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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Patient Global Assessment Discordance in RA vs OA, Rheumatol Int; ePub 2018 Oct 6; Castrejon, et al

Chronic Lung Disease, RA, and Impact on Survival , Clin Rheumatol; ePub 2018 Oct 2; England, et al

RA and Systemic Sclerosis Share Similar Impairments, Disabil Rehab; 2018 Oct; Poole, New, et al

Synovial Hypertrophy With/Without Doppler Activity , Arthritis Res Ther; ePub 2018 Oct 3; Tersley, et al

Cortical Interruptions in Finger Joints in RA, J Bone Miner Res; 2018 Sep; Peters, et al

Must Reads in Rheumatoid Arthritis

Patient Global Assessment Discordance in RA vs OA, Rheumatol Int; ePub 2018 Oct 6; Castrejon, et al

Chronic Lung Disease, RA, and Impact on Survival , Clin Rheumatol; ePub 2018 Oct 2; England, et al

RA and Systemic Sclerosis Share Similar Impairments, Disabil Rehab; 2018 Oct; Poole, New, et al

Synovial Hypertrophy With/Without Doppler Activity , Arthritis Res Ther; ePub 2018 Oct 3; Tersley, et al

Cortical Interruptions in Finger Joints in RA, J Bone Miner Res; 2018 Sep; Peters, et al