{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T03:46:04Z","timestamp":1769571964039,"version":"3.49.0"},"reference-count":37,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:00:00Z","timestamp":1675814400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"French Society of Rheumatology","award":["M2 2018"],"award-info":[{"award-number":["M2 2018"]}]},{"name":"French Society of Rheumatology","award":["GFRS 2018"],"award-info":[{"award-number":["GFRS 2018"]}]},{"name":"Groupe Francophone de Recherche sur la Scl\u00e9rodermie","award":["M2 2018"],"award-info":[{"award-number":["M2 2018"]}]},{"name":"Groupe Francophone de Recherche sur la Scl\u00e9rodermie","award":["GFRS 2018"],"award-info":[{"award-number":["GFRS 2018"]}]},{"name":"Tier 1 Canada Research Chair","award":["M2 2018"],"award-info":[{"award-number":["M2 2018"]}]},{"name":"Tier 1 Canada Research Chair","award":["GFRS 2018"],"award-info":[{"award-number":["GFRS 2018"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Differences in disability perception between patients and care providers may impact outcomes. We aimed to explore differences in disability perception between patients and care providers in systemic sclerosis (SSc). We conducted a cross-sectional internet-based mirror survey. SSc patients participating in the online SPIN Cohort and care providers affiliated with 15 scientific societies were surveyed using the Cochin Scleroderma International Classification of Functioning, Disability and Health (ICF)-65 questionnaire, including 65 items (from 0 to 10), representing 9 domains of disability. Mean differences between patients and care providers were calculated. Care providers\u2019 characteristics associated with a mean difference \u2265 2 of 10 points were assessed in multivariate analysis. Answers were analyzed for 109 patients and 105 care providers. The mean age of patients was 55.9 (14.7) years and the disease duration was 10.1 (7.5) years. For all domains of the ICF-65, care providers\u2019 rates were higher than those of patients. The mean difference was 2.4 (1.0) of 10 points. Care providers\u2019 characteristics associated with this difference were organ-based specialty (OR = 7.0 [2.3\u201321.2]), younger age (OR = 2.7 [1.0\u20137.1]) and following patients with disease duration \u22655 years (OR = 3.0 [1.1\u20138.7]). We found systematic differences in disability perception between patients and care providers in SSc.<\/jats:p>","DOI":"10.3390\/jcm12041359","type":"journal-article","created":{"date-parts":[[2023,2,9]],"date-time":"2023-02-09T01:37:07Z","timestamp":1675906627000},"page":"1359","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Differences in Disability Perception in Systemic Sclerosis: A Mirror Survey of Patients and Health Care Providers"],"prefix":"10.3390","volume":"12","author":[{"given":"Quentin","family":"Kirren","sequence":"first","affiliation":[{"name":"UFR de M\u00e9decine, Facult\u00e9 de Sant\u00e9, Universit\u00e9 Paris Cit\u00e9, 75006 Paris, France"},{"name":"Service de R\u00e9\u00e9ducation et de R\u00e9adaptation de l\u2019Appareil Locomoteur et des Pathologies du Rachis, H\u00f4pital Cochin, AP-HP, Centre-Universit\u00e9 Paris Cit\u00e9, 75014 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2909-957X","authenticated-orcid":false,"given":"Camille","family":"Daste","sequence":"additional","affiliation":[{"name":"UFR de M\u00e9decine, Facult\u00e9 de Sant\u00e9, Universit\u00e9 Paris Cit\u00e9, 75006 Paris, France"},{"name":"Service de R\u00e9\u00e9ducation et de R\u00e9adaptation de l\u2019Appareil Locomoteur et des Pathologies du Rachis, H\u00f4pital Cochin, AP-HP, Centre-Universit\u00e9 Paris Cit\u00e9, 75014 Paris, France"},{"name":"INSERM UMR-S 1153, Centre de Recherche \u00c9pid\u00e9miologie et Statistique Sorbonne Paris Cit\u00e9, Universit\u00e9 Paris Cit\u00e9, 75004 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9928-3404","authenticated-orcid":false,"given":"Frantz","family":"Foissac","sequence":"additional","affiliation":[{"name":"Unit\u00e9 de Recherche Clinique\u2014Centre d\u2019Investigation 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France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7ois","family":"Rannou","sequence":"additional","affiliation":[{"name":"UFR de M\u00e9decine, Facult\u00e9 de Sant\u00e9, Universit\u00e9 Paris Cit\u00e9, 75006 Paris, France"},{"name":"Service de R\u00e9\u00e9ducation et de R\u00e9adaptation de l\u2019Appareil Locomoteur et des Pathologies du Rachis, H\u00f4pital Cochin, AP-HP, Centre-Universit\u00e9 Paris Cit\u00e9, 75014 Paris, France"},{"name":"INSERM UMR-S 1124, Toxicit\u00e9 Environnementale, Cibles Th\u00e9rapeutiques, Signalisation Cellulaire et Biomarqueurs (T3S), Campus Saint-Germain-des-Pr\u00e9s, Universit\u00e9 Paris Cit\u00e9, 75006 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agathe","family":"Papelard","sequence":"additional","affiliation":[{"name":"Service de R\u00e9\u00e9ducation et de R\u00e9adaptation de l\u2019Appareil Locomoteur et des Pathologies du Rachis, H\u00f4pital Cochin, AP-HP, Centre-Universit\u00e9 Paris Cit\u00e9, 75014 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Roren","sequence":"additional","affiliation":[{"name":"Service de R\u00e9\u00e9ducation et de R\u00e9adaptation de l\u2019Appareil Locomoteur et des Pathologies du Rachis, H\u00f4pital Cochin, AP-HP, Centre-Universit\u00e9 Paris Cit\u00e9, 75014 Paris, France"},{"name":"INSERM UMR-S 1153, Centre de Recherche \u00c9pid\u00e9miologie et Statistique Sorbonne Paris Cit\u00e9, Universit\u00e9 Paris Cit\u00e9, 75004 Paris, France"},{"name":"D\u00e9partement Universitaire des Sciences de la R\u00e9\u00e9ducation et de la R\u00e9adaptation, Facult\u00e9 de Sant\u00e9, Universit\u00e9 Paris Cit\u00e9, 75006 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5644-8432","authenticated-orcid":false,"given":"Brett D.","family":"Thombs","sequence":"additional","affiliation":[{"name":"Lady Davis 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Rheum. Dis."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1002\/art.23819","article-title":"Patient preference disability questionnaire in systemic sclerosis: A cross-sectional survey","volume":"59","author":"Mouthon","year":"2008","journal-title":"Arthritis Rheum."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1002\/art.22468","article-title":"Assessing disability and quality of life in systemic sclerosis: Construct validities of the cochin hand function scale, health assessment questionnaire (haq), systemic sclerosis haq, and medical outcomes study 36-item short form health survey","volume":"57","author":"Rannou","year":"2007","journal-title":"Arthritis Rheum."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1093\/rheumatology\/kep400","article-title":"Employment status and socio-economic burden in systemic sclerosis: A cross-sectional survey","volume":"49","author":"Nguyen","year":"2010","journal-title":"Rheumatology"},{"key":"ref_6","first-page":"1159","article-title":"Professional consequences of systemic sclerosis","volume":"42","author":"Nguyen","year":"2013","journal-title":"Presse Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1002\/acr.20342","article-title":"Impact of systemic sclerosis on occupational and professional activity with attention to patients with digital ulcers","volume":"63","author":"Seror","year":"2011","journal-title":"Arthritis Care Res."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Nguyen, C., B\u00e9rezn\u00e9, A., Baubet, T., Mestre-Stanislas, C., Rannou, F., Papelard, A., Morell-Dubois, S., Revel, M., Guillevin, L., and Poiraudeau, S. (2011). Association of gender with clinical expression, quality of life, disability, and depression and anxiety in patients with systemic sclerosis. PLoS ONE, 6.","DOI":"10.1371\/journal.pone.0017551"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e189","DOI":"10.1097\/PHM.0000000000000611","article-title":"Changes over time and responsiveness of the cochin hand function scale and mouth handicap in systemic sclerosis scale in patients with systemic sclerosis: A prospective observational study","volume":"95","author":"Nguyen","year":"2016","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"359","DOI":"10.3899\/jrheum.090632","article-title":"Sensitivity to change in systemic sclerosis of the mcmaster-toronto arthritis patient preference disability questionnaire (mactar): Shift in patient priorities over time","volume":"37","author":"Nguyen","year":"2010","journal-title":"J. Rheumatol."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Nguyen, C., Ranque, B., Baubet, T., B\u00e9rezn\u00e9, A., Mestre-Stanislas, C., Rannou, F., Papelard, A., Morell-Dubois, S., Revel, M., and Moro, M.R. (2014). Clinical, functional and health-related quality of life correlates of clinically significant symptoms of anxiety and depression in patients with systemic sclerosis: A cross-sectional survey. PLoS ONE, 9.","DOI":"10.1371\/journal.pone.0090484"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1080\/09638280110105222","article-title":"Application of the international classification of functioning, disability and health (icf) in clinical practice","volume":"24","author":"Stucki","year":"2002","journal-title":"Disabil. Rehabil."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1002\/acr.20132","article-title":"Patient-physician discordance in assessments of global disease severity in rheumatoid arthritis","volume":"62","author":"Barton","year":"2010","journal-title":"Arthritis Care Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1177\/0961203317722412","article-title":"Discordance of patient and physician health status concerns in systemic lupus erythematosus","volume":"27","author":"Golder","year":"2018","journal-title":"Lupus"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1781","DOI":"10.3899\/jrheum.150007","article-title":"Discordance of global assessments by patient and physician is higher in female than in male patients regardless of the physician\u2019s sex: Data on patients with rheumatoid arthritis, axial spondyloarthritis, and psoriatic arthritis from the danbio registry","volume":"42","author":"Krogh","year":"2015","journal-title":"J. Rheumatol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.1111\/1756-185X.13299","article-title":"A cross-sectional study on factors associated with patient-physician discordance in global assessment of patients with axial spondyloarthritis: An asian perspective","volume":"21","author":"Wang","year":"2018","journal-title":"Int. J. Rheum. Dis."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1002\/art.1790080207","article-title":"Concordant and discrepant views of patients\u2019 physical functioning","volume":"8","author":"Berkanovic","year":"1995","journal-title":"Arthritis Care Res."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"928","DOI":"10.1136\/ard.60.10.928","article-title":"Values for function in rheumatoid arthritis: Patients, professionals, and public","volume":"60","author":"Hewlett","year":"2001","journal-title":"Ann. Rheum. Dis."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"2307","DOI":"10.3899\/jrheum.100354","article-title":"Discordance between patient and physician assessments of disease severity in systemic sclerosis","volume":"37","author":"Hudson","year":"2010","journal-title":"J. Rheumatol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1038\/ajg.2009.685","article-title":"Factors associated with non-adherence to oral medication for inflammatory bowel disease: A systematic review","volume":"105","author":"Jackson","year":"2010","journal-title":"Am. J. Gastroenterol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e000232","DOI":"10.1136\/lupus-2017-000232","article-title":"Illness representations of systemic lupus erythematosus and systemic sclerosis: A comparison of patients, their rheumatologists and their general practitioners","volume":"4","author":"Arat","year":"2017","journal-title":"Lupus Sci. Med."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Arat, S., Van den Zegel, A., Van Rillaer, M., Moons, P., Vandenberghe, J., De Langhe, E., and Westhovens, R. (2016). Development and preliminary evaluation of the validity and reliability of a revised illness perception questionnaire for healthcare professionals. BMC Nurs., 15.","DOI":"10.1186\/s12912-016-0156-4"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.2196\/jmir.6.3.e34","article-title":"Improving the quality of web surveys: The checklist for reporting results of internet e-surveys (cherries)","volume":"6","author":"Eysenbach","year":"2004","journal-title":"J. Med. Internet Res."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2260","DOI":"10.1093\/rheumatology\/kez209","article-title":"Construction of an icf core set and icf-based questionnaire assessing activities and participation in patients with systemic sclerosis","volume":"58","author":"Papelard","year":"2019","journal-title":"Rheumatology"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e003563","DOI":"10.1136\/bmjopen-2013-003563","article-title":"The scleroderma patient-centered intervention network (spin) cohort: Protocol for a cohort multiple randomised controlled trial (cmrct) design to support trials of psychosocial and rehabilitation interventions in a rare disease context","volume":"3","author":"Kwakkenbos","year":"2013","journal-title":"BMJ Open"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1767","DOI":"10.1002\/acr.22902","article-title":"Patient-physician discordance in global assessment in rheumatoid arthritis: A systematic literature review with meta-analysis","volume":"68","author":"Desthieux","year":"2016","journal-title":"Arthritis Care Res."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1111\/bjd.18922","article-title":"Development of a new patient-reported outcome measure to assess activities and participation in people with systemic sclerosis: The cochin 17-item scleroderma functional scale","volume":"183","author":"Daste","year":"2020","journal-title":"Br. J. Dermatol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.apmr.2006.12.032","article-title":"Response shift theory: Important implications for measuring quality of life in people with disability","volume":"88","author":"Schwartz","year":"2007","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"2189","DOI":"10.2147\/COPD.S136711","article-title":"Perception of symptoms and quality of life\u2014Comparison of patients\u2019 and physicians\u2019 views in the copd mirror study","volume":"12","author":"Celli","year":"2017","journal-title":"Int. J. Chron. Obstruct. Pulmon. Dis."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1007\/s00296-017-3667-8","article-title":"Diverging illness perceptions between physicians about patients with systemic lupus erythematosus and systemic sclerosis: A vignette-based study","volume":"37","author":"Arat","year":"2017","journal-title":"Rheumatol. Int."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1080\/03009742.2018.1523455","article-title":"Changes in disability and their relationship with skin thickening, in diffuse and limited cutaneous systemic sclerosis: A retrospective cohort study","volume":"48","author":"Peytrignet","year":"2019","journal-title":"Scand. J. Rheumatol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1002\/msc.223","article-title":"The association of illness perceptions with physical and mental health in systemic sclerosis patients: An exploratory study","volume":"10","author":"Arat","year":"2012","journal-title":"Musculoskeletal. Care"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1093\/geront\/gnx019","article-title":"Later-life disability in environmental context: Why living arrangements matter","volume":"58","author":"Shippee","year":"2018","journal-title":"Gerontologist"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.socscimed.2015.05.007","article-title":"Moderators, mediators, and bidirectional relationships in the international classification of functioning, disability and health (icf) framework: An empirical investigation using a longitudinal design and structural equation modeling (sem)","volume":"135","author":"Rouquette","year":"2015","journal-title":"Soc. Sci. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1080\/09638280500167761","article-title":"Exploring the role of contextual factors in disability models","volume":"28","author":"Wang","year":"2006","journal-title":"Disabil. Rehabil."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1016\/j.semarthrit.2018.03.013","article-title":"Patient acceptable symptom state and minimal clinically important difference for patient-reported outcomes in systemic sclerosis: A secondary analysis of a randomized controlled trial comparing personalized physical therapy to usual care","volume":"48","author":"Daste","year":"2019","journal-title":"Semin. Arthritis Rheum."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1002\/acr.23098","article-title":"Personalized physical therapy versus usual care for patients with systemic sclerosis: A randomized controlled trial","volume":"69","author":"Rannou","year":"2017","journal-title":"Arthritis Care Res."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/4\/1359\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:28:23Z","timestamp":1760120903000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/4\/1359"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,8]]},"references-count":37,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,2]]}},"alternative-id":["jcm12041359"],"URL":"https:\/\/doi.org\/10.3390\/jcm12041359","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,8]]}}}