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Research ArticleOther Arthritides

Perceptions of Patients, Caregivers, and Healthcare Providers of Idiopathic Inflammatory Myopathies: An International OMERACT Study

Christopher A. Mecoli, Jin Kyun Park, Helene Alexanderson, Malin Regardt, Merrilee Needham, Ingrid de Groot, Catherine Sarver, Ingrid E. Lundberg, Beverley Shea, Marianne de Visser, Yeong Wook Song, Clifton O. Bingham 3rd and Lisa Christopher-Stine
The Journal of Rheumatology January 2019, 46 (1) 106-111; DOI: https://doi.org/10.3899/jrheum.180353
Christopher A. Mecoli
From the Division of Rheumatology, Department of Medicine, Johns Hopkins University, Baltimore, Maryland, USA; Division of Rheumatology, Department of Internal Medicine, Seoul National University Hospital, Seoul, South Korea; Department of Neurology, Care Science and Society, Division of Physiotherapy, and Department of Medicine, Rheumatology Unit, Karolinska Institutet; Function Area Occupational Therapy and Physical Therapy, Allied Health Professionals Function, Karolinska University Hospital; Department of Learning, Informatics and Medical Education, Karolinska Institutet, Solna, Sweden; Department of Neurology, Fiona Stanley Hospital, IIID Murdoch University and Notre Dame University, Murdoch, Australia; Patient Research Partner, the Netherlands and USA; Division of Rheumatology, Rheumatology Unit, Department of Medicine, Karolinska University, Karolinska Institutet, Solna, Sweden; Center for Global Health, University of Ottawa, Ottawa, Ontario, Canada; Department of Neurology, Academic Medical Center, University of Amsterdam, the Netherlands; Medical Research Center, College of Medicine, Department of Molecular Medicine and Biopharmaceutical Sciences, Seoul National University, Seoul, South Korea.
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  • For correspondence: cmecoli1@jhmi.edu
Jin Kyun Park
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Helene Alexanderson
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Malin Regardt
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Merrilee Needham
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Ingrid de Groot
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Catherine Sarver
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Ingrid E. Lundberg
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Beverley Shea
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Marianne de Visser
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Yeong Wook Song
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Clifton O. Bingham 3rd
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Lisa Christopher-Stine
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Article Figures & Data

Tables

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    Table 1.

    Rank ordering of domains selected by patients and HCP, based on proportion of respondents that selected each domain in their top 10.

    DomainTotal, n = 638Patients, n = 510HCP, n = 101Caregivers, n = 27p
    1Muscle symptoms96.296.199.088.90.045
    2Fatigue82.485.966.377.8< 0.0001
    3Levels of physical activity70.768.483.266.70.011
    4Medication side effects65.866.759.474.10.243
    5Pain59.959.459.470.40.524
    6Skin symptoms54.951.672.351.90.001
    7Lung symptoms53.648.883.233.3< 0.0001
    8Dysphagia50.045.576.237.0< 0.0001
    9Increased risk of infection43.944.934.759.30.043
    10Work ability45.142.761.429.60.001
    11Cognitive impact37.941.814.951.9< 0.0001
    12Joint symptoms44.741.662.437.0< 0.0001
    13Difficulty sleeping34.639.09.944.4< 0.0001
    14Emotional distress35.737.123.855.60.003
    15Gastrointestinal tract symptoms34.336.522.837.00.029
    16Dryness of eyes and/or mouth27.331.65.029.6< 0.0001
    17Household activities29.529.630.722.20.684
    18Cardiovascular symptoms30.127.845.514.8< 0.0001
    19Leisure activities25.426.721.814.80.256
    20Interaction*23.524.98.951.9< 0.0001
    21Personal care17.715.131.714.8< 0.0001
    22Relation and/or intimacy14.114.97.922.20.085
    23Incontinence11.012.73.07.40.013
    24Social gathering11.610.816.87.40.175
    • Values are % unless otherwise specified.

    • ↵* Interaction with healthcare personnel and authorities. Values in bold face are statistically significant. HCP: healthcare providers.

    • View popup
    Table 2.

    Weighted rank ordering of domains selected by patients based on proportion of respondents who selected each domain in their top 5 according to countries (based on Question 15).

    DomainsTotal, n = 510Australia, n = 25Netherlands, n = 27Sweden, n = 29USA, n = 339p
    1Muscle symptoms3.45 ± 1.863.6 ± 1.963.22 ± 1.933.28 ± 2.053.47 ± 1.840.838
    2Fatigue1.98 ± 1.772.12 ± 1.832.85 ± 1.851.17 ± 1.581.97 ± 1.750.005
    3Pain1.32 ± 1.811.76 ± 2.090.81 ± 1.550.45 ± 0.951.4 ± 1.850.012
    4Lung symptoms0.99 ± 1.770.8 ± 1.552.04 ± 2.082.86 ± 2.180.76 ± 1.59< 0.0001
    5Skin symptoms0.99 ± 1.650.8 ± 1.470.56 ± 1.090.59 ± 1.31.07 ± 1.720.187
    6Levels of physical activity0.92 ± 1.391.2 ± 1.50.89 ± 1.250.45 ± 0.830.95 ± 1.430.214
    7Medication side effects0.76 ± 1.351.2 ± 1.441.15 ± 1.541.14 ± 1.530.67 ± 1.30.033
    8Dysphagia0.71 ± 1.460.36 ± 0.910.33 ± 1.210.86 ± 1.680.76 ± 1.480.275
    9Cognitive impact0.59 ± 1.270.48 ± 10.3 ± 0.950.17 ± 0.470.65 ± 1.350.136
    10Increased risk of infection0.45 ± 1.090.48 ± 1.230.41 ± 1.010.97 ± 1.40.41 ± 1.050.073
    11Difficulty sleeping0.4 ± 1.020.28 ± 1.060.22 ± 0.80.03 ± 0.190.45 ± 1.060.122
    12Joint symptoms0.39 ± 1.030.32 ± 0.90.37 ± 0.930.66 ± 1.20.37 ± 1.030.546
    13Gastrointestinal tract symptoms0.34 ± 0.980.28 ± 0.740.41 ± 1.050.24 ± 0.990.35 ± 0.990.910
    14Cardiovascular symptoms0.29 ± 0.990.44 ± 1.390.48 ± 1.310.86 ± 1.620.21 ± 0.830.003
    15Emotional distress0.28 ± 0.880.24 ± 0.720.15 ± 0.530.45 ± 0.950.28 ± 0.90.631
    16Work ability0.25 ± 0.810.08 ± 0.40.15 ± 0.360.21 ± 0.940.27 ± 0.850.591
    17Interaction*0.22 ± 0.860.04 ± 0.20 ± 00.52 ± 1.060.23 ± 0.90.097
    18Dryness of eyes and/or mouth0.16 ± 0.60.04 ± 0.20.04 ± 0.190.07 ± 0.370.19 ± 0.650.312
    19Incontinence0.13 ± 0.610.12 ± 0.440 ± 00 ± 00.15 ± 0.670.385
    20Relation and/or intimacy0.09 ± 0.490.16 ± 0.80.22 ± 0.970 ± 00.08 ± 0.420.317
    21Leisure activities0.09 ± 0.440.2 ± 0.710.26 ± 0.860.03 ± 0.190.07 ± 0.380.085
    22Household activities0.08 ± 0.420 ± 00 ± 00 ± 00.09 ± 0.470.358
    23Personal care0.06 ± 0.430 ± 00 ± 00 ± 00.08 ± 0.480.535
    24Social gathering0.05 ± 0.350 ± 00.15 ± 0.60 ± 00.04 ± 0.350.346
    • Values are mean ± SD.

    • ↵* Interaction with healthcare personnel and authorities. Values in bold face are statistically significant.

    • View popup
    Table 3.

    Comparison between DM, PM, and other patients.

    DomainsTotal, n = 510DM, n = 238PM, n = 212Others†, n = 60p
    1Muscle symptoms3.43 ± 1.883.34 ± 1.913.7 ± 1.752.85 ± 2.040.005
    2Fatigue1.89 ± 1.781.89 ± 1.761.85 ± 1.812.02 ± 1.760.823
    3Pain1.33 ± 1.831.39 ± 1.81.27 ± 1.841.28 ± 1.970.752
    4Lung symptoms1.03 ± 1.780.83 ± 1.620.95 ± 1.732.1 ± 2.18< 0.0001
    5Skin symptoms0.96 ± 1.641.78 ± 1.950.25 ± 0.810.23 ± 0.79< 0.0001
    6Levels of physical activity0.91 ± 1.40.71 ± 1.231.11 ± 1.531 ± 1.450.009
    7Medication side effects0.79 ± 1.370.63 ± 1.210.96 ± 1.50.88 ± 1.430.033
    8Dysphagia0.7 ± 1.450.79 ± 1.450.64 ± 1.450.58 ± 1.440.440
    9Cognitive impact0.56 ± 1.250.58 ± 1.260.54 ± 1.220.58 ± 1.340.940
    10Increased risk of infection0.47 ± 1.110.52 ± 1.170.38 ± 0.970.63 ± 1.280.218
    11Joint symptoms0.41 ± 1.050.4 ± 1.060.4 ± 1.030.5 ± 1.110.786
    12Difficulty sleeping0.4 ± 1.020.35 ± 0.990.48 ± 1.090.33 ± 0.90.380
    13Work ability0.32 ± 0.910.23 ± 0.710.38 ± 1.010.45 ± 1.160.094
    14Gastrointestinal tract symptoms0.3 ± 0.940.29 ± 0.990.34 ± 0.920.22 ± 0.780.654
    15Emotional distress0.29 ± 0.880.26 ± 0.890.33 ± 0.90.23 ± 0.740.676
    16Cardiovascular symptoms0.28 ± 0.970.26 ± 0.910.35 ± 1.10.13 ± 0.60.252
    17Interaction*0.2 ± 0.820.18 ± 0.790.23 ± 0.880.22 ± 0.720.774
    18Dryness of eyes and/or mouth0.18 ± 0.660.23 ± 0.790.13 ± 0.50.17 ± 0.560.307
    19Incontinence0.11 ± 0.560.06 ± 0.430.18 ± 0.690.08 ± 0.530.057
    20Relation and/or intimacy0.11 ± 0.530.1 ± 0.490.12 ± 0.520.13 ± 0.70.856
    21Leisure activities0.09 ± 0.450.04 ± 0.330.16 ± 0.560.07 ± 0.360.017
    22Household activities0.09 ± 0.440.06 ± 0.310.1 ± 0.450.18 ± 0.750.140
    23Personal care0.07 ± 0.450.08 ± 0.450.06 ± 0.450.08 ± 0.420.919
    24Social gathering0.05 ± 0.340.01 ± 0.130.09 ± 0.490.03 ± 0.180.037
    • Values are mean ± SD.

    • ↵† Others included necrotizing autoimmune myopathies and the antisynthetase syndrome patients.

    • ↵* Interaction with healthcare personnel and authorities. Values in bold face are statistically significant. DM: dermatomyositis; PM: polymyositis.

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Perceptions of Patients, Caregivers, and Healthcare Providers of Idiopathic Inflammatory Myopathies: An International OMERACT Study
Christopher A. Mecoli, Jin Kyun Park, Helene Alexanderson, Malin Regardt, Merrilee Needham, Ingrid de Groot, Catherine Sarver, Ingrid E. Lundberg, Beverley Shea, Marianne de Visser, Yeong Wook Song, Clifton O. Bingham, Lisa Christopher-Stine
The Journal of Rheumatology Jan 2019, 46 (1) 106-111; DOI: 10.3899/jrheum.180353

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Perceptions of Patients, Caregivers, and Healthcare Providers of Idiopathic Inflammatory Myopathies: An International OMERACT Study
Christopher A. Mecoli, Jin Kyun Park, Helene Alexanderson, Malin Regardt, Merrilee Needham, Ingrid de Groot, Catherine Sarver, Ingrid E. Lundberg, Beverley Shea, Marianne de Visser, Yeong Wook Song, Clifton O. Bingham, Lisa Christopher-Stine
The Journal of Rheumatology Jan 2019, 46 (1) 106-111; DOI: 10.3899/jrheum.180353
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