Browsing by Author "Kalla, A A"

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    Open Access
    A Retrospective analysis of Spondyloarthropathies at the Rheumatic Diseases Unit, University of Cape Town, over the period 1988-1994
    (1997) Burch, Vanessa Celeste; Burch, Vanessa Celeste; Dr. A.A Kalla; Kalla, A A
    OBJECTIVES: Given the paucity of epidemiological and clinical data representing the South African experience with the spondyloarthropathies, a study was designed to achieve a description of the spectrum of spondyloarthropathy in patients of different ethnic origin attending the Rheumatic Diseases Unit (RDU), University of Cape Town (UCT), in respect of differences in: clinical and/or radiographic expression of disease; gender HLA-B27 status, and choice of therapy and requirements for reconstructive orthopaedic surgical procedures. STUDY DESIGN: The study comprised a retrospective descriptive review of all new cases of spondyloarthropathy seen at the RDU, UCT Medical School, from 1 January 1988 to 31 December 1994, who were consecutively identified from an analysis of the clinical records. The RDU (UCT) is one of two principal referral centres for rheumatic-related diseases in the Western Cape region, and provides clinical services at Groote Schuur Hospital (GSH, Observatory) and Princess Alice Orthopaedic Hospital (PAOH, Retreat) in Cape Town for an estimated population of 3. 4 million (Western Cape), 55% (1.9 million) of whom are resident in the Cape Peninsula region (81). A minority of patients from further afield (Northern Cape and Eastern Cape) also attend the unit. Approximately 12 500 patients attend PAOH outpatient Department (OPD) annually, of which 35% are seen by the RDU staff each year (average values calculated from attendance registers for the period 1 January 1988 to 31 December 1994). New patients constitute about 6% of all patients seen by the RDU per annum (Table 2). Statistical data were not available from the OPD Arthritis Clinic (AC) at GSH, but similar proportions would be expected, since both clinics are staffed by the same complement of doctors and operate under similar circumstances at both venues.
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    Consultation outcomes for musculoskeletal conditions at two community health centres in Cape Town
    (South African Academy of Family Physicians, 2013) Namane, M K; Kalla, A A; Young, T N
    Objectives: To compare the proportion of patients with documented diagnoses and management plans when they presented with musculoskeletal complaints at two community health centres (CHCs) using two models of care: one with a rheumatology outreach service and the other with none. Secondly, to describe the profile of patients with rheumatoid arthritis (RA) who attended the CHC with the outreach service. Design: Cross-sectional. Setting: Heidelberg Community Health Centre and Vanguard Community Health Centre, Cape Town. Subjects: A group of 59 patients at each CHC were compared regarding engagement of their musculoskeletal complaints by doctors and clinical nurse practitioners (CNPs). Secondly, 24 RA patients who attended Heideveld CHC were profiled. Results: A comparison of the “overall engagement” between the two CHCs [risk difference (RD) -0.06, 95% confidence interval (CI): -0.17–0.05, odds ratio (OR) 0.79, 95% CI: 0.51–1.24, chi-square 0.82, p-value 0.36] was not significantly different. Comparison between doctors (RD -0.05, 95% CI: -0.05–0.08, OR 0.80, 95% CI: 0.46–1.40, chi-square 0.41, p-value 0.52) was also not significantly different. The comparison between the CNPs at the two CHCs was statistically significant (RD 0.30, 95% CI: 0.14–0.45, OR 8.37, 95% CI: 1.05–66.60, Fisher's exact test 0.01), but the CI around OR was large. Patients with RA had a mean age of 60 years, an average of two co-morbidities and an average of three annual clinic visits. Eighty- three per cent resided in the drainage area of the clinic. Conclusion: There was no significant difference in engagement between the CHCs. The potential that CNPs seemed to show of being positively influenced by the outreach service should be further researched. Patients with RA had co- morbidities that required management at primary healthcare level.
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    Enabling factors in the open labour market and strategies used by individuals with rheumatoid arthritis to maintain their employment
    (2002) Prinsloo, Ancil; Kalla, A A
    The objective of this research was to determine the enabling factors that employed individuals with rheumatoid arthritis encounter in the open labour market, and strategies they use to keep their jobs. One hundred individuals with rheumatoid arthritis between the ages of 18 and 65 years and employed in the South African open labour market participated in the study. Participants were recruited from two tertiary hospitals and two private practices in the Western Cape. Participants completed a questionnaire and afterwards six volunteers were selected for a one-hour semi-structured interview.
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    Radiological features of psoriatic arthritis
    (2011) Davis, Razaan; Kalla, A A
    Psoriatic arthritis (PsA) is an inflammatory arthritis associated with psoriasis. Psoriasis is a dermatological condition that affects 1-2% of the population. Approximately 10-15% of patients with skin manifestations of psoriasis develop PsA and 0.3-1% of the general population. Moll and Wright defined PsA as psoriasis associated with inflammatory arthritis and usually a negative serological test for rheumatoid factor (RF).