Comparative results of the implementation in daily practice of an evaluation checklist for patients with axial spondyloarthritis and psoriatic arthritis

• Published in: Reumatología clinica (Barcelona) 2021-08, Vol.17 (7), p.392-396
• Main Authors: Almodovar, Raquel, Joven, Beatriz, Rodríguez Almaraz, Esther, Melchor, Sheila, Rabadán, Elena, Villaverde, Virginia, Navío, Teresa, Cebrián Méndez, Laura, Lojo Oliveira, Leticia, Prada, Alejandro, González, Laura, García Martos, Álvaro, Navarro-Compán, Victoria, Loza, Estíbaliz, Zarco, Pedro
• Format: Article
• Language: English
• Subjects: Arthritis, Psoriatic - diagnosis; Artritis psoriásica; Axial Spondyloarthritis; Checklist; Daily practice; Espondiloartritis axial; Humans; Implementación; Implementation; Práctica diaria; Psoriatic arthritis; Rheumatologists; Spondylarthritis - diagnosis
• ISSN: 2173-5743; 2173-5743
• DOI: 10.1016/j.reumae.2019.11.002

To analyse and compare changes in the collection of clinical variables after the implementation in daily practice of an evaluation checklist for patients with axial spondyloarthritis (axSpA) and psoriatic arthritis (PsA). An observational study was performed based on medical records review. The number and type of variables of the evaluation checklist in the medical records were collected. The first review was made before the implementation of the checklist, and the second one 6 months after the implementation (in different patients). A descriptive and bivariate analysis was carried out. Six hospitals and 11 rheumatologists participated. A total of 83 and 68 medical records were reviewed before and after the implementation of the checklist. After the implementation, in the axSpA patients, a significant increase was recorded in alcohol consumption, diarrhoea or IBD and urethritis, diabetes mellitus, hyperlipidaemia, depression, obesity or gout/hyperuricaemia, weight, height, blood pressure, patient and physician global assessments of disease activity, BASDAI and DAS28. And, in the PsA patients, alcohol consumption, hypertension, diabetes mellitus, hyperlipidaemia, disease, gout/hyperuricaemia, thoracic expansion, cervical rotation, weight, height, blood pressure, patient and physician global assessments of disease, ASDAS, BASDAI, and BASFI were recorded. In general, there was a trend towards greater recording in axSpA compared with PsA. The implementation of a specific checklist in daily practice improves the evaluation of patients with axSpA and PsA. More efforts are necessary to continue improving the evaluation of patients with axSpA, but especially of those with PsA. Analizar y comparar los cambios en la recogida de variables clínicas tras la implementación en la práctica diaria de un checklist de evaluación para pacientes con espondiloartritis axial (EspAax) y artritis psoriásica (APs). Se realizó un estudio observacional. Mediante revisión de historias médicas, se recogieron el número y el tipo de variables del checklist de evaluación que figuraban en las mismas. La primera revisión se realizó antes de la implementación del checklist, y la segunda, 6 meses después de la implementación (pacientes diferentes) para poder comparar los cambios producidos con la misma. Se realizó un análisis descriptivo y bivariado. Participaron 6 hospitales y 11 reumatólogos. Se revisaron un total de 83 y 68 historias médicas pre- y post-implementación del checklist. Tras l