Cleopas Martin Rumende
Division Of Pulmonology, Department Of Internal Medicine, Faculty Of Medicine Universitas Indonesia/Dr. Cipto Mangunkusumo General National Hospital

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Journal : Indonesian Journal of Rheumatology

Correlation Of Clinical Disease Activity Index And Disease Activity Score-28 in Indonesian Rheumatoid Arthritis Patients Pasha, Mochamad; Isbagio, Harry; Albar, Zuljasri; Rumende, Cleopas Martin
Indonesian Journal of Rheumatology Vol 9, No 1 (2017)
Publisher : Indonesian Rheumatology Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (355.339 KB)

Abstract

Background:Clinical Disease Activity Index (CDAI) stands out amongst other methods in measuring disease activity of rheumatoid arthritis (RA) patient. CDAI is considered to be more practical and cost-effective in daily practice because it requires no laboratoryexamination. Previous studies conducted overseas revealed that CDAI has good correlation compared to other scoring index in measuring RA disease activity. However, those studies only included pure RA patients without any comorbidity diseases. Indonesian RA patients have distinct clinical profile, in terms of comorbidity conditions, and genetic predisposition which affect the fenotype of the disease.Objectives: Analyze correlation between CDAI compared to Disease Activity Score 28 CRP (DAS28- CRP) in measuring RA disease activity of RA patients in Indonesia.Methods: We conducted a cross sectional study to RA patients who visited rheumatology clinic at Cipto Mangunkusumo general hospital from April to May 2016. Data collected included history of illness, physical examination, and recent laboratory results. All data were documented in reseach’s form. Both CDAI and DAS28- CRP were measured in each patient by two observers. Correlation analysis between two numeric datas fromCDAI and DAS28-CRP were measured with Spearman’s Rho. Overall performance was analyzed as additional results using R2 index.Result: A total of 119 subjects were included in this study. All subjects were RA patients with comorbidities and were representing quite numbers of Indonesian races characteristic profile. Spearman’s Rho = 0,918 and R2 index =0,831 (83,1%).Conclusion: There is positive correlation result between outcome of CDAI and outcome of DAS28-CRP in assesing disease activity of Indonesian RA patients.Key Word: rheumatoid arthritis, Indonesia, correlation,Clinical Disease Activity Index.
Tuberculous osteomyelitis in an immunocompetent patient with miliary tuberculosis Gunawan, Gunawan; Harahap, A; Setiyohadi, Bambang; Rumende, Cleopas Martin
Indonesian Journal of Rheumatology Vol 2, No 3 (2010)
Publisher : Indonesian Rheumatology Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (202.665 KB)

Abstract

Osteomyelitis is an infection of the bone, which may be caused by direct pathogen inoculation following trauma of surgery, contiguous spread from adjacent soft tissue or joint, or hematogenous spread from a focus of infection. Hematogenous osteomyelitis accounts for 20% of all cases of osteomyelitis.1 This type of osteomyelitis most often affect the long bones and vertebrae, although it could also affect other sites such as pelvic bones or clavicle.1 Mycobacterium tuberculosis is one of the causes of hematogenous osteomyelitis,comprising of 10 to 35 percent of extrapulmonary tuberculosis, or 2% of all tuberculosis cases.2,3 Joint involvement, when occur, is usually monoarticular, and mainly affect the weight-bearing joints such as hip or knee. Polyarticular cases occur in 10– 15% of extrapulmonary tuberculosis cases in developing countries.4 Tuberculous osteomyelitiscases are reported to be decreasing in number, probably because of earlier diagnosis and promptmanagement. In this article we report a case oftuberculous osteomyelitis in a patient with miliary tuberculosis
Correlation Of Clinical Disease Activity Index And Disease Activity Score-28 in Indonesian Rheumatoid Arthritis Patients Mochamad Pasha; Harry Isbagio; Zuljasri Albar; Cleopas Martin Rumende
Indonesian Journal of Rheumatology Vol. 9 No. 1 (2017): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (355.339 KB) | DOI: 10.37275/ijr.v9i1.62

Abstract

Background:Clinical Disease Activity Index (CDAI) stands out amongst other methods in measuring disease activity of rheumatoid arthritis (RA) patient. CDAI is considered to be more practical and cost-effective in daily practice because it requires no laboratoryexamination. Previous studies conducted overseas revealed that CDAI has good correlation compared to other scoring index in measuring RA disease activity. However, those studies only included pure RA patients without any comorbidity diseases. Indonesian RA patients have distinct clinical profile, in terms of comorbidity conditions, and genetic predisposition which affect the fenotype of the disease.Objectives: Analyze correlation between CDAI compared to Disease Activity Score 28 CRP (DAS28- CRP) in measuring RA disease activity of RA patients in Indonesia.Methods: We conducted a cross sectional study to RA patients who visited rheumatology clinic at Cipto Mangunkusumo general hospital from April to May 2016. Data collected included history of illness, physical examination, and recent laboratory results. All data were documented in reseach’s form. Both CDAI and DAS28- CRP were measured in each patient by two observers. Correlation analysis between two numeric datas fromCDAI and DAS28-CRP were measured with Spearman’s Rho. Overall performance was analyzed as additional results using R2 index.Result: A total of 119 subjects were included in this study. All subjects were RA patients with comorbidities and were representing quite numbers of Indonesian races characteristic profile. Spearman’s Rho = 0,918 and R2 index =0,831 (83,1%).Conclusion: There is positive correlation result between outcome of CDAI and outcome of DAS28-CRP in assesing disease activity of Indonesian RA patients.Key Word: rheumatoid arthritis, Indonesia, correlation,Clinical Disease Activity Index.
Tuberculous osteomyelitis in an immunocompetent patient with miliary tuberculosis Gunawan Gunawan; A Harahap; Bambang Setiyohadi; Cleopas Martin Rumende
Indonesian Journal of Rheumatology Vol. 2 No. 2 (2010): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (202.665 KB) | DOI: 10.37275/ijr.v2i3.83

Abstract

Osteomyelitis is an infection of the bone, which may be caused by direct pathogen inoculation following trauma of surgery, contiguous spread from adjacent soft tissue or joint, or hematogenous spread from a focus of infection. Hematogenous osteomyelitis accounts for 20% of all cases of osteomyelitis.1 This type of osteomyelitis most often affect the long bones and vertebrae, although it could also affect other sites such as pelvic bones or clavicle.1 Mycobacterium tuberculosis is one of the causes of hematogenous osteomyelitis,comprising of 10 to 35 percent of extrapulmonary tuberculosis, or 2% of all tuberculosis cases.2,3 Joint involvement, when occur, is usually monoarticular, and mainly affect the weight-bearing joints such as hip or knee. Polyarticular cases occur in 10– 15% of extrapulmonary tuberculosis cases in developing countries.4 Tuberculous osteomyelitiscases are reported to be decreasing in number, probably because of earlier diagnosis and promptmanagement. In this article we report a case oftuberculous osteomyelitis in a patient with miliary tuberculosis
Co-Authors A Harahap A Harahap, A A.A. Ketut Agung Cahyawan W Achmad Fauzi Adang Sabarudin Ade Dharmawan Adhiatma, Kresna Adi Surya Komala, Adi Surya Aditya Wardhana Adityo Susilo, Adityo Afifah Is Agasjtya Wisjnu Wardhana Aida Lydia Alexander Michael Joseph Saudale Alexander, Reinaldo Andhika Rachman Andri Sanityoso Andri Sanityoso Andri Sanityoso Sulaiman Anis Karuniawati Anna Ujainah, Anna Ari Fahrial Syam Arif Mansjoer Asrul Harsal, Asrul Aulia Rizka, Aulia Bambang Setiyohadi Bambang Setiyohadi Birry Karim C Rinaldi A Lesmana Ceva W. Pitoyo Daniel Martin Simadibrata Delly Chipta Lestari Dharmeizar Dharmeizar Dono Antono E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Em Yunir, Em Endang Susalit Erni Juwita Nelwan, Erni Juwita Esa, Dekta Filantropi Estie Puspitasari, Estie Evy Yunihastuti Fahmi Razi Darkuthni Falasiva, Rezyta Fitri Imelda, Fitri Griskalia Christine Gunawan Gunawan Gunawan Gunawan Hadi, Edward J Harry Isbagio Harry Isbagio Hasan Maulahela, Hasan Hutauruk, Syahrial M. Idrus Alwi Ignatius Bima Prasetya, Ignatius Bima Ika Prasetya Wijaya Ikhwan Rinaldi Iris Rengganis Irsan Hasan Islamadina, Balqis Joyce Bratanata, Joyce Juferdy Kurniawan Kemal Fariz Kalista, Kemal Fariz Khie Chen Kumalawati, July Kuntjoro Harimurti Leonard Nainggolan Lugyanti Sukrisman Lusiani Lusiani Lusiani Rusdi, Lusiani M Yamin M. Yamin Mansur, M. Tasrif Marcellus Simadibrata Marcellus Simadibrata Marcellus Simadibrata Marihot Tambunan, Marihot Maruhum B.H. Marbun Mochamad Pasha Muhammad Yamin Munadi Munadi Murdani Abdullah Murdani Abdullah Murdani Abdullah Nababan, Toman Noorwati Sutandyo Nury Nusdwinuringtyas Parlindungan Siregar Pasha, Mochamad Pratiwi Pujilestari Sudarmono Pringgodigdo Nugroho, Pringgodigdo Rahmad Mulyadi Rasmijon, Rasmijon Ratih Tri Kusuma Dewi, Ratih Tri Kusuma Retno Wahyuningsih Rino Alvani Gani Rino Alvani Gani Rino Alvani Gani RR. Ella Evrita Hestiandari Rudi Putranto Rustam, Musfardi Sabarudin, Adang Salim Harris, Salim Sally A. Nasution Sally Aman Nasution Sally Aman Nasution, Sally Aman Salman Paris Harahap, Salman Paris Santoso, Fidiaji Hiltono Saputri, Imelda N Sasongko, Raditya Siahaan, Billy Stinggo Sitorus, Truly Panca Soroy Lardo Suhendro Suwarto, Suhendro Susanto, Erwin Christian Tanjung, Gloria Telly Kamelia Tri Juli Edi Tarigan Veronica, Raja Merlinda Wardhana, Agasjtya Wisjnu Widayat Djoko Santoso, Widayat Djoko Willy Brodus Uwan, Willy Brodus Wismandari Wisnu Zuljasri Albar Zuljasri Albar