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Comparative Study
. 2018 Aug;70(8):1124-1131.
doi: 10.1002/acr.23492. Epub 2018 Jul 4.

Patient Perception of Disease-Related Symptoms and Complications in Relapsing Polychondritis

Marcela A Ferrada  1 , Peter C Grayson  1 , Shubhasree Banerjee  1 , Keith A Sikora  1 , Robert A Colbert  1 , Ninet Sinaii  1 , James D Katz  1
Affiliations
Comparative Study

Patient Perception of Disease-Related Symptoms and Complications in Relapsing Polychondritis

Marcela A Ferrada et al. Arthritis Care Res (Hoboken). 2018 Aug.

Abstract

Objective: To assess patient-reported symptoms and burden of disease in relapsing polychondritis (RP).

Methods: Patients with RP completed a disease-specific online survey to identify symptoms attributed to illness. Patients were divided into subgroups based upon presence or absence of ear/nose, airway, or joint involvement. Pathway to diagnosis, treatment, and disease-related complications were assessed within each subgroup.

Results: Data from 304 respondents were included in this analysis. Prior to diagnosis, most patients with RP went to the emergency room (54%), saw > 3 physicians (54%), and had symptoms for >5 years (64%). A concomitant diagnosis of fibromyalgia and absence of ear/nose or joint involvement was associated with diagnostic delay >1 year. Common diagnoses prior to RP diagnosis included asthma in patients with airway involvement (35% versus 22%; P = 0.03) and ear infection in patients with ear/nose involvement (51% versus 6%; P < 0.01). Patients with joint involvement were more likely to receive a glucocorticoid-sparing agent (85% versus 13%; P < 0.01). Most patients reported a major complication, including disability (25%), tracheomalacia (16%), or hearing loss (34%). Patients with airway involvement reported more tracheomalacia (20% versus 4%; P < 0.01). Disability (24% versus 7%; P < 0.01) and hearing loss (39% versus 11%; P < 0.01) were prevalent in the joint involvement subgroup.

Conclusion: Patient-reported data in RP highlight a significant burden of disease. Patterns of organ involvement may lead to diagnostic delay and influence treatment decisions, ultimately impacting the development of disease-related complications. Timely diagnosis, standardization of treatment approaches, and prevention of disease-related complications are major unmet needs in RP.

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References

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