  Google Scholar 

  26. Peterson ED, Shaw LK, DeLong ER, et al. Racial variation in the use of coronary-revascularization procedures: are the differences real? Do they matter? N Engl J Med 1997; 336 (7): 480–486

    Article  PubMed  CAS  Google Scholar 

  27. Laouri M, Kravitz RL, Bernstein SJ, et al. Under use of coronary angiography: application of a clinical method. Int J Qual Health Care 1997; 9 (1): 15–22

    Article  PubMed  CAS  Google Scholar 

  28. Collins KS, Hall A, Neuhaus C. US minority health: a chartbook. New York: The Commonwealth Fund, 1999

    Google Scholar 

  29. Canto JG, Allison JJ, Kiefe CI, et al. Relation of race and sex to the use of reperfusion therapy in Medicare beneficiaries with acute myocardial infarction. N Engl J Med 2000; 342 (15): 1094–1100

    Article  PubMed  CAS  Google Scholar 

  30. Schneider EC, Cleary PD, Zaslavsky AM, et al. Racial disparity in influenza vaccination: does managed care narrow the gap between African Americans and Whites? JAMA 2001; 286 (12), 1455–1460

    Article  PubMed  CAS  Google Scholar 

  31. Mayberry RM, Mili F, Ofili E. Racial and ethnic differences in access to medical care. Med Care Res Rev 2000; 57 Suppl. 1: 108–145

    Google Scholar 

  32. Geiger HJ. Racial and ethnic disparities in diagnosis and treatment: a review of the evidence and a consideration of causes. In: Smedley BD, Stith AY, Nelson AR, editors. Unequal treatment: confronting racial and ethnic disparities in health care. Washington, DC: National Academies Press, 2003: 417–454

    Google Scholar 

  33. Weiss BD, Blanchard JS, McGee DL, et al. Illiteracy among Medicaid recipients and its relationship to health care costs. J Health Care Poor Underserved 1994; 5 (2): 99–111

    Article  PubMed  CAS  Google Scholar 

  34. Kissinger P, Rice J, Farley T, et al. Application of computer-assited interviews to sexual behavior research. Am J Epidemiol 1999; 149 (10): 950–954

    Article  PubMed  CAS  Google Scholar 

  35. Rahman MO, Liu J. Gender differences in functioning for older adults in rural Bangladesh: the impact of differential reporting? J Gerontol A Biol Sci Med Sci 2000; 55 (1): M28–M33

    Article  PubMed  CAS  Google Scholar 

  36. Jette AM. How measurement techniques influence estimates of disability in older populations. Soc Sci Med 1994; 38 (7): 937–942

    Article  PubMed  CAS  Google Scholar 

  37. Lubetkin EI, Jia H, Gold MR. Construct validity of the EQ-5D in low-income Chinese American primary care patients. Qual Life Res 2004; 13 (8): 1459–1468

    Article  PubMed  Google Scholar 

  38. Guillemin F, Bormardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993; 46 (12): 1417–1432

    Article  PubMed  CAS  Google Scholar 

  39. Bullinger M, Alonso J, Apolone G, et al. Translating health status questionnaires and evaluating their quality: the IQOLA Project approach. International Quality of Life Assessment. J Clin Epidemiol 1998; 51 (11): 913–923

    Article  PubMed  CAS  Google Scholar 

  40. Napoles-Springer A, Stewart AL. Use of health-related quality of life measures in older and ethnically diverse US populations. J Ment Health Aging 2001; 7: 173–179

    Google Scholar 

  41. Study protocol for the World Health Organization project to develop a quality of life assessment instrument (WHOQOL). Qual Life Res 1993; 2 (2): 153–9

    Google Scholar 

  42. Helman CG. Culture, health, and illness. 4th ed. Oxford: Butterworth-Heinemann, 2000

    Google Scholar 

  43. Zborowski M. Cultural components in response to pain. J Soc Issues 1952; 8 (4): 16–30

    Article  Google Scholar 

  44. Zola IK. Culture and symptoms: an analysis of patients’ presenting complaints. Am Sociol Rev 1966; 31 (5): 615–630

    Article  PubMed  CAS  Google Scholar 

  45. Weisenberg M, Kreindler ML, Schachat R, et al. Pain: anxiety and attitudes in Black, White and Puerto Rican patients. Psychosom Med 1975; 37 (2): 123–135

    PubMed  CAS  Google Scholar 

  46. Lipton JA, Marbach JJ. Ethnicity and the pain experience. Soc Sci Med 1984; 19 (12): 1279–1298

    Article  PubMed  CAS  Google Scholar 

  47. Greenwald HP. Interethnic differences in pain perception. Pain 1991; 44 (2): 157–163

    Article  PubMed  CAS  Google Scholar 

  48. Melzack R, Torgerson WS. On the language of pain. Anesthesiology 1971; 34 (1): 50–59

    Article  PubMed  CAS  Google Scholar 

  49. Thompson PW, Pegley FS. A comparison of disability measured by the Stanford Health Assessment Questionnaire disability scales (HAQ) in male and female rheumatoid outpatients. Br J Rheumatol 1991; 30 (4): 298–300

    Article  PubMed  CAS  Google Scholar 

  50. Whalley D, McKenna SP, de Jong Z, et al. Quality of life in rheumatoid arthritis. Br J Rheumatol 1997; 36 (8): 884–888

    Article  PubMed  CAS  Google Scholar 

  51. Hill CL, Parsons J, Taylor A, et al. Health related quality of life in a population sample with arthritis. J Rheumatol 1999; 26 (9), 2029–2035

    PubMed  CAS  Google Scholar 

  52. Lawrence RC, Helmick CG, Arnett FC, et al. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis Rheum 1998; 41 (5): 778–799

    Article  PubMed  CAS  Google Scholar 

  53. Star VL, Scott JC, Sherwin R, et al. Validity of self-reported rheumatoid arthritis in elderly women. J Rheumatol 1996; 23 (11), 1862–1865

    PubMed  CAS  Google Scholar 

  54. Kvien TK, Glennas A, Knudsrod OG, et al. The validity of self-reported diagnosis of rheumatoid arthritis: results from a population survey followed by clinical examinations. J Rheumatol 1996; 23 (11): 1866–1871

    PubMed  CAS  Google Scholar 

  55. Butler IS, Burkhauser RV, Mitchell JM, et al. Measurement error in self-reported health variables. Rev Econ Stat 1987; 69: 644–650

    Article  Google Scholar 

  56. Chandarana PC, Eals M, Steingart AB, et al. The detection of psychiatric morbidity and associated factors in patients with rheumatoid arthritis. Can J Psychiatry 1987; 32 (5): 356–361

    PubMed  CAS  Google Scholar 

  57. Parker J, Frank R, Beck N, et al. Pain in rheumatoid arthritis: relationship to demographic, medical, and psychological factors. J Rheumatol 1988; 15 (3): 433–437

    PubMed  CAS  Google Scholar 

  58. Hawley DJ, Wolfe F. Anxiety and depression in patients with rheumatoid arthritis: a prospective study of 400 patients. J Rheumatol 1988; 15 (6): 932–941

    PubMed  CAS  Google Scholar 

  59. Keefe FJ, Brown GK, Wallston KA, et al. Coping with rheumatoid arthritis pain: catastrophizing as a maladaptive strategy. Pain 1989; 37 (1): 51–56

    Article  PubMed  CAS  Google Scholar 

  60. Newman SP, Fitzpatrick R, Lamb R, et al. The origins of depressed mood in rheumatoid arthritis. J Rheumatol 1989; 16 (6), 740–744

    PubMed  CAS  Google Scholar 

  61. Parker JC, Smarr KL, Buescher KL, et al. Pain control and rational thinking: implications for rheumatoid arthritis. Arthritis Rheum 1989; 32 (8): 984–990

    Article  PubMed  CAS  Google Scholar 

  62. Wolfe F, Cathey MA. The assessment and prediction of functional disability in rheumatoid arthritis. J Rheumatol 1991; 18 (9): 1298–1306

    PubMed  CAS  Google Scholar 

  63. Bendtsen P, Hornquist JO. Change and status in quality of life in patients with rheumatoid arthritis. Qual Life Res 1992; 1 (5): 296–305

    Article  PubMed  CAS  Google Scholar 

  64. Wolfe F, Hawley DJ. The relationship between clinical activity and depression in rheumatoid arthritis. J Rheumatol 1993; 20 (12): 2032–2037

    PubMed  CAS  Google Scholar 

  65. Doeglas D, Krol B, Guillemin F, et al. The assessment of functional status in rheumatoid arthritis: across cultural, longitudinal comparison of the Health Assessment Questionnaire and the Groningen Activity Restriction Scale. J Rheumatol 1995; 22 (10): 1834–1843

    PubMed  CAS  Google Scholar 

  66. van der Heide A, Jacobs JW, Haanen HC, et al. Is it possible to predict the first year extent of pain and disability for patients with rheumatoid arthritis? J Rheumatol 1995; 22 (8): 1466–1470

    PubMed  Google Scholar 

  67. Wolfe F, Hawley DJ, Wilson K. The prevalence and meaning of fatigue in rheumatic disease. J Rheumatol 1996; 23 (8): 1407–1417

    PubMed  CAS  Google Scholar 

  68. Evers AW, Kraaimaat FW, Geenen R, et al. Determinants of psychological distress and its course in the first year after diagnosis in rheumatoid arthritis patients. J Behav Med 1997; 20 (5): 489–504

    Article  PubMed  CAS  Google Scholar 

  69. Evers AW, Kraaimaat FW, Geenen R, et al. Psychosocial predictors of functional change in recently diagnosed rheumatoid arthritis patients. Behav Res Ther 1998; 36 (2): 179–193

    Article  PubMed  CAS  Google Scholar 

  70. Wolfe F, Hawley DJ. The longterm outcomes of rheumatoid arthritis: work disability. A prospective 18 year study of 823 patients. J Rheumatol 1998; 25 (11): 2108–2117

    PubMed  CAS  Google Scholar 

  71. Reisine S, Fifield J, Winkelman DK. Employment patterns and their effect on health outcomes among women with rheumatoid arthritis followed for 7 years. J Rheumatol 1998; 25 (10): 1908–1916

    PubMed  CAS  Google Scholar 

  72. Brekke M, Hjortdahl P, Thelle DS, et al. Disease activity and severity in patients with rheumatoid arthritis: relations to socioeconomic inequality. Soc Sci Med 1999; 48 (12): 1743–1750

    Article  PubMed  CAS  Google Scholar 

  73. Lefebvre JC, Keefe FJ, Affleck G, et al. The relationship of arthritis self-efficacy to daily pain, daily mood, and daily pain coping in rheumatoid arthritis patients. Pain 1999; 80 (1-2): 425–435

    Article  PubMed  CAS  Google Scholar 

  74. De Roos AJ, Callahan LF. Differences by sex in correlates of work status in rheumatoid arthritis patients. Arthritis Care Res 1999; 12 (6): 381–391

    Article  PubMed  Google Scholar 

  75. Brekke M, Hjortdahl P, Kvien TK. Involvement and satisfaction: a Norwegian study of health care among 1024 patients with rheumatoid arthritis and 1509 patients with chronic noninflammatory musculoskeletal pain. Arthritis Rheum 2001; 45 (1), 8–15

    Article  PubMed  CAS  Google Scholar 

  76. Brekke M, Hjortdahl P, Kvien TK. Self-efficacy and health status in rheumatoid arthritis: a two-year longitudinal observational study. Rheumatology (Oxford) 2001; 40 (4): 387–392

    Article  CAS  Google Scholar 

  77. Suurmeijer TP, Waltz M, Mourn T, et al. Quality of life profiles in the first years of rheumatoid arthritis: results from the EURIDISS longitudinal study. Arthritis Rheum 2001; 45 (2): 111–121

    Article  PubMed  CAS  Google Scholar 

  78. Danao LL, Padilla GV, Johnson DA. An English and Spanish quality of life measure for rheumatoid arthritis. Arthritis Rheum 2001; 45 (2): 167–173

    Article  PubMed  CAS  Google Scholar 

  79. Tijhuis GJ, de Jong Z, Zwinderman AH, et al. The validity of the Rheumatoid Arthritis Quality of Life (RAQoL) questionnaire. Rheumatology (Oxford) 2001; 40 (10): 1112–1119

    Article  CAS  Google Scholar 

  80. Sharpe L, Sensky T, Brewin CR, et al. Characteristics of hand icap for patients with recent onset rheumatoid arthritis: the validity of the Disease Repercussion Profile. Rheumatology (Oxford) 2001; 40 (10): 1169–1174

    Article  CAS  Google Scholar 

  81. Hashimoto A, Sato H, Nishibayahi Y, et al. A multicenter cross-sectional study on the health related quality of life of patients with rheumatoid arthritis using a revised Japanese version of the Arthritis Impact Measurement Scales Version 2 (AIMS 2), focusing on the medical care costs and their associative factors [in Japanese]. Ryumachi 2002; 42 (1): 23–39

    PubMed  Google Scholar 

  82. Jakobsson U, Hallberg IR. Pain and quality of life among older people with rheumatoid arthritis and/or osteoarthritis: a literature review. J Clin Nurs 2002; 11 (4): 430–443

    Article  PubMed  Google Scholar 

  83. Sarzi-Puttini P, Fiorini T, Panni B, et al. Correlation of the score for subjective pain with physical disability, clinical and radiographic scores in recent onset rheumatoid arthritis. BMC Musculoskelet Disord 2002; 3 (1): 18

    Article  PubMed  Google Scholar 

  84. Wolfe F, Michaud K, Gefeller O, et al. Predicting mortality in patients with rheumatoid arthritis. Arthritis Rheum 2003; 48 (6), 1530–1542

    Article  PubMed  Google Scholar 

  85. Chorus AM, Miedema HS, Boonen A, et al. Quality of life and work in patients with rheumatoid arthritis and ankylosing spondylitis of working age. Ann Rheum Dis 2003; 62 (12): 1178–1184

    Article  PubMed  CAS  Google Scholar 

  86. Bartlett SJ, Piedmont R, Bilderback A, et al. Spirituality, wellbeing, and quality of life in people with rheumatoid arthritis. Arthritis Rheum 2003; 49 (6): 778–783

    Article  PubMed  Google Scholar 

  87. Kaplan RM, Anderson JP, Wingard DL. Gender differences in health-related quality of life. Health Psychol 1991; 10 (2): 86–93

    Article  PubMed  CAS  Google Scholar 

  88. Fryback DG, Dasbach EJ, Klein R, et al. The Beaver Dam Health Outcomes Study: initial catalog of health-state quality factors. Med Decis Making 1993; 13 (2): 89–102

    Article  PubMed  CAS  Google Scholar 

  89. Ware JE, Kosinski MA, Keller SD. SF-36 physical and mental health summary scales: a user’s manual. 5th ed. Boston (MA): Health Assessment Lab, New England Medical Center, 1994

    Google Scholar 

  90. Groessl EJ, Kaplan RM, Barrett-Connor E, et al. Body mass index and quality of well-being in a community of older adults. Am J Prev Med 2004; 26 (2): 126–129

    Article  PubMed  Google Scholar 

  91. Kaplan RM, Anderson JP, Ake CF. Gender differences in quality-adjusted life expectancy: results from the National Health Interview Survey. Clin J Women’s Health 2001; 1 (4): 191–198

    Article  Google Scholar 

  92. Bach PB, Cramer LD, Warren JL, et al. Racial differences in the treatment of early-stage lung cancer. N Engl J Med 1999; 341 (16): 1198–1205

    Article  PubMed  CAS  Google Scholar 

  93. Kaplan GA, Everson SA, Lynch JW. The contribution of social and behavioral research to an understanding of the distribution of disease: a multilevel approach. In: Smedley BD, Syme SL, editors. Promoting health: intervention strategies from social and behavioral research. Washington, DC: National Academy Press, 2000: 37–80

    Google Scholar 

  94. Kressin NR, Petersen LA. Racial differences in the use of invasive cardiovascular procedures: review of the literature and prescription for future research. Ann Intern Med 2001; 135 (5): 352–366

    PubMed  CAS  Google Scholar 

  95. Zhao SZ, Fiechtner IT, Tindall EA, et al. Evaluation of health-related quality of life of rheumatoid arthritis patients treated with celecoxib. Arthritis Care Res 2000; 13 (2): 112–121

    Article  PubMed  CAS  Google Scholar 

  96. Maini RN, Breedveld FC, Kalden JR, et al. Sustained improvement over two years in physical function, structural damage, and signs and symptoms among patients with rheumatoid arthritis treated with infliximab and methotrexate. Arthritis Rheum 2004; 50 (4): 1051–1065

    Article  PubMed  CAS  Google Scholar 

  97. Torrance GW, Tugwell P, Amorosi S, et al. Improvement in health utility among patients with rheumatoid arthritis treated with adalimumab (a human anti-TNF monoclonal antibody) plus methotrexate. Rheumatology (Oxford) 2004; 43 (6): 712–718

    Article  CAS  Google Scholar 

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Acknowledgements

Dr Groessl is supported by a Department of Veteran Affairs Health Services Research and Development Merit Review Entry Program Award.

No sources of funding were used to assist in the preparation of this article. The authors have no conflicts of interest that are directly relevant to the content of this article.

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  1. Health Services Research & Development, Veterans Affairs San Diego Healthcare System, 3350 La Jolla Village Dr., # 111 N-1, San Diego, California, 92161, USA

    Erik J. Groessl

  2. University of California, San Diego, California, USA

    Erik J. Groessl, Theodore G. Ganiats & Andrew J. Sarkin

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  1. Erik J. Groessl
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Groessl, E.J., Ganiats, T.G. & Sarkin, A.J. Sociodemographic Differences in Quality of Life in Rheumatoid Arthritis. Pharmacoeconomics 24, 109–121 (2006). https://doi.org/10.2165/00019053-200624020-00002

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