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J Rheumatol ; 45(1): 40-44, 2018 01.
Article in English | MEDLINE | ID: mdl-29142029

ABSTRACT

OBJECTIVE: The aim of our study was to examine why real-world practices and attitudes regarding quantitative measurements of rheumatoid arthritis (RA) have received limited attention. METHODS: An e-mail survey asked US rheumatologists to self-report on their use of quantitative measurements (metric). RESULTS: Among 439 respondents, metric rheumatologists (58%) were more likely to be in group practice and to use tumor necrosis factor inhibitors. The quantitative tools most commonly used were the Health Assessment Questionnaire (35.5%) and the Routine Assessment of Patient Index Data 3 (27.1%). Reasons for not measuring included time needed and electronic availability. Based on simulated case scenarios, providing more quantitative information increased the likelihood that a patient would change to a different disease-modifying antirheumatic drug or biologic. CONCLUSION: Routine use of quantitative measurement for patients in the United States with RA is increasing over time but remains low.


Subject(s)
Arthritis, Rheumatoid/diagnosis , Attitude of Health Personnel , Disease Management , Health Knowledge, Attitudes, Practice , Quality of Health Care , Rheumatologists/psychology , Aged , Database Management Systems , Female , Group Practice , Humans , Male , Middle Aged , Multivariate Analysis , Practice Patterns, Physicians' , Self Report , Severity of Illness Index , United States
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