Make your own free website on Tripod.com

 

A controlled study of the long-term prognosis of adult Still's
disease.

Sampalis JS  Esdaile JM  Medsger TA Jr  
 Partridge AJ  Yeadon C  Senecal JL  
 Myhal D  Harth M  Gutkowski A  
 Carette S  et al  

In: Am J Med (1995 Apr) 98(4):384-8

ISSN: 0002-9343

PURPOSE: To assess the long-term prognosis of patients with adult
 Still's disease for physical and psychological disability, pain,
 social functioning, social support, medication use, formal education,
 occupation, time lost from work, and family income, and to contrast
 these results with those of same-sex sibling controls.

PATIENTS AND
 METHODS: Patients were recruited from medical center-based cohorts in
 Pittsburgh and Eastern Canada and from a national survey of
 rheumatologists. Patients and same-sex sibling controls completed the
 Health Assessment Questionnaire for physical disability, the
 psychological and social function domains of the Arthritis Impact
 Measurement Scales, and the Interpersonal Skills Evaluation List
 questionnaire for social support, and replied to questions on
 medication use, formal education, occupation, time lost from work,
 and family income.

RESULTS: One hundred four of 111 eligible adult
 Still's patients (94%) provided data. They identified 86 same-sex
 sibling controls, of whom 60 (70%) participated. The mean duration of
 adult Still's disease was 10 years. Approximately half of patients
 continued to require medication even 10 years after diagnosis.
 Patients had significantly higher levels of pain, physical
 disability, and psychological disability when compared with the
 controls. However, the levels of pain and physical disability were
 low compared to patients with other rheumatic diseases. Educational
 achievement, occupational prestige, social functioning and support,
 time lost from work, and family income were similar for both patients
 and controls.

CONCLUSIONS: Despite causing disability, pain, and, in
 many, the need for long-term medication, patients with adult Still's
 disease are resilient. The disease did not interfere with educational
 attainment, occupational prestige, social functioning and support,
 time lost from work, or family income.

Webmaster's Comment **  I do not completely agree with the conclusions of this study.  I know of many people where Still's Disease DID interfere with educational attainment, occupational prestige, social functioning and support, time lost from work, and family income.

******  These are the honest facts ******

 


Institutional address:
       Department of Surgery
       McGill University
       Montreal
       Quebec.


DISCLAIMER:

The materials and information on this server are intended for educational and informational purposes only. The materials and information are not intended to replace the services of a trained health professional or to be a substitute for medical advice of physicians and/or other health care professionals. The International Still's Disease Foundation is not engaged in rendering medical or professional medical services. You should consult your physician on specific medical questions, particularly in matters requiring diagnosis or medical attention. The International Still's Disease Foundation makes no representations or warranties with respect to any treatment, action, application medication or preparation by any person following the information offered or provided within this website.  Any information used from other websites was done so with permission from each site, with an exception to those of "public domain", whereas we believe any site without a cited reference was a "public domain site" and for our use.  The International Still's Disease Foundation is a non-profit organization.   This page was last updated on June 13, 2002

Copyrightę 1999-2002 International Still's Disease Foundation