Clinical Edge

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Benefits of Learning Collaborative for T2T in RA

Arthritis Care Res; 2018 Oct; Solomon, et al

Improvement in treat-to-target (T2T) remained relatively stable over a post-intervention period in a recent study that evaluated a second 9 months (phase II), where researchers examined the maintenance of response in phase I and predictors of greater improvement in T2T adherence. They recruited patients (n=636) from 11 rheumatology sites and randomized them to either receive the learning collaborative during phase I or to a wait‐list control group that received the learning collaborative intervention during phase II. The outcome was change in T2T implementation score (0–100, where 100 = best) from pre‐ to post-intervention. They found:

  • At baseline, the mean T2T implementation score was 11% in phase I intervention sites and 13% in phase II sites.
  • After the intervention, T2T implementation score improved to 57% in the phase I intervention sites and to 58% in the phase II sites.
  • Intervention sites from phase I sustained the improvement during the phase II (52%).
  • Predictors of greater T2T improvement included having only rheumatologist providers at the site, academic affiliation of the site, having fewer providers per site, and the rheumatologist provider being a trainee.

Citation:

Solomon DH, Lu B, Yu Z, et al. Benefits and sustainability of a learning collaborative for implementation of treat‐to‐target in rheumatoid arthritis: Results of a cluster‐randomized controlled phase II clinical trial. Arthritis Care Res. 2018;70(10):1551-1556. doi:10.1002/acr.23508.

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Predictors of Discordance Between Patients with RA, Arthritis Care Res; ePub 2018 Nov 30; Challa, et al

Smoking Linked with Higher Disease Activity in RA, J Rheumatol; ePub 2018 Dec 1; Gianfrancesco, et al

Chronic Opioid Use Doubled Among Patients with RA, Arthritis Rheumatol; ePub 2018 Nov 26; Lee, et al

RA Telephone Education Program is Well Received, Musculoskeletal Care; ePub 2018 Dec 5; Farley, et al

Autoantibodies to PAD2 Linked with Less Severe RA, Front Immunol; ePub 2018 Nov 20; Darrah, et al