Session Type: ACR Poster Session A
Session Time: 9:00AM-11:00AM
Results: This analysis included 307 physicians and 2,536 patients. Overall, 87.6% of rheumatologists practiced in a hospital (vs office only). For the 2,536 patients in this analysis, an objective measure of disease activity was performed for 1,386 (55.0%) of patients at the reference consultation, with notable regional variation. Out of 1,386 patients, 369 (26.6) had rheumatologist-reported remission and DAS28(3)-ESR defined remission; 575 (41.5%) had no remission from neither of the measurement; 41 (3.0%) patients’ rheumatologist did not report remission but DAS28(3)-ESR remission was achieved; while 401 (28.9%) had rheumatologist-reported remission but not DAS28(3)-ESR defined remission. Multivariate analyses indicated that physician-reported anxiety and/or depression (odds ratio [OR] = 2.94), medium/high current pain assessment (OR = 3.10), and structural damage (OR = 2.00) were all significantly associated with physician over-reporting of remission compared with both physician and DAS28(3)-ESR agreement of remission (all P≤0.001). Agreement on a treat-to-target measure was significantly associated with lower likelihood of physician over-reporting of remission (OR = 0.46; P = 0.001).
To cite this abstract in AMA style:Li N, Blackburn S, Sullivan E, Kielar D, Peterson S. Discordance Between Physician-Stated Remission and 28-Joint Disease Activity Score (DAS28)-Defined Remission in Rheumatoid Arthritis Patients [abstract]. Arthritis Rheumatol. 2016; 68 (suppl 10). https://acrabstracts.org/abstract/discordance-between-physician-stated-remission-and-28-joint-disease-activity-score-das28-defined-remission-in-rheumatoid-arthritis-patients/. Accessed August 4, 2021.
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ACR Meeting Abstracts - https://acrabstracts.org/abstract/discordance-between-physician-stated-remission-and-28-joint-disease-activity-score-das28-defined-remission-in-rheumatoid-arthritis-patients/