tailieunhanh - Báo cáo y học: " Percentile benchmarks in patients with rheumatoid arthritis: Health Assessment Questionnaire as a quality indicator"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Percentile benchmarks in patients with rheumatoid arthritis: Health Assessment Questionnaire as a quality indicator (QI). | Available online http content 6 6 R505 Research article Percentile benchmarks in patients with rheumatoid arthritis Health Assessment Questionnaire as a quality indicator QI Eswar Krishnan1 2 Peter Tugwell3 and James F Fries2 Clinical Research Center of Reading West Reading PA USA 2Division of Immunology and Rheumatology Department of Medicine Stanford University School of Medicine Stanford CA USA 3University of Ottawa Ottawa Canada Corresponding author Eswar Krishnan Eswar_krishnan@ Received 25 Mar 2004 Revisions requested 30 Apr 2004 Revisions received 6 Jun 2004 Accepted 30 Jun 2004 Published 14 Sep 2004 Arthritis Res Ther 2004 6 R505-R513 DOI ar1 220 2004 Krishnan et al. licensee BioMed Central Ltd. This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Open Access Abstract Physicians are in need of a simple objective standardized tool to compare their patients with rheumatoid arthritis as a group and individually with national standards. The Disability Index of the Health Assessment Questionnaire HAQ-DI is a simple robust tool that can fulfill these needs. However use of this tool as a quality indicator QI is hampered by the unavailability of national reference values or benchmarks based on large multicentric heterogenous longitudinal patient cohorts. We utilized the 20-year longitudinal prospective data from 11 data banks of Arthritis Rheumatism and Aging Medical Information to calculate reference values for HAQ-DI. Overall 6436 patients with rheumatoid arthritis were longitudinally followed for 32 324 person-years over the 20 years from 1981 to 2000. There were 64 647 HAQ-DI measurements with an average of 19 measurements per person. Overall 75 of patients were women and 89 were Caucasian the median baseline age was years and the median baseline HAQ-DI was . Few .