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The primary goal of this cross-sectional study is to assess risk factors/predictors for dysphagia severity in RA.
The secondary goals include demonstrating whether flexible fiberoptic pharyngolaryngoscopy can diagnose joint-affection-induced dysphagia in patients with rheumatoid arthritis (RA) and whether both oropharyngeal and esophageal dysphagia are present among these patients.
The main questions it aims to answer are
This cross-sectional study will comprise RA patients during their visits to inpatient and outpatient clinics. The inclusion criterion is patients with RA defined by the American College of Rheumatology/European League Against Rheumatism collaborative initiative (ACR/EULAR) 2010 classification criteria. Patients aged above 18 years old, well-orientated, and cooperative.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interventional Study Model | Single Group Assignment (rheumatoid arthritis patients) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| flexible fiberoptic pharyngolaryngoscopy | Diagnostic Test | Flexible Endoscopic Evaluations of Swallowing (FEES) will be used to examine the nose, throat, and airway to diagnose possible causes of dysphagia. The dysphagia severity scale via FEES will be scored. It is a flexible process that may be applied to a variety of situations and objectives (named as flexible pharyngolaryngoscopy). Following the routine oropharyngeal examination, its versatility can enable it to be used as a laryngoscope for examining the larynx and adjacent regions. |
| Measure | Description | Time Frame |
|---|---|---|
| Identifying potential predictors of dysphagia severity in rheumatoid arthritis patients. | Demonstrating the associations between the dysphagia severity scale (DSS) via flexible/fibre-optic endoscopic evaluations of swallowing (FEES) and the following:
| The assessment of dysphagia severity via FEES typically will take nearly 25 minutes. The duration of clinical, laboratory, and radiological tests will take 1 to 2 days and may vary depending on the specific circumstances. |
| Measure | Description | Time Frame |
|---|---|---|
| Demonstrating whether flexible fiberoptic pharyngolaryngoscopy can diagnose Joint-Affection-Induced dysphagia in patients with RA. | Flexible Endoscopic Evaluations of Swallowing (FEES) will be used to examine the nose, throat, and airway to diagnose possible causes of dysphagia. It is a flexible process that may be applied to a variety of situations and objectives (named as flexible pharyngolaryngoscopy). Following the routine oropharyngeal examination, its versatility can enable it to be used as a laryngoscope for examining the larynx and adjacent regions. |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with RA defined by the American College of Rheumatology/European League Against Rheumatism collaborative initiative (ACR/EULAR) 2010 classification criteria.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Aliaa MA Farag, MD | Contact | +201069468486 | aliaa.mamdouh@med.tanta.edu.eg | |
| Ayman Fouad, MD | Contact | +20 10 04398763 | aymanfouadtanta@med.tanta.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Aliaa MA Farag, MD | Tanta University Faculty of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of medicine, Tanta University | Recruiting | Tanta | Elgharbia | 31151 | Egypt |
Data is available with corresponding author on reasonable request.
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| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| D003680 | Deglutition Disorders |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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|
| Assessment of rheumatoid arthritis patients by FEES will take 10 to 25 minutes. The duration may vary depending on the specific circumstances and the complexity of the assessment. |
| Demonstrating whether both oropharyngeal and oesophageal dysphagia are present among patients with RA? | An upper oesophagus examination by FEES may provide a useful screening tool for oesophageal dysphagia in addition to the routine oropharyngeal and laryngeal examination. | up to 2 minutes following routine FEES. |
| Rheumatology, rehabilitation, and physical medicine department Faculty of medicine, Tanta University | Recruiting | Tanta | Elgharbia | 31151 | Egypt |
|
| D003240 |
| Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D010608 | Pharyngeal Diseases |
| D010038 | Otorhinolaryngologic Diseases |