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.