title: Development of Canadian Recommendations for the Management of ANCA-Associated Vasculitides: Results of the National Needs Assessment Questionnaire.
abstract: OBJECTIVE
  To study variations in Canadian clinical practice patterns for the management of ANCA-associated vasculitis (AAV) and identify points to consider for the development of national recommendations.
  
  
  METHODS
  A 30-item needs assessment questionnaire was sent to all members of the Canadian Vasculitis network (CanVasc), Canadian Rheumatology Association (CRA), Canadian Thoracic Society (CTS) and Canadian Society of Nephrology (CSN). Respondent characteristics, practice patterns, concerns and expectations were analyzed.
  
  
  RESULTS
  Among 132 physicians who followed at least 1 vasculitis patient and responded to the survey, 39% stated that they felt confident in their management of AAV. Several variations in practice were observed regarding diagnostic procedure, induction and maintenance treatments and use of biologics; some were due to logistic constraints (difficulties in access to some specific tests, drugs or care; lack of health care coverage for the costs). The top 5 topics for which recommendations are expected involve treatment for remission induction, maintenance, refractory disease, and relapse as well as biologics.
  
  
  CONCLUSIONS
  Practice variations identified in this needs assessment survey will serve to formulate key questions for the development of CanVasc recommendations.
authors.affiliation: Langs Community Centre, Cambridge, Ontario, Canada.
authors.forename: Leilani
authors.initials: L
authors.lastname: Famorca
authors.affiliation: Division of Rheumatology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.
authors.forename: Marinka
authors.initials: M
authors.lastname: Twilt
authors.affiliation: Division of Rheumatology, St. Joseph's Health Care, London, Ontario, Canada.
authors.forename: Lillian
authors.initials: L
authors.lastname: Barra
authors.affiliation: Division of Rheumatology, Nova Scotia Rehabilitation Center, QEII HSC, Halifax, Nova Scotia, Canada.
authors.forename: Volodko
authors.initials: V
authors.lastname: Bakowsky
authors.affiliation: Division of Rheumatology, Department of Paediatrics, Alberta Children's Hospital, Calgary, Alberta, Canada.
authors.forename: Susanne
authors.initials: S
authors.lastname: Benseler
authors.affiliation: Division of Rheumatology, BC Children's Hospital, Vancouver, British Columbia, Canada.
authors.forename: David
authors.initials: D
authors.lastname: Cabral
authors.affiliation: Department of Rheumatology, Mount Sinai Hospital, Toronto, University of Toronto, Ontario, Canada.
authors.forename: Simon
authors.initials: S
authors.lastname: Carette
authors.affiliation: Section of Rheumatology, University of Manitoba, Arthritis Centre, Winnipeg, Manitoba, Canada.
authors.forename: Navjot
authors.initials: N
authors.lastname: Dhindsa
authors.affiliation: Division Division of Rheumatology, South Health Campus, University of Calgary, Calgary, Alberta, Canada.
authors.forename: Aurore
authors.initials: A
authors.lastname: Fifi-Mah
authors.affiliation: Division of Internal Medicine, Hôpital du Sacré-Coeur de Montréal, Montréal, Quebec, Canada.
authors.forename: Michelle
authors.initials: M
authors.lastname: Goulet
authors.affiliation: Division of Rheumatology, St. Joseph's Healthcare Hamilton, McMaster University Hamilton, Ontario, Canada.
authors.forename: Nader
authors.initials: N
authors.lastname: Khalidi
authors.affiliation: Division of Rheumatology, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.
authors.forename: Majed
authors.initials: M
authors.lastname: Khraishi
authors.affiliation: Department of Rheumatology, Mount Sinai Hospital, Toronto, University of Toronto, Ontario, Canada.
authors.forename: Lucy
authors.initials: L
authors.lastname: McGeoch
authors.affiliation: Arthritis Centre at the Ottawa Hospital, Riverside Campus, Ottawa, Ontario, Canada.
authors.forename: Nataliya
authors.initials: N
authors.lastname: Milman
authors.affiliation: McGill University, MUHC Lupus and Vasculitis clinic, Montréal, Québec, Canada.
authors.forename: Christian
authors.initials: C
authors.lastname: Pineau
authors.affiliation: Division of Rheumatology, Vancouver General Hospital and St. Paul's Hospital, Vancouver, British Columbia, Canada.
authors.forename: Kam
authors.initials: K
authors.lastname: Shojania
authors.affiliation: Division of Rheumatology, Department of Medicine, Royal University Hospital, University of Saskatchewan, Saskatoon, Canada.
authors.forename: Regina
authors.initials: R
authors.lastname: Taylor-Gjevre
authors.affiliation: Department of Medicine, Queen's University, Kingston, Ontario, Canada.
authors.forename: Tanveer
authors.initials: T
authors.lastname: Towheed
authors.affiliation: Division of Rheumatology, CHAU de Lévis, Lévis, Quebec, Canada.
authors.forename: Judith
authors.initials: J
authors.lastname: Trudeau
authors.affiliation: Division of Rheumatology, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Elaine
authors.initials: E
authors.lastname: Yacyshyn
authors.affiliation: Division of Rheumatology, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada.
authors.forename: Patrick
authors.initials: P
authors.lastname: Liang
authors.affiliation: Department of Rheumatology, Mount Sinai Hospital, Toronto, University of Toronto, Ontario, Canada.
authors.forename: Christian
authors.initials: C
authors.lastname: Pagnoux
keywords: ANCA-associated vasculitis; CanVasc; physician practice patterns