Parental Smoking Influence in Disease Activity in a Low-Income Juvenile Idiopathic Arthritis Cohort

Landim, Joaquim Ivo Vasques Dantas; Rocha, Leila Nascimento da; Silva, Mateus Francelino; Brasil, Lucas Teixeira Dos Santos; Rocha, Hermano Alexandre Lima; Rabelo, Carlos Nobre; Rocha, Francisco Airton Castro da

doi:10.1097/rhu.0000000000001299

Cited by 2 publications

(6 citation statements)

References 13 publications

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“…Previous studies have reported a lower prevalence of smokers in Brazil as compared with European countries, which was reproduced in the present study. Be as it may, our data showed no difference in CBP or IBP regardless of smoking habit 10,23 …”

Section: Discussioncontrasting

confidence: 45%

“…This specific item has been previously considered as unable to differentiate IBP from no IBP in patients reporting CBP 8 . The fact that CBP was highly prevalent in our sample, which was probably associated with a majority declaring blue-collar jobs, 10 might have influenced this result. Using ASAS questionnaire, we also observed a significantly higher prevalence of IBP in women.…”

Section: Discussionmentioning

confidence: 70%

“…Fortaleza is a city of the Northeast of Brazil, with over 2.6 million inhabitants, mean GDP per capita below US $5000, and mean monthly income below US $720, which corresponds roughly to 2.7 local minimum wage 8 . As expected, although unfortunate, Fortaleza displays a low-literacy population, with 37.6% of adults declaring less than 8 school years (SYs) of formal education 9–11 . Environmental and socioeconomic aspects have been shown to influence the prevalence and outcome of many diseases 10,11 .…”

mentioning

confidence: 90%

“…As expected, although unfortunate, Fortaleza displays a low-literacy population, with 37.6% of adults declaring less than 8 school years (SYs) of formal education 9–11 . Environmental and socioeconomic aspects have been shown to influence the prevalence and outcome of many diseases 10,11 . We are not aware of studies determining the prevalence of IBP in low-income, low-literacy populations.…”

mentioning

confidence: 91%

“…9-11 Environmental and socioeconomic aspects have been shown to influence the prevalence and outcome of many diseases. 10,11 We are not aware of studies determining the prevalence of IBP in low-income, low-literacy populations. Standardized questionnaires are commonly used to assess IBP prevalence, and such individuals may face difficulties when attempting to interpret and correctly answer the questions presented by interviewers.…”

mentioning

confidence: 99%

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Prevalence of Inflammatory Back Pain in a Low-Income Population

et al. 2022

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BackgroundInflammatory back pain (IBP) is a major criterion in identifying axial spondyloarthritis. Whether socioeconomic issues impact prevalence of IBP assessed using standardized questionnaires has not been assessed. We determined IBP prevalence and performance of IBP questionnaires in a low-income, low-literacy population.MethodsIndividuals were interviewed in Fortaleza, Brazil, for the prevalence of IBP using Calin's, Berlin, and ASAS IBP questionnaires; monthly family income (US dollars), literacy (>/≤8 school years [SYs]), and smoking habit (present/absent) were registered.ResultsTwo hundred nineteen individuals were included (mean age, 38.2 ± 12.9 years), 110 (50.2%) men, 58 (26.4%) White, and 38 (17.3%) smokers. Overall, 152 (69.4%) declared

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Section: Discussioncontrasting

confidence: 45%

Section: Discussionmentioning

confidence: 70%

mentioning

confidence: 90%

mentioning

confidence: 91%

mentioning

confidence: 99%

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Prevalence of Inflammatory Back Pain in a Low-Income Population

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Surgical outcome following rotator cuff tear repair in a low-income population. Impact of obesity and smoking

Silva

Mourão

Rocha

et al. 2021

BMC Musculoskelet Disord

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Background Comorbidities and socioeconomic issues impact outcome of rotator cuff tear (RCT) repair. There are no data on RCT repair outcome from developing regions. We determined the impact of obesity and smoking following RCT repair in a low-income population. Methods This is a retrospective case series. Forty-seven shoulders of 42 patients subjected to open or arthroscopic repair of a RCT with a minimum of 2 years follow-up were cross-sectionally evaluated. Patients were seen in the Orthopaedic Service of the Hospital Geral de Fortaleza-CE, Brazil between March and September 2018. RCT were classified as partial or full-thickness lesions. Fatty infiltration (Goutallier) and tendon retraction (Patte) were recorded as well as obesity (BMI > 30), literacy [>/≤ 8 school years (SY)] and smoking status 6 months prior to surgery (present/absent). Outcomes included pain (visual analogue scale; VAS, 0–10 cm), range of motion [active forward flexion and external rotation (ER)], UCLA and ASES scoring. Results Patients were 59.9 ± 7.4 years-old, 35(74.4%) female with 19 (17.1–30.2 IQR) median of months from diagnosis to surgery and 25 median months of follow-up (26.9–34.0 IQR); over 90% declared < 900.00 US$ monthly family income and two-thirds had ≤8 SY. Forty patients (85.1%) had full-thickness tears, 7 (14.9%) had Goutallier ≥3 and over 80% had < Patte III stage. Outcomes were similar regardless of fatty infiltration or tendon retraction staging. There were 17 (36.1%) smokers and 13 (27.6%) obese patients. Outcome was similar when comparing obese vs non-obese patients. Smokers had more pain (P = 0.043) and less ER (P = 0.029) with a trend towards worse UCLA and ASES scores as compared to non-smokers though differences did not achieve minimal clinically important difference (MCID) proposed for surgical RCT treatment. After adjusting for obesity, VAS and ER values in smokers were no longer significant (P = 0.2474 and 0.4872, respectively). Conclusions Our data document outcomes following RCT repair in a low-income population. Smoking status but not obesity impacted RCT repair outcome though not reaching MCID for surgical treatment.

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Parental Smoking Influence in Disease Activity in a Low-Income Juvenile Idiopathic Arthritis Cohort

Cited by 2 publications

References 13 publications

Prevalence of Inflammatory Back Pain in a Low-Income Population

Prevalence of Inflammatory Back Pain in a Low-Income Population

Surgical outcome following rotator cuff tear repair in a low-income population. Impact of obesity and smoking

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