Mapping the relationship between clinical and quality-of-life outcomes in patients with ankylosing spondylitis
Language English Country England, Great Britain Media print-electronic
Document type Journal Article, Multicenter Study, Observational Study
- Keywords
- Ankylosing spondylitis, fixed effect regression, health-related quality of life, longitudinal analysis, mapping, outcomes research, regression analysis,
- MeSH
- Spondylitis, Ankylosing physiopathology MeSH
- Adult MeSH
- Quality of Life * MeSH
- Middle Aged MeSH
- Humans MeSH
- Linear Models MeSH
- Longitudinal Studies MeSH
- Follow-Up Studies MeSH
- Prospective Studies MeSH
- Sex Factors MeSH
- Severity of Illness Index MeSH
- Models, Theoretical * MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Observational Study MeSH
AIM: To map health-related quality of life (Qol) with clinical parameters BASFI and ASDAS-CRP measure, and other covariates. METHODS: Our prospective multicenter non-interventional observation study of ankylosing spondylitis (AS) collected data about QoL and clinical outcomes on the initial and four subsequent visits. We employed simple linear regression analysis of a cross-sectional dataset, and fixed effect, random effect and pooled linear regression of a longitudinal dataset. RESULTS: We showed that BASFI and ASDAS-CRP are very strong, robust predictors of EQ-5D utilities in all regression specifications together with sex (female), invalidity, and activity impairment. Additionally, the longitudinal regression analysis showed that a fixed effect model may be a viable alternative to the most commonly used random effect model or pooled linear regression due to the nature of our dataset. CONCLUSION: This is one of the first studies using a fixed effect model in longitudinal patient-level data, although, this method has been widely used in economics.
b Institute of Rheumatology Prague Czech Republic
c Clinic of Rheumatology 1st Faculty of Medicine Charles University Prague Prague Czech Republic
Department of Clinical Pharmacology Rheumatology University Hospital Plzen Plzen Czech Republic
e 3rd Internal Clinic University Hospital Olomouc Olomouc Czech Republic
Institute of Health Economics and Technology Assessment Prague Czech Republic
References provided by Crossref.org
Mapping Quality of Life (EQ-5D) from DAPsA, Clinical DAPsA and HAQ in Psoriatic Arthritis