Can standard rheumatology clinical practice be patient-based?
Patient-reported outcome measures (PROMs) are an attractive option in standard clinical practice. However, they do need to be validated on a broader spectrum of disease activity. Another factor to consider is patient adherence to treatment programmes which is directly linked to their satisfaction with clinical outcome. A recently developed multidimensional health assessment questionnaire has proved to be valid, save time and provide permanent medical and medico-legal documentation of the patient status at a given time. The questionnaire gives patients the opportunity to record their joint pain from their own perspective. The aim of this work was to examine whether the patient's self-assessment of tender joint counts agrees with the physician's evaluation, and whether it correlates with other disease activity parameters.
Rheumatology Department, Darent Valley Hospital, Darenth Wood Road, Dartford, Kent.
Yasser
Y
El Miedany
Deborah
D
Palmer
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000175:diagnosis / Q000517:prevention & control / Q000523:psychology; D001291:Attitude of Health Personnel; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D015403:Nursing Evaluation Research; D017063:Outcome Assessment, Health Care / Q000458:organization & administration; D010147:Pain Measurement / Q000379:methods* / Q000523:psychology; D010358:Patient Participation / Q000379:methods* / Q000523:psychology; D018802:Patient-Centered Care / Q000458:organization & administration*; D010820:Physicians / Q000523:psychology; D012219:Rheumatology / Q000458:organization & administration*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires / Q000592:standards