Routine use of quantitative disease activity measurements among us rheumatologists: Implications for treat-to-target management strategies in rheumatoid arthritis

Academic Article


  • Objective: The aim of our study was to examine why real-world practices and attitudes regarding quantitative measurements of rheumatoid arthritis (RA) have received limited attention. Methods: An e-mail survey asked US rheumatologists to self-report on their use of quantitative measurements (metric). Results: Among 439 respondents, metric rheumatologists (58%) were more likely to be in group practice and to use tumor necrosis factor inhibitors. The quantitative tools most commonly used were the Health Assessment Questionnaire (35.5%) and the Routine Assessment of Patient Index Data 3 (27.1%). Reasons for not measuring included time needed and electronic availability. Based on simulated case scenarios, providing more quantitative information increased the likelihood that a patient would change to a different disease-modifying antirheumatic drug or biologic. Conclusion: Routine use of quantitative measurement for patients in the United States with RA is increasing over time but remains low.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Curtis JR; Chen L; Danila MI; Saag KG; Parham KL; Cush JJ
  • Start Page

  • 40
  • End Page

  • 44
  • Volume

  • 45
  • Issue

  • 1