Clinical quality management in rheumatoid arthritis: putting theory into practice
Clinical quality management in rheumatoid arthritis: putting theory into practice
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DOI：
10.1093/rheumatology/39.5.542
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发表时间：
2000-05-01
期刊：
影响因子：
5.5
通讯作者：
Stucki, G
中科院分区：
文献类型：
--
作者：
Uitz, E;Fransen, J;Stucki, G
类风湿关节炎（RA）的临床质量管理（CQM）旨在短期内减少炎症活动和疼痛，长期内减少损伤，从而减少残疾。在瑞士使用的CQM中，为风湿病学家提供了一个测量反馈系统，他们可以定期跟踪他们的病人。用疾病活动性评分（DAS 28）和风湿性关节炎疾病活动性指数问卷（RADAI）测量炎症活性，用X射线评分测量损伤，用斯坦福大学健康评估问卷（HAQ）测量残疾。反馈用于优化治疗，这在短期内允许调节或“滴定”炎症过程的活性。从长远来看，对个别病人的治疗结果是通过残疾和损害的过程来监测的。在本文中，我们提出了一系列的情况下，说明有用的CQM系统在管理个人RA患者。CQM在RA中可能有助于做出有关治疗调整的决定，并根据定量数据记录和传达这些决定。
Clinical quality managment (CQM) in rheumatoid arthritis (RA) aims to reduce inflammatory activity and pain in the short term, and damage, and consequently disability, in the long term. Within CQM as used in Switzerland rheumatologists are provided with a measurement feedback system with which they can regularly follow their patients. Inflammatory activity is measured with the Disease Activity Score (DAS28) and the Rheumatoid Arthritis Disease Activity Index questionnaire (RADAI), damage with an X-ray score and disability with the Stanford Health Assessment Questionnaire (HAQ). Feedback is used to optimize therapy, which in the short term allows the activity of the inflammatory process to be adjusted or 'titrated'. In the long term, the therapy result for the individual patient is monitored by the course of disability and damage. In this paper we present a series of cases to illustrate the usefulness of the CQM system in the management of individual RA patients. CQM in RA may be helpful when making decisions about adjustment of treatment, and to document and communicate these decisions based on quantitative data.