Medical audit guideline about rheumatoid arthritis diagnosis and treatment
DOI:
https://doi.org/10.31053/1853.0605.v76.n1.22218Keywords:
arthritis, rheumatoid, biological therapy, guideline, medical audit, diagnosisAbstract
Introduction: rheumatoid arthritis is a frequent inflammatory disease and a leading cause of potentially-treatable disability. Rheumatoid arthritis is associated with an increased risk of general morbidity and mortality. New therapeutic options have dramatically improved the evolution of patients.
Objectives: in this joint work of the Association of Auditing and Quality of Medical Care of Córdoba (ASACAM) and the Argentine Society of Rheumatology (SAR), we generated recommendations to especially assist medical auditors in making decisions to improve the quality of the medical and life care of patients and reduce costs in the management of rheumatoid arthritis patients.
Intended population: in addition to medical auditors, these recommendations can be expanded to general practitioners, rheumatologists and clinicians, and eventually to the general public.
Conclusions: suggestions for the diagnosis and treatment of patients with rheumatoid arthritis (including biological therapies) are described, based on the Clinical Practice Guidelines for the Treatment of Rheumatoid Arthritis (SAR, 2013), the resolutions of the Compulsory Medical Program and the Unique Reimbursement System currently used in Argentina.
Downloads
References
Grupo de Estudio de Artritis Reumatoidea. Actualización de las Guías de Práctica Clínica en el Tratamiento de la Artritis Reumatoidea [Internet]. Buenos Aires: Sociedad Argentina de Reumatología; 2013 [cited 2018 Aug 12]. Available from: http://www.reumatologia.org.ar/docs/guias_sar_2013.pdf
Programa Médico Obligatorio de Emergencia. Resolución 201/2002 [Internet]. Buenos Aires: Ministerio de Salud de la Nación; 2002 [cited 2018 Aug 10]. Available from: https://www.sssalud.gob.ar/pmo/res_s_02_201.pdf
Ministerio de Salud de la Nación. Resolución 310/2004 [Internet]. Buenos Aires; 2004 [cited 2018 Aug 11]. Available from: https://www.sssalud.gob.ar/normativas/consulta/000595.pdf.
Superintendencia de Servicios de Salud. Resolución 1048/14 [Internet]. Buenos Aires: Ministerio de Salud de la Nación; 2014 [cited 2018 Aug 11]. Available from: https://bit.ly/2RUmv8X
Choy EH, Panayi GS. Cytokine pathways and joint inflammation in rheumatoid arthritis. N Engl J Med. 2001 Mar 22;344(12):907-16.
Van den Hoek J, Boshuizen HC, Roorda LD, Tijhuis GJ, Nurmohamed MT, van den Bos GA, et al. Mortality in patients with rheumatoid arthritis: a 15-year prospective cohort study. Rheumatol Int. 2017 Apr;37(4):487-493.
Prevoo MLL, van't Hof MA, Kuper HH, van Leeuwen MA, van de Putte LBA, van Riel PLCM. Modified Disease Activity Scores that include Twenty-Eight-Joint Counts. Arthritis Rheum. 1995 Jan;38(1):44-8
Fransen J, Stucki G, van Riel PLCM. Rheumatoid arthritis measures: Disease Activity Score (DAS), Disease Activity Score?28 (DAS28), Rapid Assessment of Disease Activity in Rheumatology (RADAR), and Rheumatoid Arthritis Disease Activity Index (RADAI). Arthritis & Rheumatism 2003 Oct 15;49(5S):S214-S224
Aletaha D, Smolen J. The Simplified Disease Activity Index (SDAI) and the Clinical Disease Activity Index (CDAI): a review of their usefulness and validity in rheumatoid arthritis. Clin Exp Rheumatol. 2005 Sep-Oct;23(5 Suppl 39):S100-8.
Pincus T, Yazici Y, Bergman MJ. RAPID3, an index to assess and monitor patients with rheumatoid arthritis, without formal joint counts: similar results to DAS28 and CDAI in clinical trials and clinical care. Rheum Dis Clin North Am. 2009 Nov;35(4):773-8, viii.
Smolen JS, Aletaha D, Bijlsma JW, Breedveld FC, Boumpas D, Burmester G, Combe B, Cutolo M, de Wit M, Dougados M, Emery P, Gibofsky A, Gomez-Reino JJ, Haraoui B, Kalden J, Keystone EC, Kvien TK, McInnes I, Martin-Mola E, Montecucco C, Schoels M, van der Heijde D; T2T Expert Committee. Treating rheumatoid arthritis to target: recommendations of an international task force. Ann Rheum Dis. 2010 Apr;69(4):631-7.
12. Smolen JS, Landewé R, Breedveld FC, Buch M, Burmester G, Dougados M, et al. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2013 update. Ann Rheum Dis. 2014 Mar;73(3):492-509.
Cardiel MH; Latin American Rheumatology Associations of the Pan-American League of Associations for Rheumatology (PANLAR); Grupo Latinoamericano de Estudio de Artritis Reumatoide (GLADAR). First Latin American position paper on the pharmacological treatment of rheumatoid arthritis. Rheumatology (Oxford). 2006 Jun;45 Suppl 2:ii7-ii22.
Administración Nacional de Medicamentos, Alimentos y Tecnología Médica (ANMAT). Disposición 2776/2013 [Internet]. Buenos Aires; 2013 [cited 2018 Aug 13]. Available from https://bit.ly/2qXHZ9H
World Health Organization Expert Committee on Biological Standardization. Annex 2. Guidelines on evaluation of similar biotherapeutic products (SBPs). Geneva: World Health Organization; 2013. WHO Technical Report Series no. 977.
Alerany C, Armellini A, Bosó V, Calvo G, Cruz E, Diego L, et al. Libro blanco de los medicamentos biosimilares en España: calidad sostenible. La garantía del acceso universal a medicamentos clave. Disponible en: http://www.fgcasal.org/publicaciones/Libro_Blanco_de_los_Medicamentos_Biosimilares.pdf (consultado el 12 de agosto de 2018)
Downloads
Additional Files
Published
Issue
Section
License
Copyright (c) 2019 Universidad Nacional de Córdoba

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The generation of derivative works is allowed as long as it is not done for commercial purposes. The original work may not be used for commercial purposes.