Patient insights on living with idiopathic inflammatory myopathy and the limitations of disease activity measurement methods – a qualitative study

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Xehetasun bibliografikoak
Argitaratua izan da:BMC Rheumatology vol. 4 (2020), p. 1
Egile nagusia: Oldroyd, Alexander
Beste egile batzuk: Dixon, William, Chinoy, Hector, Howells, Kelly
Argitaratua:
Springer Nature B.V.
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Sarrera elektronikoa:Citation/Abstract
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022 |a 2520-1026 
024 7 |a 10.1186/s41927-020-00146-3  |2 doi 
035 |a 2546696491 
045 2 |b d20200101  |b d20201231 
100 1 |a Oldroyd, Alexander 
245 1 |a Patient insights on living with idiopathic inflammatory myopathy and the limitations of disease activity measurement methods – a qualitative study 
260 |b Springer Nature B.V.  |c 2020 
513 |a Journal Article 
520 3 |a Background The idiopathic inflammatory myopathies (IIMs) are chronic autoimmune conditions, typically resulting in proximal muscle weakness and impacting upon quality of life. Accurate measurement of IIM disease activity is imperative for appropriate medical management and carrying out valid clinical trials. The International Myositis Assessment and Clinical Studies Group (IMACS) “Disease Activity Core Set Measures” are the current gold-standard of IIM disease activity assessment. Anecdotally, patients with an IIM report that the IMACS Core Set Measures and other available methods do not necessarily capture their perceived disease activity. Investigating the patient experiences of living with an IIM and their views on the accuracy of the IMACS Core Set Measures will provide valuable insights for both clinical and research purposes. Methods Eighteen interviews with patients with an IIM were carried out and analysed thematically, using a grounded theory approach. Experiences on living with an IIM and perceptions on the accuracy of disease activity measurement methods were explored. Results Interview analysis revealed four themes: 1) fatigue, 2) pain, 3) day-to-day symptom variation, 4) limitations of creatine kinase levels and manual muscle testing. Conclusions This study has provided valuable insights into patient experiences of living with an IIM. Aspects of IIM disease activity perceived not to be wholly measured by the IMACS Core Set Measures have also been identified. These findings have implications for future IIM clinical care and research, in particular providing justification for research into pain, fatigue and symptom variation. 
653 |a Quality of life 
653 |a Hair 
653 |a Pain 
653 |a Fatigue 
653 |a Inflammation 
653 |a Smartphones 
653 |a Research & development--R&D 
653 |a Qualitative research 
653 |a Interviews 
653 |a Consent 
653 |a Inflammatory diseases 
653 |a Musculoskeletal diseases 
700 1 |a Dixon, William 
700 1 |a Chinoy, Hector 
700 1 |a Howells, Kelly 
773 0 |t BMC Rheumatology  |g vol. 4 (2020), p. 1 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/2546696491/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/2546696491/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/2546696491/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch