Achievement of NICE Quality Standards for patients with new presentation of inflammatory arthritis: observations from the National Clinical Audit for Rheumatoid and Early Inflammatory Arthritis
| Autor: | Neil Snowden, Ian A. Rowe, Jill Firth, Ali Rivett, James Galloway, Zoe Ide, Elizabeth MacPhie, Ngianga Ii Kandala, Joanna M. Ledingham, Elaine M. Dennison |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Clinical audit
Male Time Factors Inflammatory arthritis General Practice Nice Arthritis DMARDs Health Services Accessibility Arthritis Rheumatoid 0302 clinical medicine Adrenal Cortex Hormones Spondyloarthropathies Pharmacology (medical) 030212 general & internal medicine Referral and Consultation computer.programming_language Disease Management Outcome measures primary care Early Inflammatory Arthritis Middle Aged MRC Benchmarking England Antirheumatic Agents Female Adult medicine.medical_specialty Referral Adolescent Audit Article Autoimmune Diseases Time-to-Treatment Health policies 03 medical and health sciences Young Adult Patient Education as Topic Rheumatology Internal medicine Hotlines Health Sciences Spondyloarthritis medicine Humans Rheumatoid arthritis Education (patients) Aged Quality of Health Care 030203 arthritis & rheumatology Clinical Audit Wales business.industry RCUK medicine.disease United Kingdom Immunosuppressants Self Care Family medicine Physical therapy business computer |
| Zdroj: | Ledingham, J M, Snowden, N, Rivett, A, Galloway, J, Ide, Z, Firth, J, MacPhie, E, Kandala, N, Dennison, E M & Rowe, I 2017, ' Achievement of NICE quality standards for patients with new presentation of inflammatory arthritis : observations from the National Clinical Audit for Rheumatoid and Early Inflammatory Arthritis ' Rheumatology, vol. 56, no. 2, pp. 223-230 . https://doi.org/10.1093/rheumatology/kew308 Ledingham, J M, Snowden, N, Rivett, A, Galloway, J, Ide, Z, Firth, J, MacPhie, E, Kandala, N, Dennison, E M & Rowe, I 2017, ' Achievement of NICE quality standards for patients with new presentation of inflammatory arthritis : observations from the National Clinical Audit for Rheumatoid and Early Inflammatory Arthritis ', Rheumatology, vol. 56, no. 2, pp. 223–230 . https://doi.org/10.1093/rheumatology/kew308 |
| DOI: | 10.1093/rheumatology/kew308 |
| Popis: | Objectives - A national audit was performed assessing the early management of suspected inflammatory arthritis by English and Welsh rheumatology units. The aim of this audit was to measure the performance of rheumatology services against National Institute for Health and Care Excellence (NICE) quality standards (QSs) for the management of early inflammatory arthritis benchmarked to regional and national comparators for the first time in the UK.Methods - All individuals >16 years of age presenting to rheumatology services in England and Wales with suspected new-onset inflammatory arthritis were included in the audit. Information was collected against six NICE QSs that pertain to early inflammatory arthritis management.Results - We present national data for the 6354 patients recruited from 1 February 2014 to 31 January 2015; 97% of trusts and health boards in England and Wales participated in this audit. Only 17% of patients were referred by their general practitioner within 3 days of first presentation. Specialist rheumatology assessment occurred within 3 weeks of referral in 38% of patients. The target of DMARD initiation within 6 weeks of referral was achieved in 53% of RA patients; 36% were treated with combination DMARDs and 82% with steroids within the first 3 months of specialist care. Fifty-nine per cent of patients received structured education on their arthritis within 1 month of diagnosis. In total, 91% of patients had a treatment target set; the agreed target was achieved within 3 months of specialist review in only 27% of patients. Access to urgent advice via a telephone helpline was reported to be available in 96% of trusts.Conclusion - The audit has highlighted gaps between NICE standards and delivery of care, as well as substantial geographic variability. |
| Databáze: | OpenAIRE |
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