PharmacoEconomics

, Volume 24, Issue 2, pp 109–121

Sociodemographic Differences in Quality of Life in Rheumatoid Arthritis

  • Erik J. Groessl
  • Theodore G. Ganiats
  • Andrew J. Sarkin
Leading Article

DOI: 10.2165/00019053-200624020-00002

Cite this article as:
Groessl, E.J., Ganiats, T.G. & Sarkin, A.J. Pharmacoeconomics (2006) 24: 109. doi:10.2165/00019053-200624020-00002

Abstract

Assessment of health-related quality of life (HR-QOL) in people with rheumatoid arthritis (RA) has become important in health research and can inform clinical care. Many studies have found sociodemographic differences in the HR-QOL of people with RA, and interpreting these differences can be challenging. Biological, health disparity, reporting and assessment instrument differences are a few of the possible explanations that should be considered when interpreting results. Our review of the evidence of sociodemographic differences in HR-QOL in people with RA produced 34 articles describing 49 studies.

Typically, patients with RA who were older, female, less educated, non-employed and/or less affluent tended to have significantly lower HR-QOL than other groups. Some evidence also indicated that people with RA who are non-White or who live in rural settings may also tend to have lower HR-QOL scores, but the number of studies supporting these findings was sparse.

Researchers and clinicians can optimise their assessment of HR-QOL by finding well validated instruments for the context they are working in. Additional research is needed to identify the exact causes of HR-QOL differences so that quality treatment can be provided to those in need.

Copyright information

© Adis Data Information BV 2006

Authors and Affiliations

  • Erik J. Groessl
    • 1
    • 2
  • Theodore G. Ganiats
    • 2
  • Andrew J. Sarkin
    • 2
  1. 1.Health Services Research & DevelopmentVeterans Affairs San Diego Healthcare SystemSan DiegoUSA
  2. 2.University of CaliforniaSan DiegoUSA