The Influence of Sex on Patients with Rheumatoid Arthritis in a Large Observational Cohort

被引:55
作者
Iikuni, Noriko [1 ,2 ]
Sato, Eri [2 ]
Hoshi, Masaya
Inoue, Eisuke [2 ]
Taniguchi, Atsuo [2 ]
Hara, Masako [2 ]
Tomatsu, Taisuke [2 ]
Kamatani, Naoyuki [2 ]
Yamanaka, Hisashi [2 ]
机构
[1] Univ Calif Los Angeles, Dept Med, Div Rheumatol, Los Angeles, CA 90095 USA
[2] Tokyo Womens Med Univ, Inst Rheumatol, Los Angeles, CA USA
关键词
RHEUMATOID ARTHRITIS; EPIDEMIOLOGY; SEX; PHENOTYPE; SEVERITY;
D O I
10.3899/jrheum.080724
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective. To compare the sex differences of various components of rheumatoid arthritis (RA). Methods. Data of 4823 patients from a large observational cohort study were analyzed. Remarkable C differences were noted between the sexes, and overall, women had significantly higher disease activity. Results. When variables were adjusted using sex, age, and duration, Health Assessment Questionnaire, rather than Disease Activity Score, contributed most to sex difference. Further analysis showed evidence that progression of disability was approximately 3 times more rapid in female patients compared to male patients. Conclusion. Women overall have hi-her RA disease activity and are prone to greater and faster progression of disability over time. (First Release Feb 1 2009; J Rheumatol 2009;36:508-11; doi:10.3899/jrheum.080724)
引用
收藏
页码:508 / 511
页数:4
相关论文
共 17 条
[1]  
ARNETT FC, 1987, ARTHRITIS RHEUM, V31, P315
[2]  
Combe B, 2001, ARTHRITIS RHEUM, V44, P1736, DOI 10.1002/1529-0131(200108)44:8<1736::AID-ART308>3.0.CO
[3]  
2-I
[4]  
Da Silva J A, 1992, Baillieres Clin Rheumatol, V6, P196
[5]   Sex:: a major predictor of remission in early rheumatoid arthritis? [J].
Forslind, K. ;
Hafstrom, I. ;
Ahlmen, M. ;
Svensson, B. .
ANNALS OF THE RHEUMATIC DISEASES, 2007, 66 (01) :46-52
[6]  
Gossec L, 2005, J RHEUMATOL, V32, P1448
[7]   Influence of male sex on disease phenotype in familial rheumatoid arthritis [J].
Jawaheer, Damini ;
Lum, Raymond F. ;
Gregersen, Peter K. ;
Criswell, Lindsey A. .
ARTHRITIS AND RHEUMATISM, 2006, 54 (10) :3087-3094
[8]   Oral contraception, parity, breast feeding, and severity of rheumatoid arthritis [J].
Jorgensen, C ;
Picot, MC ;
Bologna, C ;
Sany, J .
ANNALS OF THE RHEUMATIC DISEASES, 1996, 55 (02) :94-98
[9]   Differences in symptom reports between men and women with rheumatoid arthritis [J].
Katz, PP ;
Criswell, LA .
ARTHRITIS CARE AND RESEARCH, 1996, 9 (06) :441-448
[10]  
Kuiper S, 2001, J RHEUMATOL, V28, P1809