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EULAR/eumusc.net st...
EULAR/eumusc.net standards of care for rheumatoid arthritis : cross-sectional analyses of importance, level of implementation and care gaps experienced by patients and rheumatologists across 35 European countries
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- Meisters, Rachelle (författare)
- Maastricht University
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- Putrik, Polina (författare)
- Maastricht University,Maastricht University Medical Centre
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- Ramiro, Sofia (författare)
- Leiden University Medical Centre,Zuyderland Medical Centre
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- Hifinger, Monika (författare)
- Maastricht University Medical Centre,Maastricht University
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- Keszei, Andras P. (författare)
- RWTH Aachen University
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- Van Eijk-Hustings, Yvonne (författare)
- Maastricht University Medical Centre
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- Woolf, Anthony D. (författare)
- Royal Cornwall Hospital
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- Smolen, Josef S. (författare)
- Medical University of Vienna
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- Stamm, Tanja A. (författare)
- Medical University of Vienna
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- Stoffer-Marx, Michaela (författare)
- Medical University of Vienna
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- Uhlig, Till (författare)
- Diakonhjemmet Hospital
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- Moe, Rikke Helene (författare)
- Diakonhjemmet Hospital
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- De Wit, Maarten (författare)
- No affiliation available (private)
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- Tafaj, Argjend (författare)
- Medical University of Tirana
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- Mukuchyan, Vahan (författare)
- Erebuni Medical Center
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- Studenic, Paul (författare)
- Medical University of Vienna
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- Verschueren, Patrick (författare)
- University Hospitals Leuven
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- Shumnalieva, Russka (författare)
- Medical University of Sofia
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- Charalambous, Paraskevi (författare)
- Cyprus Society for Rheumatology
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- Vencovský, Jirí (författare)
- Charles University in Prague
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- Varvouni, Melpomeni (författare)
- Danish Hospital for Rheumatic Diseases (IRS)
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- Kull, Mart (författare)
- University of Tartu
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- Puolakka, Kari (författare)
- South-Karelia Central Hospital
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- Gossec, Laure (författare)
- Paris-Sorbonne University,Pitié-Salpêtrière University Hospital
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- Gobejishvili, Nino (författare)
- Georgian Young Rheumatologists Union (SARG)
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- Detert, Jacqueline (författare)
- Charité - University Medicine Berlin
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- Sidiropoulos, Prodromos (författare)
- University of Crete
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- Péntek, Márta (författare)
- Corvinus University of Budapest,Flór Ferenc County Hospital
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- Kane, David (författare)
- Trinity College Dublin
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- Scirè, Carlo Alberto (författare)
- Italian Society for Rheumatology
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- Arad, Uri (författare)
- Tel Aviv Sourasky Medical Center – Ichilov Hospital
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- Andersone, Daina (författare)
- Riga Eastern Clinical University Hospital
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- Van De Laar, Mart (författare)
- University of Twente,Medisch Spectrum Twente
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- Van Der Helm-Van Mil, Annette (författare)
- Leiden University Medical Centre
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- Głuszko, Piotr (författare)
- National Institute of Geriatrics, Rheumatology and Rehabilitation
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- Cunha-Miranda, Luís (författare)
- Portuguese Institute of Rheumatology
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- Berghea, Florian (författare)
- Carol Davila University of Medicine and Pharmacy
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- Damjanov, Nemanja S. (författare)
- University of Belgrade
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- Tomšič, Matija (författare)
- University Medical Centre Ljubljana
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- Carmona, Loreto (författare)
- Instituto de Salud Musculoesquelética (InMusc)
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- Turesson, Carl (författare)
- Lund University,Lunds universitet,Reumatologi och molekylär skelettbiologi,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Rheumatology,Section III,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Ciurea, Adrian (författare)
- University Hospital of Zurich
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- Shukurova, Surayo (författare)
- Medical Science Academy, Dushanbe
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- Inanc, Nevsun (författare)
- Marmara University
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- Verstappen, Suzanne M.M. (författare)
- Manchester University NHS Foundation Trust,University of Manchester
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- Boonen, Annelies (författare)
- Maastricht University,Maastricht University Medical Centre
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(creator_code:org_t)
- 2020-09-01
- 2020
- Engelska 9 s.
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Ingår i: Annals of the Rheumatic Diseases. - : BMJ. - 0003-4967 .- 1468-2060. ; 79:11, s. 1423-1431
- Relaterad länk:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objective As part of European League against Rheumatism (EULAR)/European Musculoskeletal Conditions Surveillance and Information Network, 20 user-focused standards of care (SoCs) for rheumatoid arthritis (RA) addressing 16 domains of care were developed. This study aimed to explore gaps in implementation of these SoCs across Europe. Methods Two cross-sectional surveys on the importance, level of and barriers (patients only) to implementation of each SoC (0-10, 10 highest) were designed to be conducted among patients and rheumatologists in 50 European countries. Care gaps were calculated as the difference between the actual and maximum possible score for implementation (ie, 10) multiplied by the care importance score, resulting in care gaps (0-100, maximal gap). Factors associated with the problematic care gaps (ie, gap≥30 and importance≥6 and implementation<6) and strong barriers (≥6) were further analysed in multilevel logistic regression models. Results Overall, 26 and 31 countries provided data from 1873 patients and 1131 rheumatologists, respectively. 19 out of 20 SoCs were problematic from the perspectives of more than 20% of patients, while this was true for only 10 SoCs for rheumatologists. Rheumatologists in countries with lower gross domestic product and non-European Union countries were more likely to report problematic gaps in 15 of 20 SoCs, while virtually no differences were observed among patients. Lack of relevance of some SoCs (71%) and limited time of professionals (66%) were the most frequent implementation barriers identified by patients. Conclusions Many problematic gaps were reported across several essential aspects of RA care. More efforts need to be devoted to implementation of EULAR SoCs.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)
Nyckelord
- arthritis
- health care
- health services research
- outcome and process assessment
- rheumatoid
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Meisters, Rachel ...
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Putrik, Polina
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Ramiro, Sofia
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Hifinger, Monika
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Keszei, Andras P ...
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Van Eijk-Husting ...
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visa fler...
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Woolf, Anthony D ...
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Smolen, Josef S.
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Stamm, Tanja A.
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Stoffer-Marx, Mi ...
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Uhlig, Till
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Moe, Rikke Helen ...
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De Wit, Maarten
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Tafaj, Argjend
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Mukuchyan, Vahan
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Studenic, Paul
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Verschueren, Pat ...
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Shumnalieva, Rus ...
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Charalambous, Pa ...
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Vencovský, Jirí
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Varvouni, Melpom ...
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Kull, Mart
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Puolakka, Kari
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Gossec, Laure
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Gobejishvili, Ni ...
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Detert, Jacqueli ...
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Sidiropoulos, Pr ...
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Péntek, Márta
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Kane, David
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Scirè, Carlo Alb ...
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Arad, Uri
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Andersone, Daina
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Van De Laar, Mar ...
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Van Der Helm-Van ...
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Głuszko, Piotr
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Cunha-Miranda, L ...
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Berghea, Florian
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Damjanov, Nemanj ...
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Tomšič, Matija
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Carmona, Loreto
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Turesson, Carl
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Ciurea, Adrian
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Shukurova, Suray ...
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Inanc, Nevsun
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Verstappen, Suza ...
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Boonen, Annelies
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Reumatologi och ...
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Annals of the Rh ...
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Lunds universitet