Rheumatoid Arthritis Patients And Rheumatologists Approach The Decision To Escalate Care Differently

For rheumatologists, the five most influential factors were:

  • number of swollen joints
  • DAS28 score
  • physician global assessment of disease activity
  • worsening erosions over the last year
  • and RA disease activity now compared to three months ago.

For patients, the 5 most important factors were:

  • current level of physical functioning
  • motivation to get better
  • trust in their rheumatologist
  • satisfaction with current DMARDs
  • and current number of painful joints.

Conclusion: Factors influencing the decision to escalate care differ between rheumatologists and patients. Better communication between patients and their physicians may improve treatment planning in RA patients with active disease.

Read More: http://onlinelibrary.wiley.com/doi/10.1002…

What factors do you use when when deciding that it’s time to escalate or change your treatment plan?

Thanks to @RheumEpi for originally sharing this link on Twitter.

2 Comments
2 comments
  1. Deanne says:

    EDUCATION FOR THOSE DOCTORS WHOM DO NOT DIAGNOSE – They assume treatment with antiboitics

  2. Christina says:

    The single most important factor for me so far is PAIN. Along with success of current treatment: is it working? could something else work better? is it helping me function so I can work? can I tolerate the side effects? I’m going to keep escalating until we find something that works! (getting there I think)

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