escalasdereumatologia-100622183710-phpapp01

8/18/2019 escalasdereumatologia-100622183710-phpapp01

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ESCALAS DE REUMATOLOGIA

PRESENTADO POR:

Helem Gutiérrez Vargas

Car li!a I"r # Tur$a%

& sé Lima Ortiz

I!gri" Maestre "e la Es'riella

Car li!a Maestre G !z(lez

Va!essa Mar)a R mer

Laura Maz Cuell

PRESENTADO A:

Carl s Vi!i*i Ca$aller Uri$eMD+ Reumat,l g

U!i#ersi"a" "el N rte

Pr grama "e Me"i*i!aVII Semestre

-arra!.uilla/ Atl(!ti*

01 "e 2u!i "e 3404


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Ta$la "e * !te!i"

0+ INTRODUCCION++++++++++++++++++++++++++++++++++++++++++++++

3+ ESCALAS GENERALES DE REUMATOLOGIA++++++++++++++++++++++++

2.1 ESCALA SF-36 Y SF-12.....................................................................4

2.2 ESCALAS DE ACONTECIMIENTOS ESTRESANTES VITALES..............11

5+ ESCALAS ESPEC78ICAS DE REUMATOLOGIA++++++++++++++++++++++++

3.1THE HEALTH ASSESSMENT QUESTIONAIRE (HAQ)...........................233.2 BATH ANKYLOSING S ONDYLITIS FUNCTIONAL INDE! (BASFI).......3"3.3 BATH ANKYLOSING S ONDYLITIS DISEASE ACTIVITY INDE!

(BASDAI)..............................................................................................4#3.4 THE $ESTERN ONTARIO AND MCMASTER UNIVERSITIESOSTEOARTHRITIS INDE! ($OMAC TM)....................................................433.% FIBROMYALGIA IM ACT QUESTIONNAIRE (FIQ)...............................463.6 SYSTEMIC LU US ERITHEMATOSUS DISEASE ACTIVITY INDE!(SLEDAY)..............................................................................................%3

2


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3+ ESCALAS GENERALES DE REUMATOLOGIA+

3+0 ESCALA S8/59 S8/03INTRODUCCION

E +& & *&+ & 5 +&/ ; 0, & & / 90 :0 / &, * ;&

0, & +& &+ & & + * 5 8* / /&00 ++ 9/ / &+ @ /& /;& < +&/ / & *,& &/5 8

9* 0 + , & &/ 9 0 + / & /&+* + * 5 9 0 & 90 / & +& / & 9+& &0 , &/ 8* , & +& /&+*

,& 0& /*' & & 0& / * / &0 / &+ & 0 +& & / +& /&+* (CVRS).

C , 0 /*+ & / 0/ / / * / & /*0: * / &0 / ,+&/ / &+&/ &+ & & 0 +& & &/ +& /&+* (CVRS)+ / * / &0 / S 0 F 0, (SF)5 / & 0 / < / 0&0 , / +

/ &+& SF-36 @ /* 0/ < 0 * & SF-125 8* ;0 ,& 0&: 0&+ * , & :0&+ & 0 & +& /&+* + 9& .

ESCALAS S8/59 SU VERSI;N REDUCIDA S8/03

HISTORIA

A 90 9 / + / #5 E/ & / U / ;* / & +& / &+& SF9 0 $&0 @ &+ & 9&0 0 * & > /& '& 0?& 90 :* &/ * +

+ E/ * + / R /*+ & / M /5 MOS (M &+ O* , / S *E> / 2 0/ / + SF-365 +& 0/ < 1 0 &+ 7& &/ 1 2 @ 4 &, / &0 +& 0/ < 2 1 45 EE.UU. E 1 45 / /&00 ++ + SF

4


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4) S&+* : 0&+ (SG)= &+ 0& < 9 0/ &+ +& /&+* .

%) V &+ & (VT)= / , &+ & ;0 &+ / ,& /& @ &: &, .

6) F* < / &+ (FS)= :0& 8* + / 90 '+ ,&/ /&+* ;?/ & , &+ 0 0 +& & &' *&+.

") R + , &+ (RE)= :0& 8* + / 90 '+ ,&/ , &+ /0 0 + 0&'& +&/ & & / & &/.

J) S&+* , &+ (SM)= / , 0& 8* + & 5 / , 0 /

A &+, 5 + SF-36 +*@ * ? , 0& / < 8* 90 :*/ '0 + &,' + / & /&+* : 0&+ 0 /9 &+ & & 0

&0& & & , / < 5 + / 0 & / / & /5 &:0 :& /0& /; 0,& / * & / &+& 8* * & 9* *& < 8* & /

( + 9 0 / & /&+* 9&0& /& , / < ) &/ & 1## ( + , 0 / & /&+* ). S &+ *+& / 9* *& / 0 /*, = U & 9&0& +& /&+

;?/ & ( CS-36) @ 0& 9&0& +& /&+* , &+ (MCS-36).

E+ SF-12 0/ < /*0: < , &+ 0 & & , / 0 & + SF-365 /; 0,& 9 0 * /*' * 12 ? ,/ + SF-36 ' / & 9&0 0 0 :0 / < , + 9+ 5 +* / 1-2 ? ,/ & & * & +&/ J / &+&/ SF-36. L& ; 0,& < / / 12 ? ,/ / * + 7& 9&0& / 0* 0 +, &/ /*,&0 ;?/ & @ , &+ + SF-12 ( CS-12 @ MCS-1250 /9 &, ).

PUNTUACI;N DE LAS ESCALAS

L&/ / &+&/ SF / 0 & &/ ; 0,& 8* & ,&@ 0 9* *& < , 0/ + / & /&+* . L& &'+& 1 + , 0 ? ,/ +*

+&/ ; 0 / / &+&/ + * / &0 5 &/? , * & '0/ 0 9 < + / : & 9* *& / &+ &/ @ '& &/. &0&+*& < / & 90 9* / / ; 0,&/ ; 0 / 9* *& < =

6


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1. E+ R& G0 *9 / &'+ < * & :0& *& < +&/ 0 /9* / &/ 9&0& &,& / # & 1##. N &/ +&/ 0 /9* / &/ + , /, &+ 05 @&

8* 9 + , 0 9 / ' + & / 0 /9* / & 9&0& & &90 :* &.

2. E+ H &+ I / * 0:& ; 0 / 9 / / /9 ? / & &0 /9* / &5 / : * / / 8* / :* * & / 0 '* < + &

&0& + + *+ +&/ 9* *& /5 /9* / +& & , / 0& <* / &0 5 &@ 8* 0 &+ 7&0 + / / :* / 9&/ /=

1. H , : 7& < +& 0 < +&/ 0 /9* / &/ , & +0 & < + / 1# ? ,/ 8* + 0 8* 0 5 + 8* + / ? ,/ / :& + :0& & ,&@ 0 9* *& < 5 , 0 / & /&+* .

2. C + *+ + /*,& 0 + / ? ,/ 8* ,9 +& / &+&(9* *& < 0* & +& / &+&).

3. T0& /; 0,& < + &+ +&/ 9* *& / 0* &/ 9&0& '9* *& / * & / &+& 0 # @ 1## (9* *& / 0& /; 0,&

+& / &+&).

A/? 9* /5 9&0& & & , / < 5 + / ? ,/ / & /5 &:0 :& / @0& /; 0,& / * & / &+& 8* * 0 00 / # ( + 9/ & /&+* 9&0& /& , / < ) &/ & 1## ( + , 0 / &

/&+* ) ( &'+& 1). E &/ 8* ;&+ ; 0,& < 5 / / & / &&+ , / + %# + / ? ,/ * & / &+&5 + / &* 0 / 0 , &/*/ * 0 *&+8* 0 ? , &*/ 9 0 + 90 , + / ? ,/

,9+ & / / &. E &/ 0&0 (, / + %# ? ,/ / & /)5 +& 9* *& < & / &+& / ' 0?& &+

A , / + * / &0 9 0, + + *+ 2 9* *& / /*,&0 5 ,9 /*,&0 ;?/ & ( CS) @ +& , &+ (MCS)5 , & +&

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,' & < +&/ 9* *& / & & , / < ( &+ , / &+& *& < ).

VERSIONES ONLINE VALIDCACI;N DEL S8+

E 0 + / / * / 0 &+ 7& / 9&0& +& &+ & < +&/ / &+&

* 0& =

• VILAGUT5 G ,,& & RED-IRYSS &+. E+ C* / &0 S&+SF-36 /9& += * & & & >9 0 & @ * / /&00 +G& S& + . 2##%5 +.1 5 .25 99. 13%-1%#.

J


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• L E VARELA5 M&0?& V 0 &. I / 0*, / &+ & + 9& E ; 0, & *+, &0 O'/ 0* & C0<

(E OC). N *, + :?& Y C 0*:?& D T5 V +. 6%5 S15 2##6.• DOIS CASTELL N A : + &5 CONTRERAS M ?&/ A >&5 ARECHABA

MP C + &5 URRUTIA SOTO MP T 0 /&. V&+ & < * & / &+&+ & & * :0*9 9 0/ &/ /8* 7 ;0 & +&

0 : < , 0 9 + & & - + . C . ; 0,. 0 / & +&I 0 . 2##" *

• LAINE 5 M. . A. &+. I,9& / &/ ; 0, & / +&+ & & 0 +& & & +& /&+* (CVRS) * & 9 '+

+&' 0&+. A . M . I 0 & (M& 0 ) + . 2##"5 +.245 .15 9

11.• MONTEAGUDO IQUERAS5 O+:& HERNANDO ARI ALETA5 L&*& ALOMAR RODRIGUE 5 &8*? A.. V&+ 0 / 0 ; 0 & 9 '+& < &' & 9&0& +& 0/ < /9& +& + SF-12 2. S& + . 2## 5 +.235 .65 99. %26-%32.

• HOFFMAN D. L. DUKES E. M. T H &+ S & */ B*0 ; 9+$ F '0 ,@&+: &= A R ; S * / T & A// // H &+S & */ SF-36 0 SF-12. I C+ 0& . 2##

62(1)=11%-126.• M VAN DER HEI DE5 D / 0 A REVICKI D / &+. @/

F* 5 D / &/ A @5 & H &+ -0 +& Q*&+O* , / &; 0 3 Y &0/ ; A &+ ,*,&' T0 & , & / A @+ / : S9 @+ /. A0 0 / R / &0 T 0&9@. 2## 11

V 0/ / O +• 9= ./;-36. 0: , / SF-12. ,+• 9/= .&, &+ @. , S*0 @/ SF36 SF36WS & &0 W1.&

S*0 @ID 1## S ID %2 #" S // T@9 1 S I ;

CONSIDERACIONES

L / * / &0 / SF 90 ; 0 , ' / 0 &* & , / 0& 5&* 8* &,' / & 9 &'+ +& & , / 0& < , & 0 / &

http://www.sf-36.org/demos/SF-12.htmlhttps://www.amihealthy.com/Surveys/SF36/SF36_Standard_1.asp?hidSurveyID=100&hidSiteID=52907&hidSessionType=1&ShowInfo=https://www.amihealthy.com/Surveys/SF36/SF36_Standard_1.asp?hidSurveyID=100&hidSiteID=52907&hidSessionType=1&ShowInfo=https://www.amihealthy.com/Surveys/SF36/SF36_Standard_1.asp?hidSurveyID=100&hidSiteID=52907&hidSessionType=1&ShowInfo=http://www.sf-36.org/demos/SF-12.htmlhttps://www.amihealthy.com/Surveys/SF36/SF36_Standard_1.asp?hidSurveyID=100&hidSiteID=52907&hidSessionType=1&ShowInfo=https://www.amihealthy.com/Surveys/SF36/SF36_Standard_1.asp?hidSurveyID=100&hidSiteID=52907&hidSessionType=1&ShowInfo=https://www.amihealthy.com/Surveys/SF36/SF36_Standard_1.asp?hidSurveyID=100&hidSiteID=52907&hidSessionType=1&ShowInfo=


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9 0/ &+ @ + ;< &. A , / / / / / & / 9&0& 9 0/ &/,&@ 0 / 14 & / & .

-I-LIOGRA8IA

• VILAGUT5 G ,,& & RED-IRYSS &+. E+ C* / &0 S&+SF-36 /9& += * & & & >9 0 & @ * / /&00 +G& S& + . 2##%5 +.1 5 .25 99. 13%-1%#.

• L E VARELA5 M&0?& V 0 &. I / 0*, / &+ & + 9& E ; 0, & *+, &0 O'/ 0* & C0<

(E OC). N *, + :?& Y C 0*:?& D T5 V +. 6%5 S15 2##6.• MONTEAGUDO IQUERAS5 O+:& HERNANDO ARI ALETA5 L&*

& ALOMAR RODRIGUE 5 &8*? A. V&+ 0 / 0 ; 0 & 9 '+& < &' & 9&0& +& 0/ < /9& +& + SF-12 2. S& + . 2## 5 +.235 .65 99. %26-%32.

• 9= ./;-36. 0: +/ /;36./ ,+• 9= /. 9 &. 0: C* / &0 WSF-36• 9= .9 / &: :. 0: 90 0 9 ;/ 8*&+ @W/;-12.9 ; • 9= .8*&+ @, 0 . , $ & $ D G 0 H &+ S*0

36 2H &+ S*0 @ &' 1J% D ;&*+ .&/9>

1#

http://www.sf-36.org/tools/sf36.shtmlhttp://es.wikipedia.org/wiki/Cuestionario_SF-36http://www.positiveaging.org/provider/pdfs/quality_sf-12.pdfhttp://www.qualitymetric.com/WhatWeDo/GenericHealthSurveys/SF36v2HealthSurvey/tabid/185/Default.aspxhttp://www.qualitymetric.com/WhatWeDo/GenericHealthSurveys/SF36v2HealthSurvey/tabid/185/Default.aspxhttp://www.sf-36.org/tools/sf36.shtmlhttp://es.wikipedia.org/wiki/Cuestionario_SF-36http://www.positiveaging.org/provider/pdfs/quality_sf-12.pdfhttp://www.qualitymetric.com/WhatWeDo/GenericHealthSurveys/SF36v2HealthSurvey/tabid/185/Default.aspxhttp://www.qualitymetric.com/WhatWeDo/GenericHealthSurveys/SF36v2HealthSurvey/tabid/185/Default.aspx


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3+3 ESCALAS DE ACONTECIMIENTOS ESTRESANTES VITALES

INTRODUCCI;N

E+ 0, / 0 / / 0 0 & *&+8* 0 > : & / ?,*+ 8* 90 *7 & * / & / < @ 8* > & * &,' & &9 &

* / 0& 9&0 . E/ / / ?,*+ / 9* / 0 ,* / 9 /= * >&, 5* & ' &5 * & / 9&0& < ,& 0 , &+5 * & 5 . E+ / 0 / 0 /9* / & /9 ? & + * 09 & +& ,& &5 @& :& 9 0 0 /*+

/ &:0& &'+ / /&:0& &'+ /.

0 > / 0 / &+ & / + / 0 / ,*@ 9 9 9*+&0, 5 8* / + / 0 / * + 7& *& / 0 ; 0 , / & +

/ * &/ 9 0 * &+ / * & > / & & & < 9/ /@ */ 0 / *& & , / &+*/ < & +& & *& & & & < 9&0& *+, &0 > * & 0, & & 90* '& / *& < ,9+

O 0& ,& 0& 0 + / 0 / / , 0 /9* / & / +


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+& &9&0 < ; 0, & /. Y 9&0& / * &0 , 0 / & 0 +& < / 0 /- ; 0, & / & /&00 ++& , + 9+ / / &+&/ 8* 90

, 0 + + / 0 / &+ &+ 8* / / , + 9& 5 ,/ &+& & , / &+ / / 0 /& / H +, /.

Hist ria:

B&/ / +& [ &0 & &\ A +9 M @ 0 , 9&0&, / 0&0 +& 0 +& < 0 + / ;


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/ 0 & 9 / / , :& / 9&0& * / 0& & @ / 9 / '+ 8* & 9 0/ & / * 0 , / * & / *& < / 0 /& &+ , /,

,9 . H , / 0 * & 8* 9&0& & & 9 0/ & @ *+ *09* 0/ , & & +& &+ 0& < 9 0/ &+ + / 0 /.

L& / &+& / & * & &'+& / >9* / / +& , / &+ / / 0 /& / / 0 / 9 0 ++ /5 8* & /

] 1 * & 9* *& < 1##5 &/ & +& 43 * & 9* *& < ,? ,& 11.

=Para .ué sir#e?

C*& & + / 0 / &+ &+ 8* / / , * * 5 90&0 * & / ,& < &90 > ,& & 9+& *& < .

=C,m se *ali@*a?• 0 '& 14# 9* /= / 0 /: ; 0,&0• E 0 14#-1 = 0 /: '& ( /* / ; 0, /)• E 0 2##-2 = R /: 0, (2% /* / ; 0, /)• M / 3##= A+ 0 /: (4 /* / ; 0, /)

=C,m se i!ter'reta! l s resulta" s?

L / 0 /*+ & / +& &+*& < >90 /& / , 0

/ 0 : / 0& /

^ S* / / V &+ / (ISV)

5 @ +& /*,& +LCU + / , /, / ^ R & */ S &+ (IRS) .

A+:* / &* 0 / 90 9 9&0& + SRRS5 8* + / 9& / * &9* *& < IRS ,&@ 0 3## / *@ * :0*9 &+ 0 /: 5 * J# 90 '&' + & /*;0 0 &+:* & ; 0, & * ;* *090 , + :0*9 9 0/ &/ * & 9* *& < 0 3## @ 1%#5

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+ 0 /: / &90 > ,& &, + %# + :0*9 '& 0 /: (3# )00 /9 & +&/ 9 0/ &/ * & 9* *& < , 0 1%#.

&0& + RLCQ5 9* *& /5 + IRS5 /*9 0 0 / & 3## + / /, / / 90 /5 ,&@ 0 / %## / / & &+ 7& + / , / / 90 /5/ & &/ / 0 / &+ 0 + & .

=>ué * !si"era*i !es se "e$e! te!er a la ra "e a!alizar l sresulta" s $te!i" s me"ia!te la realiza*i,! "e esta es*ala?

• N &/ +&/ 9 0/ &/ 0 /9 :*&+ &+ / 0 /.

• L& 0 /9* / & & + / 0 / @ +& , & 8* / &; & +& /& & & * 9 o L& 9 0/ &+ & @ 0 & / *&+ /.o L / , & /, / ; /& 8* / 9 ,&0 &.o L&/ 0 * / & &/ / -&,' &+ / & & , , .

• E/ 9 / '+ 8* * & 9 0/ & / * 0 , / * & / *& </ 0 /& &+ , /, ,9 . E & / *& < 9* 8* /

9 + / 0 / &+ 8* / / , 5 @ & /* 7 /* ( Z* &:& &) / '0 +& /&+* / * . E/ / & 9*& &05 &* 5 ? &, .

=>ué #ali"a*i !es se le a! e* a esta es*ala?

• E 1. "%5 R& + < & &+*&0 42 + / 43 ? ,/ + SRRS& * + / * / &+ 0 / LCU.

• E/ , /, & 5 / +& / & /9 0 ** / &0 , / /9 ? 5 0 /< @ &,9+ < + SRE5 + 8*

+*:&0 & * * / 0*, 9/ , 0 5el Recent LifeChanges Questionnaire (RLCQ)5 8* +*?& 3# + / 43

/ 0 : &+ / + SRRS , / 44 * /.

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• E 1. %5 M ++ 0 @ R& 5 0 &+*&0 +& SRRS @ + & * & & & & ? , * / &+ 0 / LCU.

• E E/9& &5 1. J35 G 7 + 7 R 0& @ M 0 0&5 / &0&/ ++& @ & &9 & & /* 0 *+ *0&+5 * * / &

/* / / &+ / ,& , , + + SRRS H +, / @ R&@ + L ; E / I 0@ C 0& @ R ' 0 / .16 D+ , / & 61 ? ,/ 8* & , / 0&0 & * & ,* / 0&

3 " 0; / 8* ;* 0 + / &0:& / 0:&0 & & & ? ,* 9 / /9 ? , & +&/ UCV.

• S & ++ & & &' 0&/ / :& / ; 0 / / + &9 @&0 +& 0 +& < 0 / 0 / @ ; 0, & 5

/ =o C r!ell Me"i*al I!"eB Assessi!g = / &+& 8* 00 +& & +/ 0 / / &/ & /9 /&0 / , /o H R Stress S*ale: / &+& 8* 00 +& & &,' + / 0 /5

+&/ / 0 / 0 &, / / 0 /& / 9&0&, + / /*',&0 &/5 ' & 90 '+ ,&/ , /.

• L& / &+& / &+*< 9&0& +&/ ; 0 / 9 '+& / 0 E/ & / U / ( :0*9 / &;0 -&, 0 & /5 /9& / @&, 0 & / '+& /).

• L& / &+& &,' ;* 90 '& & 0 *+ *0&+, 5 ,9&0&:0*9 / &9 / / @ ,&+&/ & +& 9 '+& < &, 0 & &.

=D,!"e se 'ue"e a*er la es*ala e! l)!ea ?

A+:* &/ 9 : &/ ' 9 , / 0 &+ 7&0 +& / &+& @ & , /' 0 090 & /*/ 0 /*+ & / / =

• E /9& += 9= . 0' /. , /&/ & . ,+•

E :+ /: 9= ./ 0 // 9/. , + ; /. ,

1%

http://www.drbonis.com/cosas/acove.htmlhttp://www.stresstips.com/lifeevents.htmhttp://www.drbonis.com/cosas/acove.htmlhttp://www.stresstips.com/lifeevents.htm


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-I-LIOGRA8IA

1.- R& RH5 M @ 0 M5 S, M5 K & 0 G5 H +, / TH. S &+ / 0 // &++ // / . /@ / , R / 1 64 J=3%-44.

2.- V 7 F 00 0 R5 H 0@ B 7 M5 G0& & M&0 R5 G 7 + 7 @ R * + & L. A , / &+ / @ * & &* / 0*L*/ -E/9 N *0 + / 8* & 0 1. 3 21(%)= 2#%-21#.

3.- 0 / A5 M&0 ? -G 7 + 7 R5 V&+ E5 R* 7 A5 V 8A , / &+ / / 0 /& / , ;& 0 0 /:

; 0, & &/ *+&0 0 '0&+ &:* &. R N *0 + 1 " 2%(14J)= 1J"1-1J"%.4.- F 0 7 ML. C*& & < ;& 0 / 9/ / &+ / / 0

/ * +& &9+ & < M &. T / / D 0&+. C/ 8* & 0?&. U 0/ & L& L&:* &5 I/+&/ C& &0 &/5 1. #.

%.- R& RH5 M K & D5 A0 *0 R . A + : * &+ / * @ ; + ; & ++ // 9& 0 /. /@ / , R / 1 6" 1#=3%%-366.

6.- R& RH5 A0 *0 R . L ; & : 9& 0 / /*00 * : ++>9 0 . /@ / , R / 1 6J 11=341-34%.

".- R& RH5 B LK5 R , M5 S + & 5 A0 *0 R . S*' /_ 0+ ; & : / & 0 &0@ &0 / &/ F +& . A, /@1 "3 13#=1222-1226.

J.- C+ D$5 C / @ . A 90 /9 / * @ ; + ; & : / &/*'/ 8* &+ & : /. A0 G /@ & 0@ 1 "2 2"=%1-%3.

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.- M&0> MB5 G&00 @ TF5 B 0/ FR. T Z* ; 0 >9 0 &+ ; ++ : ;0 / , . /@ / , R /

1 "% 1 =J"- J.

1#.- R& RH. E9 , + : &+ / * / ; + ; & : & ++ //. I

/@ & 0 M 1 "% 6=133-146.11.- R& RH5 A0 *0 R . L ; & : & ++ // / * /= 9&/ / 0@;* *0 0 /. H*,& S 0 // 1 "J 4=3-1%.

12.- C 0& M5 M 0&+ / C. L& / &+& , < + 0 & */ /; 0, / /9 &+ 7& /. / 8* / 1 J2 3=23 -246.

13.- M 0 0& A. E/ 0 / @ ; 0, & . M , 0 & L & *0&U 0/ & L& L&:* & 1 J2.

14.- G* 00 0 5 F 0 7 A0:* ++ / . E+ 9&9 + + / /* / / @>9 0 &/ / 0 /& / +& +? & 9/ 8* 0 &. A &/ L*N *0 + / 8* & 0 1 J# "(4)= 2J"-2 J.

1%.- M ++ 0 MA5 R& RH. L ; & : / / &+ : ; 0 1 #/. /@R / 1 " 43(3)=2" -2 2.

16.- C 0& R5 R ' 0 / A. T + ; / 0@= & , &/*0 0 +& / 0 @ 9/@ / &+ / 0 // 0/. /@ / ,

1 "3 1"=13%-13 .

1"- R& RH5 B 0/ 0 R 5 R@,& DH5 A0 *0 R . /@ / &+ 90; ++ // ' & 0 & ;& +*0 / 0 //;*+ 0& :`. J Health Soc Behav

1 "2 13 (4)= 3 3a".

1J- K ,&0 b AL5 M&/* & M5 H +, / TH. T / &+ 0 & */ , 0&/ &+ = & ,9&0& / * @ ; N :0 5 M > & & A, 0 & JPsychosom Res 1 6J ; 12 (2)= 121aJ.

1 - M&/* & M5 H +, / TH). T S &+ R & */ , R& : S &+ =0 //- *+ *0&+ / * @ ; &9& / & A, 0 & /. J Psychosom Res 1 6"

11 (2)= 22"a3".2#- $ 5 T.H. M&/* &5 M. $&: 05 N.N. H +, /5 T.H. T S &+R & */ , R& : S &+ = A C0 //-C*+ *0&+ S * @ ; M&+&@/ &A, 0 & /. *0 &+ ; C0 //-C*+ *0&+ /@ + :@ 1 "1 2 (4)= 3"3.

21- H +, / TH5 R& RH. T / &+ 0 & */ , 0& : / &+ . /@ / , R / 1 6" 11=213-21J.

1"


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22- R& RH5 M& & L5 A0 *0 R . 0 ; &0-;* *0 &+;0 , /*' /c 90 : + ; & : /. /@ / , R / 1 "#06 (4)=4#1a6.

23- R& RH &+. T / 0 // & 9 : 0@= & * & &

0 / &0 / 0*, . S 0 // M 2### 16= 1 -2#J.24- G 7 + 7 R 0& L5 M 0 0& A. L& &+ 0& < /* / / A &9 & < /9& +& +& / &+& H +, / @ R& . / 8* / 1 J3 411.

2%- R*/ A 5 */ HA5 F 0/ MB5 B+& 0 D5 E 5 K SKA5 R@& ND5 S, GR5 T/*& : MT5 $ : 0 A5 &0 DA (T&/ F 0

H& ' /@ & 0 M &/*0 /). H& ' ; /@ & 0 M &/$&/ : DC5 A, 0 & /@ & 0 A// & 5 2###.

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& ;&+ & + ? , / & 9 0 + &+ 0 , + / ? ,// & / @ +* : /*,&0 &/ +&/ 0 /9* / &/5 + / :* ,9+

/ +*/ 0& + 90 , / 0 . E / &/ * ; 0, 0 /9/


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/* 7 5 '0 5 .5 & , / 8* &,' / * 0& * & 0/ <,9* &0 7& &.

D ' , / 0 0 &0 8* & 9 /&0 8* + $OMAC / & * / 0*,9&0& 0, &0 + + 05 +& 0 : 7 @ +& ;* &+ & / &/5

+ + 05 9* / &0 &; & &/ 9 0 90 '+ ,&/ 0 +& & / , / &0 0 /5 9 0 ,9+ 5 + + 0 /9&+ & '& & ' & +

/&/ 9 /& &/5 .E+ $OMAC / * 0& &+ & + / / :* / ,&/= F0&E/9& +5 M& &0? 5 I :+ /5 C& /5 M&+&@ 5 T&:&+ 5 F+&, 5 AI &+ & 5 h0&' 5 F +& /5 &9 /5 0 *:* /5 A;0 & 5 N 0* : 5 R*/ 5 G0 : @ E/+& & , 0 &+.

-I-LIOGRA8IA

• M C ++ 5 S&0& &+.)he 1estern 2ntario and 3c3aster 4niversities 2steoarthritis %nde5 /123A*06 A Revie7 of %ts 4tility

and 3easurement Pro!erties" A0 0 / &0 0 / &0 V +. 4%.:. 4%3a4615 2##1.

•

$ +; 5 F.$eterminants of 123A* function8 !ain and sti9ness

scores6 evidences for the role of lo7 'ac: !ain8 sym!tom counts8

fatigue and de!ression in osteoarthritis8 rheumatic arthritis and

&'romyalgia" A0 0 / 0 / &0 0 & * 0/ @ ; K&/ + ; , . V +. 3J. :. 3%%-3615 1 .

• $ 5 N& & . OMAC ste art ritis i!"eB .uesti !!aireF rm 9= .&0 0 /- 0 & , -& -0 + ;. , ,&

/ &0 0 /- >-8* / & 0 -; 0,. ,+.•

L. ,

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• 9= ./ 0. / A0 /DESCARGABLES I /C* / &0OMAC.9 ;

5+ 8I-ROM ALGIA IMPACT >UESTIONNAIRE 8I>

E+ C* / &0 I,9& +& F '0 , &+: & (FIQ) ;* 0 & &+ &

+& & & 1 J# @ 9*'+ & 1 1 9 0 , / +& O0 :< H &+& S U 0/ @ + &9 *0&0 + /9 0 ,9+ /? ,&/ 0 +& & / +& '0 , &+: & (FM) @ +& 0 /9* / &

0& &, .

E/ * / &0 0 &+ 7& 1# 90 :* &/=

• Pregu!ta N 0: C 11 ? ,/ 8* &+ & +& ;* &+ &

9& * & /* &' + & 9&0& 0 &+ 7&0 &00 8* 0& + */ , / *+ / :0& /.

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C& & ? , 9* 0 * 9* & # & 3. E+ 9* & & & * + / 11 ? ,/ / /*,& @ & , &+ + 9* & +& 0 :* & N

15 *@ , > , 9 / '+ / 33.

• Pregu!tas N 3 % 5: E &+ & + ,9& +&/ & & / 9& ( +*@ &,' +&/ +&' 0 / 0 &+ 7& &/ &/&) 9&+ 9& 8* 0 /9 & + , 0 ?&/ 8* / & / ' +& + ,& / ,& & (90 :* & 2) @ + , 0 ?&/ 8* ;* 0

&9& / 0 &+ 7&0 /*/ +&' 0 / & &/ ' & +& FM (90 :3)

E+ 9* & +& 90 :* & 2 / 0/ 5 &/? 9* /5 +& &+ & <( & & 9 0 + 9& ) 0 &+ & 0 90 / & " 9* /5 1 6 9*&/? /* / &, . E / ? ,5 +&/ &+ & / '& &/ & &/ 9 09& 0 90 / & * ,&@ 0 ,90 , / +& & & +&'

' & /? ,&/ +& '0 , &+: &.

E+ 9* & +& 90 :* & 3 / 0 5 / 0 8* / + 9&* & &+ & < #5 + 9* & / 0 # / +& &+ & < / 1

+ 9* & / 0 1 @ &/? /* / &, .

• Pregu!tas N 6 a la 04: E &+ & + + ' / &0 + 9&

'0 , &+: &.

4


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L / 9* & / & & * & / &/ 90 :* &/ 9* 0 # & 1#. S+ 9& ,&0 & + /9& 8* / * 0& 0 / +?

0 &+ / *&+8* 0 ? ,5 &+ 9* & / ? , / + & &9* /.

L& 9* *& < , > ,& + * / &0 / 1##. E+ 9* & + 9& FM 90 , / %#5 @ + / 9& / ,90 , / / 0 9 0 +

: 0&+ &00 & 9* & / ,&@ 0 / & "#.

BENNET5 ROBERT+ T F '0 ,@&+: & I,9& Q* / & 0 (FIQ)= A0 ; / + 9, 5 *00 0/ 5 9 0& : &0& 0 /*/ /. *linical and 5!erimental Rheumatology" 2##% 23 (2 )= 1%4-162.

S-F Q

E+ FIQ & / 0& * & J + :*&/5 0 +&/ *&+ / / ** & 0/ < E/9& + +& *&+ / * & & &9 & < +& 0/ < 0/ 0 &+ 7< / :* +&/ 0 :+&/ 0& * < @ 0& * < 0 0/&

0/ < ;* >9* / & & * , 0 &+ 9& / 9&0& &+

90 '+ ,&/ ,90 / < @ /9* / 0 / & */ / 8* < +& 0/ <& 8* ;* , & & S-FIQ. E+ S-FIQ ;* &+ & * + 7

* & ,* / 0& 1##2 9& / FM5 *@ 90 , & ;*4J." & / * 90 , & / +* < +& FM 52 & /.S 0< '* & 00 +& < 0 + S-FIQ @ 0 / * / &0 /

+ HAQ5 SF-36 @ + SCL #-R. E+ 9* & + / 9& / 90& &, ;* %2.211.% @ + + / 9& / 9 / - 0& &,

;* 4#.J 13."5 + *&+ / / / + / 9* & / ' / + FIQ. D ' & +& 0& * < / 0 ; 0,&0 4 /*'- ,/

00 /9 / & +& ;* &+ & ;?/ & 8* & +& 90 , 0& 90 /


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• E + ? , g 2 +& 9&+&'0& / & 0& ;* , & ' & 8* /


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• Pregu!ta N 0: C ? ,/ 8* &+ & +& ;* &+ & 9& * & /* &' + & 9&0& 0 &+ 7&0 &00 8* 0& + */ , / *+ / :0& / +& + ,& / ,& &. E/ &90 :* & 0 90 / & + 3# + &+5 + FIQ 0 90 / &'& /


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&0& +& 9* *& < / ' /*,&0 + / 0 /*+ & / ' / & &* & +&/ 2 90 :* &/ & , 0 /*+ & + 9* &

00 /9 &+ , + ,9& : 0&+.

• Pregu!tas N 6 a la 04: E &+ & + + ' / &0 + 9& '0 , &+: &.

&0& +& 9* *& < / /*,& + / 0 /*+ & / ' / +&/ 1#90 :* &/ @ + &+ / 0 25 & , 0 /*+ &9* & 00 /9 &+ , +& / ,& + :?& ' /

S & & & = L& &+ 0& < +& , , 0 &5 / / ' + & &+ 90 '+ ,&/ 8* + '0 @ / / ' + & & &: / &,' &+ /.

&0& +& 9* *& < &+ + FIQ-R / ' /*,&0 + / 0 /*+ &' / & & , . E+ , > , 9* & 8* 9* &00 &0 + FIQ

R / 1##.BENNETT5 ROBERT &+. T R / F '0 ,@&+: & I,9& Q* / &(FIQ-R)= V&+ & & 9/@ , 0 90 9 0 /. Arthritis Research <)hera!y" 2## . V + 11 N 4= 12#-134.

%4


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%%


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5+9 S STEMIC LUPUS ERITHEMATOSUS DISEASE ACTIVIT INDESLEDA

INTRODUCCION

E+ +*9*/ 0 ,& / 5 &/ /*/ &0 & /5 / * & ; 0, & 8*/ / :* 9 0 '0 / @ 0 , / / 8* 5 / / 0& & 9 0 * &,

* & & 90 :0 / @ +& ,* 0 5 90 / 8* '/ & 0& &, 5 / + 0 5 &* 8* , / + . N > / * & ;9 0 , < / , & /= + MSLEDAI5 / & 9&0& 9&?/ / ?&/ /&00 ++ @ 0 & , > & /5 + *&+ +*@ &+:* / 9&0 , 0 / ,* +


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+&' 0& 0 , + / ,9+ , / @ 0 &/ &0 & / & 9 / & &+ 0 /5 @ + SELENA SLEDAI5 / & 9&0& ,* 0 / @

0&9 & / 0&,;?/ 5 00 :& 0 @ 90* '&/ +&' 0& 0 ) @ / &0:&

0, & 0 & 0 7& + :0& & & +& /'0 +& ; 0, & + 9 & * , , & 5 8* 90 /&,& ; / &0/ &+ , / 1# ?&/ & / /* 0 &+ 7& < .

COMO 8UNCIONA SLEDAIE+ SLEDAI / * & / 0 ; 0 / 9* / +*@ +& 0 / <

0/ / / / ,& ( 0 / 0&+ @ 9 0 ; 0 5 &0 &/;0 +&, ;?/ + 9&

+? ' &0 + / &++&7: / 9 / / & & &/9 @ * & 9* *& < / &'+ & / & / /*,&0 @5 / : + / 0 /*+ & / 90 &+ & 0 * & 9 * , / /? ,&/5 / +&/ &&+ 9& & & + 0 , / < 5 , 0& & @ / 0& (1). D & 9* *& < & # & 1#% '/ & 5 +& ,& ; / & <* / / : / * + / &9? *+ /5 9 0 ,9+ 5 * / /

/? ,&/ ,&@ 0 /5 / & &+ :&0 &* , &, , & &/ 0&5 &* 8* / & 9* *& < / & '& & @ + / /? ,&/ 0 / & / /*' 8* & : 0?&/ , / '& &/5 @& 8* 90 ,& +& ,9 0 & & +/ : / ,&@ 0 / / '0 +& 9* *& < @ , / / : / , 0 / 90 / /.

Y 9 , / ,9&0&0+ * & 0 / < 9 0 / / ,&/

• N *0 +


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•

• S 0 /&/ (2)

• I ,* +


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COMO SE APLICA

%


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L& &9+ & < / / 0*, / 0 +& &, ; +5 / , / 9 0 , / * & /9 &+ &, & / +&' 0& 0 .

B&/& & +& & 0 0 +&/ & < + 9& 0 8* 0 + ,&0: 0&9 * =

CLASI8ICACION TRATAMIENTO

INACTIVIDAD -------------------------

LEVE 0 / & & 1# ,: &*, &0 %,: &:0 :&0 & ,&+&0 /

/ + ,& / & &.

MODERADO A*, &0 +&/ / / 0 / &&+ '+ 5 / > 0 + / #.%,: : .

6#

CLASI8ICACION PUNTA&EINACTIVIDAD # a 2LEVE j 2 k 4MODERADA j 4 k JSEVERA J j JRECAIDA j3ME ORIA j3

ERSISTENCIA EN ACTIVIDAD l - 3

REMISION #


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SEVERA D '+&0 +& / / 0 / & j#.%,: : * /9 &+ 7&05 '&:0 :&0 /.

CONSIDERACIONES

E+ SLEDAI / * / 0*, ; + */ 5 @& 8* +&/ &0 &'+ / /* 0& * & &'+& ; 0,&


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