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The association of pain and stiffness with fatigue in incident polymyalgia rheumatica: baseline results from the polymyalgia rheumatica cohort study

Prior, J.A.; Muller, S.; Helliwell, T.; Hider, S.L.; Barraclough, K.; Dasgupta, B.; Mallen, C.D.

The association of pain and stiffness with fatigue in incident polymyalgia rheumatica: baseline results from the polymyalgia rheumatica cohort study Thumbnail


Authors

K. Barraclough

B. Dasgupta



Abstract

We aimed to examine the association between pain, stiffness and fatigue in newly diagnosed polymyalgia rheumatica (PMR) patients using baseline data from a prospective cohort study. Fatigue is a known, but often ignored symptom of PMR. Newly diagnosed PMR patients were recruited from general practice and mailed a baseline questionnaire. This included a numerical rating scale for pain and stiffness severity, manikins identifying locations of pain and stiffness and the FACIT-Fatigue questionnaire. A total of 652 PMR patients responded (88.5%). The mean age of responders was 72.6 years (SD 9.0) and the majority were female (62.0%). Manikin data demonstrated that bilateral shoulder and hip pain and stiffness were common. The mean fatigue score (FACIT) was 33.9 (SD 12.4). Adjusted regression analysis demonstrated that a higher number of pain sites (23–44 sites) and higher pain and stiffness severity were associated with greater levels of fatigue. In newly diagnosed PMR patients, fatigue was associated with PMR symptom severity.

Report Type Research Report
Acceptance Date Jan 8, 2019
Online Publication Date May 14, 2019
Publication Date 2019
Publisher Cambridge University Press
DOI https://doi.org/10.1017/S1463423619000082
Keywords fatigue; pain; polymyalgia rheumatica;primary care; stiffness
Publisher URL https://doi.org/10.1017/S1463423619000082

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