To assess the extent to which quantitative clinical measurement is performed by rheumatologists in the longitudinal followup of patients with rheumatoid arthritis (RA), osteoarthritis (OA), ankylosing spondylitis (AS), and fibromyalgia (FM) in routine outpatient practice in Canada.
A cross sectional postal survey was conducted using an 18 item self-administered questionnaire sent to Canadian Rheumatology Association members.
Rheumatologists (response rate 85%) were more likely to longitudinally follow patients with RA and AS than those with OA or FM.
There was a high degree of variability in the methods used to monitor patients longitudinally.
Many measures used in clinical research were used infrequently in routine clinical practice.
In general, the major health status measures surveyed were not used in clinical monitoring.
There was a high level of agreement (>80%) that the characteristics required of an outcome measure for use in clinical practice should include simplicity, brevity, ease of scoring, reliability, validity, and sensitivity to change.
The majority of Canadian rheumatologists perform outcome measurement during the longitudinal followup of their outpatients with RA, AS, OA, and FM.
However, the process lacks standardization.
High performance health status measures, developed for clinical research, have not been widely adopted in rheumatology practices. (...)
Mots-clés Pascal : Polyarthrite rhumatoïde, Arthrite, Spondylarthrite ankylosante, Fibromyalgie, Evolution, Effet biologique, Chimiothérapie, Exploration clinique, Questionnaire, Echelle évaluation, Qualité vie, Etude statistique, Homme, Chronique, Douleur, Système ostéoarticulaire pathologie, Rhumatisme inflammatoire, Immunopathologie, Maladie autoimmune, Muscle strié pathologie
Mots-clés Pascal anglais : Rheumatoid arthritis, Arthritis, Ankylosing spondylitis, Fibromyalgia, Evolution, Biological effect, Chemotherapy, Clinical investigation, Questionnaire, Evaluation scale, Quality of life, Statistical study, Human, Chronic, Pain, Diseases of the osteoarticular system, Inflammatory joint disease, Immunopathology, Autoimmune disease, Striated muscle disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0260956
Code Inist : 002B30A01A2. Création : 11/09/1998.