Back to Search
Start Over
Using an electronic platform interactively to improve treatment outcome in patients with rheumatoid arthritis: new developments from the DANBIO registry.
- Source :
-
Clinical and experimental rheumatology [Clin Exp Rheumatol] 2016 Sep-Oct; Vol. 34 (5 Suppl 101), pp. S75-S78. Date of Electronic Publication: 2016 Oct 19. - Publication Year :
- 2016
-
Abstract
- Objectives: Electronic platforms have been developed to help the clinician monitor disease activity in rheumatoid arthritis (RA) to support at treat-to-target strategy. We present an initiative to interactively improve disease control in patients with rheumatoid arthritis.<br />Methods: In patients who presented with one or more swollen joints AND moderate/high disease activity (i.e. either CDAI≥10.1 and/or DAS-28CRP>3.2, which is automatically calculated in the DANBIO registry), a red alert was shown, which activated a pop-up: "This patient has at least one swollen joint AND either CDAI≥ 10.1 or DAS28CRP>3.2. Which action do you as a physician take today: □ Intensify treatment, □ Treatment intensification is not possible currently/awaiting results of additional investigations, □ No further treatment intensification is possible, □ The patient does not want to intensify treatment, □ Other decisions taken" RESULTS: Of 21,056 patients with RA, 40% fulfilled the criteria for getting the alert message. The pop-up was activated and completed by the physician in 65% of those (5,428 patients). Treatment was intensified in 67%. In 2% of patients, no additional treatment intensification was possible, and 8% of the patients objected to intensification.<br />Conclusions: In >8,000 RA patients who presented with objective signs of active disease in routine care, an interactive feature of the DANBIO registry was introduced, which prompted the physician to take action and consider treatment intensification. In two-thirds of the cases, the treating physician reported that treatment was intensified.
- Subjects :
- Aged
Antirheumatic Agents adverse effects
Arthritis, Rheumatoid diagnosis
Arthritis, Rheumatoid physiopathology
Denmark
Female
Humans
Male
Middle Aged
Patient Selection
Predictive Value of Tests
Registries
Reminder Systems
Risk Factors
Severity of Illness Index
Surveys and Questionnaires
Treatment Outcome
Antirheumatic Agents therapeutic use
Arthritis, Rheumatoid drug therapy
Decision Support Systems, Clinical
Decision Support Techniques
Drug Therapy, Computer-Assisted
Medical Informatics
Rheumatology methods
Subjects
Details
- Language :
- English
- ISSN :
- 0392-856X
- Volume :
- 34
- Issue :
- 5 Suppl 101
- Database :
- MEDLINE
- Journal :
- Clinical and experimental rheumatology
- Publication Type :
- Academic Journal
- Accession number :
- 27762199