Variability in the prescription of biological drugs in rheumatoid arthritis in Spain: a multilevel analysis
| Autor: | Desiree Ruiz Vilchez, MIGUEL ANGEL BELMONTE-SERRANO, María Montoro, Bonifacio Alvarez-Lario, Rodriguez Heredia Jose Manuel, Pilar Font Ugalde, Antonio Naranjo Hernandez, Eduardo Collantes Estévez, Joan Calvet |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Multivariate analysis Cross-sectional study Immunology Logistic regression Drug Prescriptions Medical Records Arthritis Rheumatoid 03 medical and health sciences 0302 clinical medicine Rheumatology Internal medicine Odds Ratio medicine Humans Immunology and Allergy 030212 general & internal medicine Practice Patterns Physicians' Medical prescription Aged 030203 arthritis & rheumatology Biological Products Hospitals Public business.industry Remote Consultation Medical record Odds ratio Middle Aged medicine.disease Hospitalization Cross-Sectional Studies Logistic Models Hospital Bed Capacity Spain Rheumatoid arthritis Multivariate Analysis Female Rheumatologists business |
| Zdroj: | Rheumatology International. 38:589-598 |
| ISSN: | 1437-160X 0172-8172 |
| DOI: | 10.1007/s00296-018-3933-4 |
| Popis: | To describe variability in the prescription of biologics (B-DMARDs) for patients with rheumatoid arthritis (RA) in hospitals in Spain, and to explore which characteristics of the patient, the doctor and the hospital are associated with this variability. Cross-sectional multicentric study in 46 rheumatology services of the National Health System. Medical records of 1188 randomly selected patients were reviewed. The association of each variable with B-DMARD prescription was analyzed using simple logistic regressions. Multilevel logistic regression models were created to analyze variability among centers. 36.8% of patients had received B-DMARD. The proportion of patients being treated with B-DMARDs varied between 3.6 and 71.4% depending on the center. Association of prescription of B-DMARD with patient age (OR = 0.958, 95% CI = 0.947-0.968, p |
| Databáze: | OpenAIRE |
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