Department of Psychology, Health and Technology, University of Twente, Enschede, The Netherlands.
Curr Opin Rheumatol. 2012 Mar;24(2):139-44. doi: 10.1097/BOR.0b013e32834ff59d.
Disability, or activity limitation, is a common problem in patients with gout. This study explores recent studies examining the nature and extent of disability in gout and addresses the merits and limitations of current self-reported measures of disability.
Gout has a significant impact on patients' ability to perform normal self-care activities, recreational and social activities, and work. Comparative studies indicate that gout patients' physical functioning is strongly reduced and comparable to those with other severe rheumatic conditions. Moreover, gout has been shown to result in substantial work absence and reduced productivity. However, few studies have thoroughly examined the concept of disability in gout. Additionally, assessment of disability due to gout still seems particularly challenging and it is unclear whether current measurement instruments are sufficiently valid and accurate.
Gout-related disability is an underestimated and understudied problem. More qualitative and quantitative studies are needed that examine the concept of disability in gout and its impact on patients' lives, both during and between disease flares. Moreover, future studies should try to identify gout-specific disability issues and examine the relevance and comprehensiveness of existing measures to further improve the assessment of disability in gout.
残疾或活动受限是痛风患者的常见问题。本研究探讨了最近研究中痛风患者残疾的性质和程度，并探讨了当前残疾自我评估方法的优缺点。
痛风对患者进行正常自理活动、娱乐和社交活动以及工作的能力有重大影响。对比研究表明，痛风患者的身体功能明显下降，与其他严重风湿性疾病患者相当。此外，痛风还会导致大量旷工和生产力下降。然而，很少有研究深入探讨痛风患者残疾的概念。此外，由于痛风导致的残疾评估似乎仍然特别具有挑战性，目前的测量工具是否足够有效和准确还不清楚。
痛风相关的残疾是一个被低估和研究不足的问题。需要更多的定性和定量研究来检查痛风患者残疾的概念及其对患者生活的影响，包括疾病发作期间和发作之间。此外，未来的研究应尝试确定痛风特有的残疾问题，并检查现有措施的相关性和全面性，以进一步改善痛风患者残疾的评估。
