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1. Gender equity in academic rheumatology, current status and potential for improvement: a cross-sectional study to inform an EULAR task force

Author

Tadej Avcin, Laure Gossec, Iain B McInnes, Zoltan Szekanecz, George Bertsias, Laura C Coates, Uta Kiltz, Alexandre Sepriano, Laura Andreoli, Georg Schett, Irene E van der Horst-Bruinsma, Alessia Alunno, Elena Nikiphorou, Nemanja S Damjanov, Caroline Ospelt, Pavel V Ovseiko, Florence Apparailly, Heidi J Siddle, Marike van der Leeden, Katie L Druce, Anne-Maree Keenan, Linda H Pololi, Leonieke van Mens, and Neelam Hassan

Subjects
Medicine
Abstract

Objectives Evidence on the current status of gender equity in academic rheumatology in Europe and potential for its improvement is limited. The EULAR convened a task force to obtain empirical evidence on the potential unmet need for support of female rheumatologists, health professionals and non-clinical scientists in academic rheumatology.Methods This cross-sectional study comprised three web-based surveys conducted in 2020 among: (1) EULAR scientific member society leaders, (2) EULAR and Emerging EULAR Network (EMEUNET) members and (3) EULAR Council members. Statistics were descriptive with significance testing for male/female responses assessed by χ2 test and t-test.Results Data from EULAR scientific member societies in 13 countries indicated that there were disproportionately fewer women in academic rheumatology than in clinical rheumatology, and they tended to be under-represented in senior academic roles. From 324 responses of EULAR and EMEUNET members (24 countries), we detected no gender differences in leadership aspirations, self-efficacy in career advancement and work–life integration as well as the share of time spent on research, but there were gender differences in working hours and the levels of perceived gender discrimination and sexual harassment. There were gender differences in the ranking of 7 of 26 factors impacting career advancement and of 8 of 24 potential interventions to aid career advancement.Conclusions There are gender differences in career advancement in academic rheumatology. The study informs a EULAR task force developing a framework of potential interventions to accelerate gender-equitable career advancement in academic rheumatology.

Published
2022
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2. Gender Equity in Academic Rheumatology, Current Status and Potential for Improvement: A Cross-Sectional Study to Inform an EULAR Task Force

Author

Pavel V Ovseiko, Laure Gossec, Laura Andreoli, Uta Kiltz, Leonieke van Mens, Neelam Hassan, Marike van der Leeden, Heidi J Siddle, Alessia Alunno, Iain B McInnes, Nemanja S Damjanov, Florence Apparailly, Caroline Ospelt, Irene E van der Horst-Bruinsma, Elena Nikiphorou, Katie L Druce, Zoltán Szekanecz, Alexandre Sepriano, Tadej Avcin, George Bertsias, Georg Schett, Anne-Maree Keenan, Linda H Pololi, Laura C Coates, University of Oxford, Service de Rhumatologie [CHU Pitié Salpêtrière], CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), University of Brescia, Ruhr University Bochum (RUB), Department of Clinical Immunology and Rheumatology [Academic Medical Center, Amsterdam], University of Amsterdam [Amsterdam] (UvA), North Bristol NHS Trust [Bristol, UK], University of Bristol [Bristol], Amsterdam UMC - Amsterdam University Medical Center, University of Leeds, University of L'Aquila [Italy] (UNIVAQ), University of Glasgow, University of Belgrade [Belgrade], Cellules Souches, Plasticité Cellulaire, Médecine Régénératrice et Immunothérapies (IRMB), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), University hospital of Zurich [Zurich], VU University Medical Center [Amsterdam], King‘s College London, University of Manchester [Manchester], University of Debrecen Egyetem [Debrecen], Leiden University Medical Center (LUMC), Universidade Nova de Lisboa = NOVA University Lisbon (NOVA), University Medical Centre Ljubljana [Ljubljana, Slovenia] (UMCL), University of Crete [Heraklion] (UOC), Universitätsklinikum Erlangen [Erlangen], NIHR - Leeds Musculoskeletal Biomedical Research Unit (LMBRU), National Institute for Health Research (NIHR), Brandeis University, Gestionnaire, Hal Sorbonne Université, Rehabilitation medicine, AMS - Ageing & Vitality, AMS - Musculoskeletal Health, APH - Aging & Later Life, APH - Health Behaviors & Chronic Diseases, APH - Societal Participation & Health, Rheumatology, AII - Inflammatory diseases, and AMS - Tissue Function & Regeneration

Subjects
Gender Equity, Male, [SDV]Life Sciences [q-bio], Immunology, health services research, Europe, [SDV] Life Sciences [q-bio], Cross-Sectional Studies, Rheumatology, Inflammatory diseases Radboud Institute for Health Sciences [Radboudumc 5], Immunology and Allergy, Humans, Female, epidemiology, ddc:610, Rheumatologists, qualitative research
Abstract

ObjectivesEvidence on the current status of gender equity in academic rheumatology in Europe and potential for its improvement is limited. The EULAR convened a task force to obtain empirical evidence on the potential unmet need for support of female rheumatologists, health professionals and non-clinical scientists in academic rheumatology.MethodsThis cross-sectional study comprised three web-based surveys conducted in 2020 among: (1) EULAR scientific member society leaders, (2) EULAR and Emerging EULAR Network (EMEUNET) members and (3) EULAR Council members. Statistics were descriptive with significance testing for male/female responses assessed by χ2 test and t-test.ResultsData from EULAR scientific member societies in 13 countries indicated that there were disproportionately fewer women in academic rheumatology than in clinical rheumatology, and they tended to be under-represented in senior academic roles. From 324 responses of EULAR and EMEUNET members (24 countries), we detected no gender differences in leadership aspirations, self-efficacy in career advancement and work–life integration as well as the share of time spent on research, but there were gender differences in working hours and the levels of perceived gender discrimination and sexual harassment. There were gender differences in the ranking of 7 of 26 factors impacting career advancement and of 8 of 24 potential interventions to aid career advancement.ConclusionsThere are gender differences in career advancement in academic rheumatology. The study informs a EULAR task force developing a framework of potential interventions to accelerate gender-equitable career advancement in academic rheumatology.

Published
2022

3. EULAR/eumusc.net standards of care for rheumatoid arthritis

Author

Rachelle, Meisters, Polina, Putrik, Sofia, Ramiro, Monika, Hifinger, Andras P, Keszei, Yvonne, van Eijk-Hustings, Anthony D, Woolf, Josef S, Smolen, Tanja A, Stamm, Michaela, Stoffer-Marx, Till, Uhlig, Rikke Helene, Moe, Maarten, de Wit, Argjend, Tafaj, Vahan, Mukuchyan, Paul, Studenic, Patrick, Verschueren, Russka, Shumnalieva, Paraskevi, Charalambous, Jiří, Vencovský, Melpomeni, Varvouni, Mart, Kull, Kari, Puolakka, Laure, Gossec, Nino, Gobejishvili, Jacqueline, Detert, Prodromos, Sidiropoulos, Márta, Péntek, David, Kane, Carlo Alberto, Scirè, Uri, Arad, Daina, Andersone, Mart, van de Laar, Annette, van der Helm-van Mil, Piotr, Głuszko, Luís, Cunha-Miranda, Florian, Berghea, Nemanja S, Damjanov, Matija, Tomšič, Loreto, Carmona, Carl, Turesson, Adrian, Ciurea, Surayo, Shukurova, Nevsun, Inanc, Suzanne Mm, Verstappen, Annelies, Boonen, Edi, Rembeci, Meisters, R, Putrik, P, Ramiro, S, Hifinger, M, Keszei, A, Van Eijk-Hustings, Y, Woolf, A, Smolen, J, Stamm, T, Stoffer-Marx, M, Uhlig, T, Moe, R, De Wit, M, Tafaj, A, Mukuchyan, V, Studenic, P, Verschueren, P, Shumnalieva, R, Charalambous, P, Vencovsky, J, Varvouni, M, Kull, M, Puolakka, K, Gossec, L, Gobejishvili, N, Detert, J, Sidiropoulos, P, Pentek, M, Kane, D, Scire, C, Arad, U, Andersone, D, Van De Laar, M, Van Der Helm-Van Mil, A, Gluszko, P, Cunha-Miranda, L, Berghea, F, Damjanov, N, Tomsic, M, Carmona, L, Turesson, C, Ciurea, A, Shukurova, S, Inanc, N, Verstappen, S, Boonen, A, Health Services Research, RS: CAPHRI - R2 - Creating Value-Based Health Care, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, Health promotion, Interne Geneeskunde, MUMC+: KIO Kemta (9), MUMC+: MA Reumatologie (9), and Psychology, Health & Technology

Subjects
Adult, Male, medicine.medical_specialty, arthritis, health services research, health care, outcome and process assessment, Rheumatology, Standard of Care, rheumatoid, Immunology, Arthritis, General Biochemistry, Genetics and Molecular Biology, Gross domestic product, NO, Arthritis, Rheumatoid, 03 medical and health sciences, 0302 clinical medicine, Rheumatology, Surveys and Questionnaires, Health care, medicine, Immunology and Allergy, Humans, 030212 general & internal medicine, Registries, GUIDELINE DISSEMINATION, Aged, 030203 arthritis & rheumatology, business.industry, Health services research, Standard of Care, Middle Aged, medicine.disease, outcome and process assessment, health care, n/a OA procedure, health services research, Multilevel logistic regression, Europe, arthriti, Cross-Sectional Studies, arthritis, Rheumatoid arthritis, Family medicine, Female, HEALTH, Rheumatologists, business, Rheumatism
Abstract

ObjectiveAs part of European League against Rheumatism (EULAR)/European Musculoskeletal Conditions Surveillance and Information Network, 20 user-focused standards of care (SoCs) for rheumatoid arthritis (RA) addressing 16 domains of care were developed. This study aimed to explore gaps in implementation of these SoCs across Europe.MethodsTwo cross-sectional surveys on the importance, level of and barriers (patients only) to implementation of each SoC (0–10, 10 highest) were designed to be conducted among patients and rheumatologists in 50 European countries. Care gaps were calculated as the difference between the actual and maximum possible score for implementation (ie, 10) multiplied by the care importance score, resulting in care gaps (0–100, maximal gap). Factors associated with the problematic care gaps (ie, gap≥30 and importance≥6 and implementationResultsOverall, 26 and 31 countries provided data from 1873 patients and 1131 rheumatologists, respectively. 19 out of 20 SoCs were problematic from the perspectives of more than 20% of patients, while this was true for only 10 SoCs for rheumatologists. Rheumatologists in countries with lower gross domestic product and non-European Union countries were more likely to report problematic gaps in 15 of 20 SoCs, while virtually no differences were observed among patients. Lack of relevance of some SoCs (71%) and limited time of professionals (66%) were the most frequent implementation barriers identified by patients.ConclusionsMany problematic gaps were reported across several essential aspects of RA care. More efforts need to be devoted to implementation of EULAR SoCs.

Published
2020

4. Identification of calcium pyrophosphate deposition disease (CPPD) by ultrasound: reliability of the OMERACT definitions in an extended set of joints-an international multiobserver study by the OMERACT Calcium Pyrophosphate Deposition Disease Ultrasound Subtask Force.

Author

Filippou, Georgios, Scirè, Carlo Alberto, Adinolfi, Antonella, Nemanja S. Damjanov, Carrara, Greta, Bruyn, George A. W., Cazenave, Tomas, D'Agostino, Maria Antonietta, Delle Sedie, Andrea, Di Sabatino, Valentina, Cortes, Mario Enrique Diaz, Filippucci, Emilio, Gandjbakhch, Frederique, Gutierrez, Marwin, Maccarter, Daryl K., Micu, Mihaela, Möller Parera, Ingrid, Mouterde, Gaël, Mortada, Mohamed Atia, and Naredo, Esperanza

Abstract

Objectives: To assess the reliability of the OMERACT ultrasound (US) definitions for the identification of calcium pyrophosphate deposition disease (CPPD) at the metacarpal-phalangeal, triangular fibrocartilage of the wrist (TFC), acromioclavicular (AC) and hip joints.Methods: A web-based exercise and subsequent patient-based exercise were carried out. A panel of 30 OMERACT members, participated at the web-based exercise by evaluating twice a set of US images for the presence/absence of CPPD. Afterwards, 19 members of the panel met in Siena, Italy, for the patient-based exercise. During the exercise, all sonographers examined twice eight patients for the presence/absence of CPPD at the same joints. Intraoberserver and interobserver kappa values were calculated for both exercises.Results: The web-based exercise yielded high kappa values both in intraobserver and interobserver evaluation for all sites, while in the patient-based exercise, inter-reader agreement was acceptable for the TFC and the AC. TFC reached high interobserver and intraobserver k values in both exercises, ranging from 0.75 to 0.87 (good to excellent agreement). AC reached moderate kappa values, from 0.51 to 0.85 (moderate to excellent agreement) and can readily be used for US CPPD identification.Conclusions: Based on the results of our exercise, the OMERACT US definitions for the identification of CPPD demonstrated to be reliable when applied to the TFC and AC. Other sites reached good kappa values in the web-based exercise but failed to achieve good reproducibility at the patient-based exercise, meaning the scanning method must be further refined. [ABSTRACT FROM AUTHOR]

Published
2018
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