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Rheumatoid arthritis: the management of rheumatoid arthritis in adults [CG79]

Measuring the use of this guidance

Recommendation: 1.1.2.1

Offer to carry out a blood test for rheumatoid factor in people with suspected RA who are found to have synovitis on clinical examination

What was measured: Patients who had RF measured as a prognostic indicator
95.7%
Number that met the criteria: 298 / 311
Area covered: Regional
Source: Tugnet N et al (2013) To what extent is NICE guidance on the management of rheumatoid arthritis in adults being implemented in clinical practice? A regional survey. Clinical Medicine, Vol 13, pp 42-46


Recommendation: 1.2.1.2

Offer verbal and written information to people with RA to: • improve their understanding of the condition and its management, and • counter any misconceptions they may have.

What was measured: Patients who received written information about their condition
Data collection end: May 2011
75.9%
Number that met the criteria: / 311
Area covered: Regional
Source: Tugnet N et al (2013) To what extent is NICE guidance on the management of rheumatoid arthritis in adults being implemented in clinical practice? A regional survey. Clinical Medicine, Vol 13, pp 42-46

What was measured: Patients who received written information about disease-modifying antirheumatic drugs (DMARDs)
Data collection end: May 2011
93.2%
Number that met the criteria: / 311
Area covered: Regional
Source: Tugnet N et al (2013) To what extent is NICE guidance on the management of rheumatoid arthritis in adults being implemented in clinical practice? A regional survey. Clinical Medicine, Vol 13, pp 42-46


Recommendation: 1.5.1.2

In people with recent-onset active RA, measure CRP and key components of disease activity (using a composite score such as DAS28) monthly until treatment has controlled the disease to a level previously agreed with the person with RA.

What was measured: Patients overall who had baseline CRP documented
Data collection end: May 2011
98.7%
Number that met the criteria: / 311
Area covered: Regional
Source: Tugnet N et al (2013) To what extent is NICE guidance on the management of rheumatoid arthritis in adults being implemented in clinical practice? A regional survey. Clinical Medicine, Vol 13, pp 42-46

What was measured: Patients who had monthly CRP checks
Data collection end: May 2011
61.3%
Number that met the criteria: / 311
Area covered: Regional
Source: Tugnet N et al (2013) To what extent is NICE guidance on the management of rheumatoid arthritis in adults being implemented in clinical practice? A regional survey. Clinical Medicine, Vol 13, pp 42-46

What was measured: Patients overall who had baseline DAS 28 documented
Data collection end: May 2011
60.5%
Number that met the criteria: / 311
Area covered: Regional
Source: Tugnet N et al (2013) To what extent is NICE guidance on the management of rheumatoid arthritis in adults being implemented in clinical practice? A regional survey. Clinical Medicine, Vol 13, pp 42-46

What was measured: Patients overall who had monthly DAS 28 documented
Data collection end: May 2011
24.8%
Number that met the criteria: / 311
Area covered: Regional
Source: Tugnet N et al (2013) To what extent is NICE guidance on the management of rheumatoid arthritis in adults being implemented in clinical practice? A regional survey. Clinical Medicine, Vol 13, pp 42-46


Recommendation: 1.5.1.4

Offer people with RA an annual review to: assess disease activity and damage, and measure functional ability (using, for example, the Health Assessment Questionnaire [HAQ]) check for the development of comorbidities, such as hypertension, ischaemic heart disease, osteoporosis and depression assess symptoms that suggest complications, such as vasculitis and disease of the cervical spine, lung or eyes organise appropriate cross referral within the multidisciplinary team assess the need for referral for surgery (see section 1.6) assess the effect the disease is having on a person's life.

What was measured: Proportion of patients with rheumatoid arthritis, on the register, who have had a face-to-face review in the preceding 12 months.
Data collection end: March 2015
84.3%
Area covered: England
Source: Health and Social Care Information Centre. Quality Outcomes Framework.

What was measured: RA002: The percentage of patients with rheumatoid arthritis, on the register, who have had a face-to-face review in the preceding 12 months.
Data collection end: March 2016
84.3%
Data collection end: March 2017
85.4%
Area covered: National
Source: Health and Social Care Information Centre. Quality and Outcomes Framework.



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