Rheumatology

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Aspects relevant for functioning in patients with ankylosing spondylitis according to the health professionals: A Delphi study with the ICF as reference
Rheumatology, 06/24/09

Boonen A et al. – Study reports that 141 International Classification of Functioning, Disability and Health (ICF) categories and 2 personal factors represent the reference of functioning in AS from the perspective of health professional. The impact of AS on participation in life situations and the role of environmental factors were underscored.

• Aim was to achieve consensus on which aspects of functioning are typical and relevant for AS pts using ICF as reference
• An international Delphi study through e-mail was performed among different health professions

• Of the 267 experts invited, 126 agreed to participate and 74 participated in all rounds
• 28 were rheumatologists, 6 rheumatology nurses, 24 physiotherapists, 2 occupational therapists, 4 psychologists, 8 rehabilitation physicians and 2 social workers
• More than 80% agreement was reached on 141 ICF categories:
  • 30 (21%) were part of Body functions
  • 27 (19%) of body structures
  • 56 (40%) of activities and participation; and
  • 28 (20%) of environmental factors
• In addition, 2 personal factors: illness knowledge and coping were agreed upon

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