Emerging issues in pharmacological management of rheumatoid arthritis: results of a national needs assessment survey identifying practice variations for the development of Canadian Rheumatology Association clinical practice recommendations

J Rheumatol. 2012 Aug;39(8):1555-8. doi: 10.3899/jrheum.110208. Epub 2011 Sep 1.

Abstract

Objective: To describe Canadian clinical practice patterns in the pharmacological management of rheumatoid arthritis (RA) and identify practice variations.

Methods: A 44-item pre-guideline needs assessment survey was sent to all members of the Canadian Rheumatology Association (CRA). Descriptive statistics were used to summarize respondent characteristics and practice patterns.

Results: Survey respondents (n = 164) reported variations in practice regarding assessment strategies, treatment with disease-modifying antirheumatic drug monotherapy versus combination therapy, methotrexate dosing and escalation, corticosteroid strategies, and optimal use of biologics.

Conclusions: Practice variations identified in this pre-guideline needs assessment survey were used to formulate key treatment questions for the development of CRA recommendations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antirheumatic Agents / therapeutic use*
  • Arthritis, Rheumatoid / drug therapy*
  • Health Care Surveys
  • Humans
  • Needs Assessment
  • Practice Guidelines as Topic*
  • Practice Patterns, Physicians'*
  • Rheumatology / standards*
  • Surveys and Questionnaires

Substances

  • Antirheumatic Agents