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Research ArticleArticle

Clinical Correlates of Self-reported Physical Health Status in Systemic Sclerosis

MARIE HUDSON, RUSSELL STEELE, YING LU, BRETT D. THOMBS, PANTELIS PANOPALIS and MURRAY BARON for the Canadian Scleroderma Research Group
The Journal of Rheumatology June 2009, 36 (6) 1226-1229; DOI: https://doi.org/10.3899/jrheum.081057
MARIE HUDSON
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  • For correspondence: marie.hudson@mcgill.ca
RUSSELL STEELE
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YING LU
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BRETT D. THOMBS
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PANTELIS PANOPALIS
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MURRAY BARON
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    Table 1.

    Baseline characteristics of patients with systemic sclerosis enrolled in the Canadian Scleroderma Research Group Registry (N = 416).

    Characteristic% or mean (SD)
    Women, %86.3
    Mean age, yrs56.0 (12.8)
    Education (more than high school), %45.2
    Mean disease duration, yrs*10.5 (8.3)
    Patients with diffuse skin involvement, %35.8
    Modified Rodnan skin scores (range 0–51)10.6 (10.0)
    Fingertip to palm distance, centimeters1.1 (1.8)
    No. of fingertip ulcers1.3 (2.3)
    Shortness of breath (range 0–10)2.1 (2.6)
    No. of swollen joints0.9 (2.9)
    No. of tender joints1.8 (4.4)
    No. of gastrointestinal symptoms (range 0–14)3.9 (3.0)
    No. of tender points of fibromyalgia (range 0–18)3.0 (5.0)
    SF-36 domains**
      Physical functioning36.9 (11.9)
      Social functioning44.2 (11.4)
      Role physical40.6 (12.0)
      Role emotional44.8 (12.7)
      Mental health48.4 (10.6)
      Vitality46.1 (10.6)
      Bodily pain43.2 (9.4)
      General health38.9 (10.9)
    SF-36 Physical Component Summary score37.5 (11.2)
    • ↵* Since onset of first non-Raynaud’s manifestation of SSc.

    • ↵** Lower scores represent worse and higher scores, better HRQOL.

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    Table 2.

    Correlations between SF-36 PCS scores and sociodemographic and disease related variables.

    CharacteristicCorrelation Coefficientp
    Male (compared to female)0.1818
    Age−0.05190.0693
    More than high school education vs high school or less0.0164
    Disease duration0.02040.4785
    Skin score−0.1326< 0.0001
    Number of fibromyalgia tender points−0.1559< 0.0001
    Fingertip to palm distance−0.1386< 0.0001
    No. of fingertip ulcers−0.04510.1622
    Shortness of breath−0.4102< 0.0001
    No. of swollen joints−0.1578< 0.0001
    No. of tender joints−0.2039< 0.0001
    No. of gastrointestinal symptoms−0.2854< 0.0001
    • View popup
    Table 3.

    Final multivariate regression model to determine clinical correlates of SF-36 PCS.

    CharacteristicStandardized EstimatesLower CIUpper CI
    Age−1.59−2.42−0.76
    Skin score−2.28−3.10−1.46
    Shortness of breath*−5.10−5.97−4.23
    No. of gastrointestinal symptoms*−2.64−3.52−1.76
    No. of swollen joints*−1.74−2.55−0.92
    • ↵* Square root transformation of variables was performed to improve fidelity to the regression assumptions. Coefficients are standardized by the standard deviations of the transformed variables in the regression (e.g., the coefficient for number of gastrointestinal symptoms is standardized by the standard deviation of the number of gastrointestinal symptoms).

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The Journal of Rheumatology
Vol. 36, Issue 6
1 Jun 2009
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Clinical Correlates of Self-reported Physical Health Status in Systemic Sclerosis
MARIE HUDSON, RUSSELL STEELE, YING LU, BRETT D. THOMBS, PANTELIS PANOPALIS, MURRAY BARON
The Journal of Rheumatology Jun 2009, 36 (6) 1226-1229; DOI: 10.3899/jrheum.081057

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Clinical Correlates of Self-reported Physical Health Status in Systemic Sclerosis
MARIE HUDSON, RUSSELL STEELE, YING LU, BRETT D. THOMBS, PANTELIS PANOPALIS, MURRAY BARON
The Journal of Rheumatology Jun 2009, 36 (6) 1226-1229; DOI: 10.3899/jrheum.081057
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