Fatigue levels and associated factors in systemic sclerosis: a cross-sectional study of 2385 SPIN Cohort participants Article Swipe

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Linda Kwakkenbos , Brooke Levis , Richard S. Henry , Gabrielle Virgili-Gervais , Marie‐Eve Carrier , Susan J. Bartlett , Amy Gietzen , Karen Gottesman , Geneviève Guillot , Amanda Lawrie-Jones , Laura K. Hummers , Vanessa L. Malcarne , Maureen D. Mayes , Michelle Richard , Robyn K. Wojeck , Maureen Worron‐Sauvé , Marie Hudson , Luc Mouthon , Andrea Benedetti , Brett D. Thombs , Claire E. Adams , Ghassan El‐Baalbaki , Kim Fligelstone , Tracy Frech , Daphna Harel , Monique Hinchcliff , Sindhu R. Johnson , Maggie Larché , Catarina Leite , Christelle Nguyen , Karen Nielsen , Janet Pope , François Rannou , Tatiana Sofia Rodrı́guez-Reyna , Anne A. Schouffoer , María E. Suarez‐Almazor , C. Agard , Laurent Alric , Marc André , Floryan Beaslay , Elana J. Bernstein , S. Berthier , Lyne Bissonnette , S. Blaise , Eva Bories , Alessandra Bruns , Carlotta Cacciatore , Patrícia Carreira , Marion Casadevall , Benjamin Chaigne , Leland W.K. Chung , Benjamin Crichi , Thylbert Deltombe , Christopher P. Denton , Tannvir Desroche , Robyn T. Domsic , James V. Dunne , Bertrand Dunogué , Regina Faré , Dominique Farge , Paul R. Fortin , Loraine Gauzère , Anne Gerber , Jessica Gordon , Brigitte Granel-Rey , Aurélien Guffroy , Geneviève Gyger , É. Hachulla , Sabrina Hoa , Michael Hughes , Alena Ikic , Nader Khalidi , Kimberly S. Lakin , M. Lambert , David Launay , Yvonne Lee , Paul Legendre , Hélène Maillard , Nancy Maltez , Joanne Manning , Isabelle Marié , María Martín López , Thierry Martin , Ariel Masetto , A. Mékinian , Sheila Melchor Díaz , M. Mourguet , Mandana Nikpour , Louis Olagne , Vincent Poindron , Susanna Proudman , G. Pugnet , Loïc Raffray , Alexis Régent , F. Renou , Sébastien Rivière , David Robinson , Esther Rodríguez Almazar , Sophie Roux , P. Smets ·

YOU? · · 2024 · Open Access · · DOI: https://doi.org/10.1093/rheumatology/keae570

Objectives The objectives of this study were to compare fatigue in a large multinational SSc cohort with general population data and identify associated sociodemographic, lifestyle and SSc disease factors. Methods Scleroderma Patient-centered Intervention Network Cohort participants completed the Patient-Reported Outcomes Measurement Information System-29 v2.0 fatigue domain. T-scores were compared with the USA general population (mean = 50; s.d. = 10). Multivariable linear regression was used to assess associations with sociodemographic, lifestyle, and disease-related variables. Results Among the 2385 participants [mean age 54.9 (s.d. = 12.6) years, 87% female, 38% dcSSc], the mean fatigue T-score was 54.6 (s.d. = 11.0); 438 (18%) reported mild fatigue, 641 (27%) moderate fatigue, and 180 (8%) severe fatigue. Fatigue was independently associated with sociodemographic factors age [−0.10 points per year, (95% CI −0.14, −0.07)], male sex [−1.67 points, (−2.96, −0.37)], non-married status [0.97 points (0.04, 1.89)] and country [reference USA; France −2.35 points (−3.48, −1.21) and UK 2.38 points (0.80, 3.97)], and lifestyle factors smoking [4.16 points (2.52, 5.80)], alcohol consumption [−0.18 points per drink per week (−0.28, −0.07)] and BMI [0.34 points per unit (0.27, 0.42)]. Fatigue was associated with disease-related factors, including gastrointestinal involvement [4.21 points (2.99, 5.43)], digital ulcers [1.51 points, (0.25, 2.77)], moderate small joint contractures (1.41 points [0.13, 2.69]), RA [4.34 points (2.37, 6.31)] and SS [1.89 points (0.23, 3.55)]. When pain was included in the model, its association was large [2.19 points (2.03, 2.34)], and interstitial lung disease was also associated [1.21 points (0.42, 2.00)]. Conclusion In people with SSc, fatigue scores were substantially higher than in the general population and associated with multiple disease factors, including gastrointestinal involvement, several painful disease manifestations, and lung involvement.

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Medicine Cross-sectional study Cohort Cohort study Physical therapy Internal medicine Pathology

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Type: article
Language: en
Landing Page: https://doi.org/10.1093/rheumatology/keae570
PDF: https://academic.oup.com/rheumatology/advance-article-pdf/doi/10.1093/rheumatology/keae570/60072239/keae570.pdf
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Cited By: 2
References: 31
Related Works: 10
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DOI: https://doi.org/10.1093/rheumatology/keae570

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Title: Fatigue levels and associated factors in systemic sclerosis: a cross-sectional study of 2385 SPIN Cohort participants

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Language: en

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Publication year: 2024

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Publication date: 2024-10-24

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Authors: Linda Kwakkenbos, Brooke Levis, Richard S. Henry, Gabrielle Virgili-Gervais, Marie‐Eve Carrier, Susan J. Bartlett, Amy Gietzen, Karen Gottesman, Geneviève Guillot, Amanda Lawrie-Jones, Laura K. Hummers, Vanessa L. Malcarne, Maureen D. Mayes, Michelle Richard, Robyn K. Wojeck, Maureen Worron‐Sauvé, Marie Hudson, Luc Mouthon, Andrea Benedetti, Brett D. Thombs, Claire E. Adams, Ghassan El‐Baalbaki, Kim Fligelstone, Tracy Frech, Daphna Harel, Monique Hinchcliff, Sindhu R. Johnson, Maggie Larché, Catarina Leite, Christelle Nguyen, Karen Nielsen, Janet Pope, François Rannou, Tatiana Sofia Rodrı́guez-Reyna, Anne A. Schouffoer, María E. Suarez‐Almazor, C. Agard, Laurent Alric, Marc André, Floryan Beaslay, Elana J. Bernstein, S. Berthier, Lyne Bissonnette, S. Blaise, Eva Bories, Alessandra Bruns, Carlotta Cacciatore, Patrícia Carreira, Marion Casadevall, Benjamin Chaigne, Leland W.K. Chung, Benjamin Crichi, Thylbert Deltombe, Christopher P. Denton, Tannvir Desroche, Robyn T. Domsic, James V. Dunne, Bertrand Dunogué, Regina Faré, Dominique Farge, Paul R. Fortin, Loraine Gauzère, Anne Gerber, Jessica Gordon, Brigitte Granel-Rey, Aurélien Guffroy, Geneviève Gyger, É. Hachulla, Sabrina Hoa, Michael Hughes, Alena Ikic, Nader Khalidi, Kimberly S. Lakin, M. Lambert, David Launay, Yvonne Lee, Paul Legendre, Hélène Maillard, Nancy Maltez, Joanne Manning, Isabelle Marié, María Martín López, Thierry Martin, Ariel Masetto, A. Mékinian, Sheila Melchor Díaz, M. Mourguet, Mandana Nikpour, Louis Olagne, Vincent Poindron, Susanna Proudman, G. Pugnet, Loïc Raffray, Alexis Régent, F. Renou, Sébastien Rivière, David Robinson, Esther Rodríguez Almazar, Sophie Roux, P. Smets

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Concepts: Medicine, Cross-sectional study, Cohort, Cohort study, Physical therapy, Internal medicine, Pathology

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