title: Health-related quality of life in rheumatoid arthritis patients in South India.
abstract: BACKGROUND
  Assessment of health-related quality of life (HRQL) has been gaining much importance in the care of rheumatoid arthritis (RA). This study was aimed at assessing the HRQL of patients with RA in South India.
  
  
  METHODS
  HRQL of consenting RA patients, on disease-modifying anti-rheumatoid drugs (DMARDs) and attending a rheumatology clinic, was assessed using a self-filled Malayalam version of the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) version 4 questionnaire.
  
  
  RESULTS
  50 patients were assessed out of 58 responses. The mean duration of the disease was 7.29 years. 46 patients (79.3 percent) had tried complementary and alternative medicines (CAM). The HRQL score in patients who were put on DMARDs within six months of symptoms was significantly higher (p-value is equal to 0.008).
  
  
  CONCLUSIONS
  HRQL in patients treated early by DMARDs is significantly higher in this region, where a good proportion of patients seek the CAM for treatment of RA.
authors.affiliation: Department of Internal Medicine, Medical College Hospital, Trivandrum, Kerala 695011, India. ashishjacobmathew@gmail.com
authors.forename: A J
authors.initials: AJ
authors.lastname: Mathew
authors.forename: J
authors.initials: J
authors.lastname: Antony
authors.forename: S
authors.initials: S
authors.lastname: Eremenco
authors.forename: B V
authors.initials: BV
authors.lastname: Paul
authors.forename: B
authors.initials: B
authors.lastname: Jayakumar
authors.forename: J
authors.initials: J
authors.lastname: Philip
mesh_terms: D000328:Adult; D018501:Antirheumatic Agents / Q000627:therapeutic use*; D001172:Arthritis, Rheumatoid / Q000208:ethnology / Q000523:psychology* / Q000628:therapy*; D002908:Chronic Disease; D005221:Fatigue; D005260:Female; D006801:Humans; D007194:India; D008297:Male; D011594:Psychometrics; D011788:Quality of Life; D012219:Rheumatology / Q000379:methods; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D018501:Antirheumatic Agents