dc.contributor.author |
Stewart, Sarah |
en |
dc.contributor.author |
Brenton-Rule, Angela |
en |
dc.contributor.author |
Dalbeth, Nicola |
en |
dc.contributor.author |
Aiyer, Ashok |
en |
dc.contributor.author |
Frampton, Christopher |
en |
dc.contributor.author |
Rome, Keith |
en |
dc.date.accessioned |
2018-12-10T00:33:37Z |
en |
dc.date.issued |
2019-04 |
en |
dc.identifier.issn |
0049-0172 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/44965 |
en |
dc.description.abstract |
OBJECTIVE:To determine characteristics of the foot and ankle in people with systemic lupus erythematosus (SLE). METHODS:Medline, CINAHL, Sports-Discus, Scopus and Cochrane Library databases were searched up to January 2018. Studies reporting foot- and ankle-related outcomes in the following domains were included: vascular, neurological, musculoskeletal, cutaneous (skin and nail) or pain/function. The Quality Index tool was used to assess methodological quality. Where appropriate, odds ratio (OR) and mean difference meta-analyses were conducted for case-control studies; and pooled mean prevalence meta-analyses for studies assessing characteristics in SLE. RESULTS:Forty-nine studies were included with mean (range) quality scores of 75% (38-100%). Twenty-three studies assessed vascular characteristics, followed by musculoskeletal (n = 16), neurological (n = 11), cutaneous (n = 5) and pain/function (n = 4). Foot and ankle characteristics in people with SLE included impaired vascular supply, abnormal nerve function, musculoskeletal pathology, skin and nail pathology, and pain and functional disability. Twenty-four studies were included in meta-analyses. Pooled OR for abnormal ankle brachial index was 3.08 for SLE compared with controls. Pooled mean difference in brachial-ankle pulse-wave velocity between SLE and controls was significant (161.39 cm/s, P = 0.004). Pooled prevalence was 0.54 for intermittent claudication, 0.50 for Raynaud's phenomenon, 0.28 for chilblains, 0.00 for gangrene, 0.30 for hallux valgus, 0.15 for onychomycosis, 0.76 for history of foot pain, and 0.36 for current foot pain. CONCLUSION:People with SLE experience a wide range of foot and ankle manifestations. Published research highlights the impact of peripheral arterial disease, peripheral neuropathy, musculoskeletal deformity, skin and nail pathology and patient-reported foot pain and disability. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
en |
dc.relation.ispartofseries |
Seminars in arthritis and rheumatism |
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. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.subject |
Foot Joints |
en |
dc.subject |
Humans |
en |
dc.subject |
Foot Diseases |
en |
dc.subject |
Pain |
en |
dc.subject |
Lupus Erythematosus, Systemic |
en |
dc.subject |
Case-Control Studies |
en |
dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.title |
Foot and ankle characteristics in systemic lupus erythematosus: A systematic review and meta-analysis. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1016/j.semarthrit.2018.07.002 |
en |
pubs.issue |
5 |
en |
pubs.begin-page |
847 |
en |
pubs.volume |
48 |
en |
dc.rights.holder |
Copyright: The author |
en |
pubs.end-page |
859 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Meta-Analysis |
en |
pubs.subtype |
Research Support, Non-U.S. Gov't |
en |
pubs.subtype |
Systematic Review |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
752862 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Medicine Department |
en |
dc.identifier.eissn |
1532-866X |
en |
pubs.record-created-at-source-date |
2018-08-11 |
en |
pubs.dimensions-id |
30093237 |
en |