Asociación entre Artritis Reumatoidea y otras enfermedades autoinmunes / Association between Rheumatoid Arthritis and other autoimmune diseases

Objetivos: Determinar la frecuencia de enfermedades autoinmunes (EAI) en pacientes con Artritis Reumatoidea (AR) y comparar la frecuencia de EAI entre pacientes con AR y sin AR ni otra EAI reumatológica. Material y Métodos: Estudio multicéntrico, observacional, analítico, retrospectivo. Se incluyeron pacientes consecutivos con AR (ACR/EULAR 2010) y como grupo control pacientes con diagnóstico inicial de Osteoartritis primaria (OA). Resultados: Se incluyeron 1549 pacientes: 831 con AR (84% mujeres, edad media 55.2 años [DE 13.6]) y 718 con OA (82% mujeres, edad media 67 años [DE 11.1]). La frecuencia de EAI en el grupo AR fue del 22% (n=183). Estos presentaron mayor frecuencia de EAI reumatológicas (9.4 vs 3.3%, p< 0.001), y menor frecuencia de EAI no reumatológicas que aquellos con OA (15.3 vs 20.5, p=0.007). La EAI reumatológica más prevalente fue el Síndrome de Sjögren, el cual fue más frecuente en el grupo AR (87.2 vs 29.2%, p< 0,001). La frecuencia de EAI reumatológicas en los pacientes con AR fue mayor en la forma erosiva (11 vs 6.8%, p=0.048). Conclusión: La frecuencia de EAI en los pacientes con AR fue del 22%, en quienes predominaron las de etiología reumatológica mientras que, las no reumatológicas predominaron en pacientes con OA.

Objectives: To determine the frequency of autoimmune diseases (AID) in Rheumatoid Arthritis (RA) patients and to compare this frequency between patients with and without RA or other rheumatologic AID. Methods: Multicenter, observational, analytical, retrospective study. Consecutive patients with diagnosis of RA (ACR/EULAR 2010) were included. Patients with initial diagnosis of primary ostearthritis (OA) were used as control group. Results: A total of 1549 patients were included: 831 RA (84% women, mean age 55.2 [±13.6]) and 718 OA (82% women, mean age 67 [± 11.1]). The frequency of AID in the RA group was 22% (n=183). RA patients showed higher frequency of rheumatologic AID (9.4 vs 3.3%, p< 0.001), and lower frequency of non-rheumatologic AID than OA patients (15.3 vs 20.5%, p= 0.007). The most prevalent rheumatic AID was Sjögren's Syndrome, which was more frequent in the AR group (87.2 vs 29.2%, p<0.001). The frequency of rheumatologic AID in RA patients was higher in those with erosive RA (11 vs 6.8%, p=0.048). Conclusion: The frequency of AID in RA patients was 22%. Rheumatologic AID were more frequent in RA patients, whereas non-rheumatologic AID prevailed in OA patients.

Guia de Avaliação das Capacidades Parentais: Estudo de Validade Ecológica / Evaluation Guide of Parental capacities: An Ecological Validity Study

RESUMOEste estudo teve como objetivo avaliar e maximizar a adequação do Guia de Avaliação das Capacidades Parentais (De Rancourt, Paquette, Paquette, & Rainville, 2006) ao sistema de proteção à infância português. Utilizou-se uma metodologia de grupos focais com técnicos psicossociais, magistrados e académicos que trabalham diretamente com a avaliação da parentalidade. As discussões focaram a exequibilidade da aplicação, a utilidade da informação recolhida e dos juízos clínicos efetuados para a elaboração de pareceres técnicos, e as alterações consideradas necessárias. Da análise efetuada com o software QSRNVivo8, concluiu-se que o Guia assenta em conhecimento científico atualizado e possibilita a obtenção de informação suficiente. Foram identificadas e detalhadas alterações metodológicas, estruturais e de conteúdo a introduzir no instrumento.

ABSTRACTThis aim of this study was to promote and improve the adaptation of the Parental Capacities Evaluation Guide (De Rancourt, Paquette, Paquette, & Rainville, 2006) to the Portuguese child protection system. A focus group methodology was used with professionals who work directly on parenting assessment: Social workers, judges and researchers. The discussions of the focus group concentrated on the Guide ‘feasibility, the usefulness of the information obtained, the clinical judgements made and on the major changes needed. From content analysis with the QSRNVivo8 software, it was concluded that the Guide is based on updated scientific knowledge and that it provides sufficient information for the assessment of parenting capacities. Three major kinds of changes to be made were identified: methodological, structural and content changes.