Patterns of foot complaints in systemic lupus erythematosus: a cross sectional survey

Show simple item record Otter, SJ en Kumar, S en Gow, P en Dalbeth, Nicola en Corkill, M en Rohan, M en Davies, KA en Pankathelam, S en Rome, K en 2016-04-20T04:37:18Z en 2016-03-12 en 2016-01 en
dc.identifier.citation Journal of foot and ankle research, 2016, 9, 10 en
dc.identifier.uri en
dc.description.abstract Foot complaints are common in inflammatory arthropathies such as rheumatoid arthritis and cause considerable disability. However, little is published about the nature and extent of foot complaints in systemic lupus erythematosus (SLE). We aimed to explore foot complaints among people with (SLE) and to evaluate the associations between foot pain and self-reported activities of daily living and well-being.We developed and tested a new 40-item item self-administered questionnaire, using a five-stage development process utilising patient involvement throughout to ensure face and content validity. The self-administered instrument was posted to 406 people with SLE attending adult rheumatology clinics across three health boards in Auckland, New Zealand. The questionnaire enquired about symptoms of foot pain, extra-articular features, anatomical distribution of symptoms according to validated foot-mannequins and the impact of foot symptoms on activities of daily living and well-being.In total, 406 questionnaires were posted, with 131 responses (response rate 32 %). We found 89 % were women, mean (SD) age 51 (15) years, mean (SD) diagnosis 12.5 (11.1) years. Overall, 77 % of those responding to the questionnaire reported foot pain during their SLE, with 45 % reporting current foot pain. All regions of the feet were affected, with the hindfoot (32 %) and ankles (30 %) most troublesome. The most common self-reported extra-articular foot complaints were cold feet, swelling and numbness. Almost two-thirds (61 %) reported foot pain adversely affected their lives; foot pain prevented sleeping in 36 % and had a negative effect on emotions for 33 %. Only 33 % of participants had seen a podiatrist. Significant association was found between foot pain and standing longer than 15 min (p < 0.001), walking (p < 0.001), climbing stairs (p < 0.001) and going shopping (p < 0.001). Pain was the primary symptom to affect quality of life (47/100).Foot complaints in SLE are heterogeneous in nature, and may have a substantial negative impact on patient well-being. Foot complaints need to be addressed to reduce the burden of SLE and our findings support the need for wider access to specific foot care services. en
dc.description.uri en
dc.format.medium Electronic-eCollection en
dc.language English en
dc.relation.ispartofseries Journal of foot and ankle research en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from en
dc.rights.uri en
dc.subject Foot en
dc.subject Humans en
dc.subject Pain en
dc.subject Lupus Erythematosus, Systemic en
dc.subject Disability Evaluation en
dc.subject Activities of Daily Living en
dc.subject Cross-Sectional Studies en
dc.subject Quality of Life en
dc.subject Middle Aged en
dc.subject Female en
dc.subject Male en
dc.subject Visual Analog Scale en
dc.subject Surveys and Questionnaires en
dc.title Patterns of foot complaints in systemic lupus erythematosus: a cross sectional survey en
dc.type Journal Article en
dc.identifier.doi 10.1186/s13047-016-0143-8 en
pubs.volume 9 en
dc.identifier.pmid 27006702 en en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 525647 en Medical and Health Sciences en School of Medicine en Medicine Department en
dc.identifier.eissn 1757-1146 en
pubs.number 10 en
pubs.record-created-at-source-date 2016-04-20 en
pubs.dimensions-id 27006702 en

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