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Impaired health-related quality of life in idiopathic inflammatory myopathies: a cross-sectional analysis from the COVAD-2 e-survey

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Yoshida, Akira | Li, Yuan | Maroufy, Vahed | Kuwana, Masataka | Sazliyana Shaharir, Syahrul | Makol, Ashima | Sen, Parikshit | Lilleker, James B | Agarwal, Vishwesh | Kadam, Esha | Akawatcharangura Goo, Phonpen | Day, Jessica | Milchert, Marcin | Chen, Yi-Ming | Dey, Dzifa | Velikova, Tsvetelina | Saha, Sreoshy | Edgar Gracia-Ramos, Abraham | Parodis, Ioannis | Nikiphorou, Elena | Tan, Ai Lyn | Nune, Arvind | Cavagna, Lorenzo | Toro Gutiérrez, Carlos Enrique | Caballero-Uribe, Carlo Vinicio | Saavedra, Miguel A | Shinjo, Samuel Katsuyuki | Ziade, Nelly | El Kibbi, Lina | Knitza, Johannes | Distler, Oliver | Chinoy, Hector | Agarwal, Vikas | Aggarwal, Rohit | Gupta, Latika | Giannini, Margherita | Meyer, Alain

Edité par CCSD -

To investigate health-related quality of life in patients with idiopathic inflammatory myopathies (IIMs) compared with those with non-IIM autoimmune rheumatic diseases (AIRDs), non-rheumatic autoimmune diseases (nrAIDs) and without autoimmune diseases (controls) using Patient-Reported Outcome Measurement Information System (PROMIS) instrument data obtained from the second COVID-19 vaccination in autoimmune disease (COVAD-2) e-survey database. Demographics, diagnosis, comorbidities, disease activity, treatments and PROMIS instrument data were analysed. Primary outcomes were PROMIS Global Physical Health (GPH) and Global Mental Health (GMH) scores. Factors affecting GPH and GMH scores in IIMs were identified using multivariable regression analysis. We analysed responses from 1582 IIM, 4700 non-IIM AIRD and 545 nrAID patients and 3675 controls gathered through 23 May 2022. The median GPH scores were the lowest in IIM and non-IIM AIRD patients {13 [interquartile range (IQR) 10-15] IIMs. Both physical and mental health are significantly impaired in IIM patients, particularly in those with comorbidities and increased fatigue, emphasizing the importance of patient-reported experiences and optimized multidisciplinary care to enhance well-being in people with IIMs.

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