ACR Meeting Abstracts

ACR Meeting Abstracts

  • Home
  • Meetings Archive
    • ACR Convergence 2022
    • ACR Convergence 2021
    • ACR Convergence 2020
    • 2020 ACR/ARP PRSYM
    • 2019 ACR/ARP Annual Meeting
    • 2018 ACR/ARHP Annual Meeting
    • 2017-2009 Meetings
    • Download Abstracts
  • Keyword Index
  • Advanced Search
  • Your Favorites
    • Favorites
    • Login
    • View and print all favorites
    • Clear all your favorites
  • Meeting Resource Center

Abstract Number: 1072

The Multidisciplinary Approach with Patient Collaboration Improve the Clinical Effectiveness of the Intervention

Carlos González1, Luis Menchén-Viso1, Ofelia Baniandres-Rodriguez1, Carmen Lobo-Rodríguez1, Ana Herranz-Alonso1, Ignacio Marín-Jiménez1, Juan Carlos Nieto2, Lucia Ibares-Frias1, Indalecio Monteagudo1, Esther Chamorro de Vega1, Javier Torresano-Bruno1, Amparo Lopez-Esteban1, Arantza Ais-Larisgoitia1, Paloma Morales de los Ríos Luna1, ana Lopez-Calleja1, Sonia Garcia de San Jose3 and Jose Maria Alvaro-Gracia3, 1CEIMI, Hospital General Universitario Gregorio Marañón, Madrid, Spain, 2Hospital General Universitario Gregorio Marañón, Madrid, Spain, 3Hospital General Universitario Gregorio Maranón, Madrid, Spain

Meeting: ACR Convergence 2021

Keywords: comparative effectiveness, Health Care, Managed Care, quality of care

  • Tweet
  • Email
  • Print
Session Information

Date: Monday, November 8, 2021

Session Title: Health Services Research Poster II: Care Models and Innovation (1061–1082)

Session Type: Poster Session C

Session Time: 8:30AM-10:30AM

Background/Purpose: We have developed a multidisciplinary unit for patients in treatment with biological therapies (BT) with the collaboration of Dermatology (Der), Gastroenterology (GE), Rheumatology (Rheu), Ophthalmology (Oft), Endocrinology , M Preventive, Nursing and Pharmacy. Diseases: rheumatoid arthritis (RA), spondyloarthritis (SpA), psoriatic arthritis (PsA), inflammatory bowel disease (IBD) and psoriasis (Ps). Patients collaborate in the management of the unit.
Objective: To check the changes that the new model can offer in accessibility, efficiency effectiveness, and quality of life, as well as delving into the concept of multidisciplinarity.

Methods: Unit began in January 2019 and results of 2020 have been compared with 2019. Indicators: number of patients attended, patients starting BT, patients from another health area, proportion of patients who need to be attended by more than a specialty, proportion of patients in clinical remission, percentage of patients admitted to hospital or emergency room for any cause, annual cost of BT per patient, proportion of patients on biosimilar, EuroQol, hospital scale of depression and anxiety (HAD), labor productivity questionnaire (WPAI).

Results: In 2020, 8,156 medical consultations, 11,014 nursing consultations, 2,311 pharmaceutical care and 4,093 treatments were carried out in the day hospital. 2020 and (2019) indicators: Accessibility: 2,940 (2,280) patients, patients starting BT: 145 (140); BT patients: Rheu 1011 (868), digestive 640 (652), dermatology 210 (211); patients from another healthcare area: Rheu 43.8% (40.1%), GE 46.6% (41.9%), Der 30.8% (25.0%). The effectiveness results are shown in the attached table. Efficiency: average annual cost BT, RA € 5,747 (€ 6,371), SpA € 5,757 (€ 6,371), PsA € 6,331 (€ 6,895), IBD € 7,977 (€ 8,693), Ps 6,945 € (€ 7,210); Patients on biosimilar treatment, RA 55.2% (55.7%), SpA 38.0% (28.4%), PsA 34.7% (31.9%), EII 57.3% (48, 9%), Ps 25.9% (13.6%). Quality of life: Median EuroQol (IQR): Rheu: 75 (60-85) vs 70 (50-80) in 2019; GE 80 (60-86) vs 75 (69-80) in 2019; Der 80 (70-90) vs 77.5 (67.5-90.0) in 2019. Median HAD (IQR): Rheu 13 (-22) vs 11 (6-18) in 2019; GE 8 (5-16) vs 9 (7-10) in 2019; Der 6 (3-7) vs 5.5 (4-11) in 2019. WPAI hours / week, mean (SD): Rheu 3.9 (11.1) vs 4.3 (11.6); GE 3.9 (10.5) vs 2.7 (6.9), Der 0 vs 0.8 (2.1). Multidisciplinariety in 2020: Reu 23.3%, GE 20.5%, Der 46.8%, Oft 24.6%.

Conclusion: We observed an improvement in the quality of care in our multidisciplinary unit for patients treated with biological therapies with their collaboration in the management. Noteworthy was the improvement in the effectiveness of BT, measured by the percentage of patients in clinical remission and the decrease in patients admitted to hospital or to the emergency room. However, the improvement in the quality of life with the instruments used is not so evident. We need to deepen the analysis of the indicators used and the procedures of our model to confirm this improvement.


Disclosures: C. González, None; L. Menchén-Viso, None; O. Baniandres-Rodriguez, None; C. Lobo-Rodríguez, None; A. Herranz-Alonso, None; I. Marín-Jiménez, None; J. Nieto, None; L. Ibares-Frias, None; I. Monteagudo, None; E. Chamorro de Vega, None; J. Torresano-Bruno, None; A. Lopez-Esteban, None; A. Ais-Larisgoitia, None; P. Morales de los Ríos Luna, None; a. Lopez-Calleja, None; S. Garcia de San Jose, None; J. Alvaro-Gracia, None.

To cite this abstract in AMA style:

González C, Menchén-Viso L, Baniandres-Rodriguez O, Lobo-Rodríguez C, Herranz-Alonso A, Marín-Jiménez I, Nieto J, Ibares-Frias L, Monteagudo I, Chamorro de Vega E, Torresano-Bruno J, Lopez-Esteban A, Ais-Larisgoitia A, Morales de los Ríos Luna P, Lopez-Calleja a, Garcia de San Jose S, Alvaro-Gracia J. The Multidisciplinary Approach with Patient Collaboration Improve the Clinical Effectiveness of the Intervention [abstract]. Arthritis Rheumatol. 2021; 73 (suppl 9). https://acrabstracts.org/abstract/the-multidisciplinary-approach-with-patient-collaboration-improve-the-clinical-effectiveness-of-the-intervention/. Accessed January 27, 2023.
  • Tweet
  • Email
  • Print

« Back to ACR Convergence 2021

ACR Meeting Abstracts - https://acrabstracts.org/abstract/the-multidisciplinary-approach-with-patient-collaboration-improve-the-clinical-effectiveness-of-the-intervention/

Advanced Search

Your Favorites

You can save and print a list of your favorite abstracts during your browser session by clicking the “Favorite” button at the bottom of any abstract. View your favorites »

ACR Pediatric Rheumatology Symposium 2020

© COPYRIGHT 2023 AMERICAN COLLEGE OF RHEUMATOLOGY

Wiley

  • Home
  • Meetings Archive
  • Advanced Search
  • Meeting Resource Center
  • Online Journal
  • Privacy Policy
  • Permissions Policies
  • Cookie Preferences