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    Quality indicators in rheumatoid arthritis: results from the METEOR database

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    Authors
    Navarro-Compan, Victoria
    Smolen, Josef S.
    Huizinga, Tom
    Landewe, Robert
    Ferraccioli, Gianfranco
    da Silva, Jose A.P.
    Moots, Robert J.
    Kay, Jonathan
    van der Heijde, Desiree
    UMass Chan Affiliations
    Department of Medicine, Division of Rheumatology
    Document Type
    Journal Article
    Publication Date
    2015-09-01
    Keywords
    *Advisory Committees
    Aged
    Antirheumatic Agents
    Arthritis, Rheumatoid
    Asia
    Autoantibodies
    Databases, Factual
    Europe
    Feasibility Studies
    Female
    Humans
    *International Agencies
    Male
    Middle Aged
    North America
    Quality Assurance, Health Care
    Quality Indicators, Health Care
    Retrospective Studies
    Severity of Illness Index
    Treatment Outcome
    care
    quality indicator
    rheumatoid arthritis
    Musculoskeletal Diseases
    Rheumatology
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    Link to Full Text
    http://dx.doi.org/10.1093/rheumatology/kev108
    Abstract
    OBJECTIVE: To test the feasibility of collecting, storing, retrieving and analysing necessary information to fulfil a preliminary set of quality indicators (QIs) that have been proposed by an international task force in a large multinational clinical practice database of patients with RA. METHODS: Data from all 12 487 patients with 46 005 visits in the Measurement of Efficacy of Treatment in the Era of Outcome in Rheumatology database from January 2008 until January 2012 were analysed to test the feasibility of collecting information on 10 QIs: time to diagnosis; frequency of visits; assessment of autoantibodies and radiographs, disease activity and function; disease remission, low disease activity, normal function; time to first DMARD and type of first DMARD. For each QI, two aspects were assessed: information availability and target achievement. RESULTS: Information was available for < 50% of patients regarding the following QIs: time to diagnosis, assessment of ACPAs or radiographs, time to first DMARD and type of first DMARD. Information was available for function assessment in 49% of visits and 67% of patients and for disease activity assessment in 85% of visits and 86% of patients. Information relevant to the QI frequency of visits was available for all patients. Relevant information to calculate the proportion of patients who achieved a defined target could be obtained for all QIs. CONCLUSION: Collecting storing, retrieving and analysing the core data necessary to meaningfully assess quality of care is feasible in a multinational, practice-based electronic database.
    Source
    Rheumatology (Oxford). 2015 Sep;54(9):1630-9. doi: 10.1093/rheumatology/kev108. Epub 2015 Apr 14. Link to article on publisher's site
    DOI
    10.1093/rheumatology/kev108
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/30664
    PubMed ID
    25877910
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1093/rheumatology/kev108
    Scopus Count
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