1. Comparative results of the implementation in daily practice of an evaluation checklist for patients with axial spondyloarthritis and psoriatic arthritis
- Author
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Teresa Navío, Raquel Almodóvar, Elena Rabadán, Beatriz Joven, Victoria Navarro-Compán, Virginia Villaverde, Leticia Lojo Oliveira, Pedro Zarco, Laura Cebrián Méndez, Sheila Melchor, Laura Zamudio González, Estíbaliz Loza, Alejandro Prada, Álvaro García Martos, and Esther Rodríguez Almaraz
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,03 medical and health sciences ,Psoriatic arthritis ,0302 clinical medicine ,Spondylarthritis ,Humans ,Medicine ,030212 general & internal medicine ,BASDAI ,Depression (differential diagnoses) ,030203 arthritis & rheumatology ,business.industry ,Medical record ,Arthritis, Psoriatic ,General Medicine ,medicine.disease ,Checklist ,Gout ,Physical therapy ,Observational study ,Rheumatologists ,business ,BASFI ,Axial Spondyloarthritis - Abstract
Objective To analyse and compare changes in the collection of clinical variables after the implementation in daily practice of an evaluation checklist for patients with axial spondyloarthritis (axSpA) and psoriatic arthritis (PsA). Methods An observational study was performed based on medical records review. The number and type of variables of the evaluation checklist in the medical records were collected. The first review was made before the implementation of the checklist, and the second one 6 months after the implementation (in different patients). A descriptive and bivariate analysis was carried out. Results Six hospitals and 11 rheumatologists participated. A total of 83 and 68 medical records were reviewed before and after the implementation of the checklist. After the implementation, in the axSpA patients, a significant increase was recorded in alcohol consumption, diarrhoea or IBD and urethritis, diabetes mellitus, hyperlipidaemia, depression, obesity or gout/hyperuricaemia, weight, height, blood pressure, patient and physician global assessments of disease activity, BASDAI and DAS28. And, in the PsA patients, alcohol consumption, hypertension, diabetes mellitus, hyperlipidaemia, disease, gout/hyperuricaemia, thoracic expansion, cervical rotation, weight, height, blood pressure, patient and physician global assessments of disease, ASDAS, BASDAI, and BASFI were recorded. In general, there was a trend towards greater recording in axSpA compared with PsA. Conclusions The implementation of a specific checklist in daily practice improves the evaluation of patients with axSpA and PsA. More efforts are necessary to continue improving the evaluation of patients with axSpA, but especially of those with PsA.
- Published
- 2021
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