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Dissemination and evaluation of the ASAS/EULAR recommendations for the management of ankylosing spondylitis: results of a study among 1507 rheumatologists
- Source :
- Annals of the Rheumatic Diseases
- Publication Year :
- 2008
- Publisher :
- BMJ PUBLISHING GROUP, 2008.
-
Abstract
- BACKGROUND: Ten ASAS/EULAR recommendations for the management of ankylosing spondylitis (AS) were published in 2006. OBJECTIVES: (a) To disseminate and (b) to evaluate conceptual agreement with, and (c) application of, these recommendations as well as (d) potential barriers to the application. METHODS: A questionnaire was sent to rheumatologists in 10 countries. It included (a) the text of the recommendations; (b) rheumatologists' demographic variables; (c) two numerical rating scales from 1 to 10 for each recommendation: conceptual agreement with, and application of, the recommendation (10 indicates maximal agreement and maximal application); and (d) a list of potential barriers to the application of the recommendation. Statistical analysis included descriptive and multivariate analyses. RESULTS: 7206 questionnaires were sent out; 1507 (21%) were returned. Of the 1507 answering rheumatologists, 62% were men, mean (SD) age 49 (9) years, and 34% had an academic position. Conceptual agreement with the recommendations was high (mean (SD) for all recommendations 8.9 (0.9)). Self-reported application was also high (8.2 (1.0)). The difference between agreement and application varied across recommendations and countries. The most pronounced discrepancies were reported for use of anti-tumour necrosis factor drugs in a few countries, with funding as the most commonly reported barrier for application of this recommendation. CONCLUSION: This large project has helped the dissemination of the ASAS/EULAR recommendations for the management of AS and shows that conceptual agreement with the recommendations is very high. The project also highlights inequalities in access to healthcare for European citizens with AS. researcherid-numbers: Pavelka, Karel/E-6578-2017 orcid-numbers: Pavelka, Karel/0000-0003-1952-8422 Collantes Estevez, Eduardo/0000-0002-7647-6289 unique-id: ISI:000255774400009 ispartof: ANNALS OF THE RHEUMATIC DISEASES vol:67 issue:6 pages:782-788 ispartof: location:England status: published
- Subjects :
- Adult
Male
medicine.medical_specialty
Multivariate analysis
Consensus
Immunology
GUIDELINES
General Biochemistry, Genetics and Molecular Biology
Extended Reports
Rheumatology
Rating scale
Health care
medicine
IMPLEMENTATION
Immunology and Allergy
Humans
Statistical analysis
Spondylitis, Ankylosing
Ankylosing spondylitis
Science & Technology
business.industry
Mean age
Middle Aged
medicine.disease
Europe
SYSTEMATIC REVIEWS
Practice Guidelines as Topic
Physical therapy
business
Life Sciences & Biomedicine
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Annals of the Rheumatic Diseases
- Accession number :
- edsair.doi.dedup.....184151083af4509d601bd538a3ecbb68