Reumatologia clinica · 2012
Management of rheumatoid arthritis in Spain (emAR II). Clinical characteristics of the patients.
СтатьяМногоцентровое исследованиеПоддержка исследования: вне правительства СШАОбзорНазвание и аннотация: Перевод в очереди
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Maese Jesús, García De Yébenes María Jesús, Carmona Loreto, Hernández-García Cesar, el Grupo de Estudio emAR II
Аннотация
BACKGROUND: There is a wide variability in the diagnostic and therapeutic methods in rheumatoid arthritis (AR) in Spain, according to prior studies. The quality of care could benefit from the application of appropriate clinical practice standards; we present a study on the variability of clinical practice.
METHODS: Descriptive review of clinical records (CR) of patients aged 16 or older diagnosed with RA, selected by stratified sampling of the Autonomous Communities in two stages per Hospital Center and patient. Collected analysis of sociodemographic data, evolution, follow-up, joint count, reactants, function, job history, Visual Analogue Scales (VAS) and other.
RESULTS: We obtained valid information of 1,272 RA patients. The ESR, CRP and rheumatoid factor (RF) were regularly used parameters. The percentages of missing data in tender (TJN) and swollen (SJN) joint counts were 8.2% and 9.6% respectively; regarding the VAS we found 53.6% (patient), 59.1% (pain), and 72% in the physician VAS.
CONCLUSIONS: Despite having clinical practice guidelines on RA, there still exists a significant variability in RA management in our country.
METHODS: Descriptive review of clinical records (CR) of patients aged 16 or older diagnosed with RA, selected by stratified sampling of the Autonomous Communities in two stages per Hospital Center and patient. Collected analysis of sociodemographic data, evolution, follow-up, joint count, reactants, function, job history, Visual Analogue Scales (VAS) and other.
RESULTS: We obtained valid information of 1,272 RA patients. The ESR, CRP and rheumatoid factor (RF) were regularly used parameters. The percentages of missing data in tender (TJN) and swollen (SJN) joint counts were 8.2% and 9.6% respectively; regarding the VAS we found 53.6% (patient), 59.1% (pain), and 72% in the physician VAS.
CONCLUSIONS: Despite having clinical practice guidelines on RA, there still exists a significant variability in RA management in our country.
Предметные рубрики MeSH
Acute-Phase ProteinsAgedAnti-Inflammatory Agents, Non-SteroidalAntirheumatic AgentsArthritis, RheumatoidComorbidityCross-Sectional StudiesDisease ManagementFemaleHumansMaleMiddle AgedPain MeasurementPeptides, CyclicPractice Guidelines as TopicPractice Patterns, Physicians'Rheumatoid FactorRheumatologySample SizeSampling StudiesSeverity of Illness IndexSocioeconomic FactorsSpainSymptom Assessment