title: Treating rheumatoid arthritis to target: the patient version of the international recommendations.
abstract: To transcribe the treat-to-target (T2T) recommendations into a version that can be easily understood by patients. A core group of physicians and patients involved in the elaboration of the T2T recommendations produced a draft version of the T2T recommendations in lay language. This version was discussed, changed and reworded during a 1-day meeting with nine patients with rheumatoid arthritis (RA) from nine different European countries. Finally, the level of agreement with the translation and with the content of the recommendations was assessed by the patient participants. The project resulted in a patient version of the T2T recommendations. The level of agreement with the translation and the content was high. The group discussion revealed a number of potential barriers for the implementation of the recommendations in clinical practice, such as inequalities in arthritis healthcare provision across Europe. An accurate version of the T2T recommendations that can be easily understood by patients is available and can improve the shared decision process in the management of RA.
authors.affiliation: Department Medical Humanities, VU Medical Centre, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands. mp.dewit@vumc.nl
authors.forename: M P T
authors.initials: MP
authors.lastname: de Wit
authors.forename: J S
authors.initials: JS
authors.lastname: Smolen
authors.forename: L
authors.initials: L
authors.lastname: Gossec
authors.forename: D M F M
authors.initials: DM
authors.lastname: van der Heijde
mesh_terms: D018501:Antirheumatic Agents / Q000627:therapeutic use*; D001172:Arthritis, Rheumatoid / Q000188:drug therapy*; D005060:Europe; D006801:Humans; D007391:International Cooperation; D007802:Language; D010358:Patient Participation; D017410:Practice Guidelines as Topic; D012720:Severity of Illness Index; D009626:Terminology as Topic; D016896:Treatment Outcome
chemical_list: D018501:Antirheumatic Agents