Patterns of preventive health services in rheumatoid arthritis patients compared to a primary care patient population

To determine the proportion of rheumatoid arthritis (RA) patients receiving preventive health care according to US Preventive Services Task Force recommendations compared with a community-based population sample, with emphasis on dyslipidemia testing, given the increased risk of cardiovascular disea...

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Bibliographic Details
Published in:Rheumatology international 2011-09, Vol.31 (9), p.1159-1165
Main Authors: Bili, Androniki, Schroeder, Lisa L., Ledwich, Lindsay J., Kirchner, H. Lester, Newman, Eric D., Wasko, Mary Chester M.
Format: Article
Language:English
Subjects:
Adult
Aged
Arthritis, Rheumatoid - complications
Arthritis, Rheumatoid - epidemiology
Breast Neoplasms - epidemiology
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - prevention & control
Comorbidity
Dyslipidemias - epidemiology
Dyslipidemias - prevention & control
Female
Humans
Hypertension - epidemiology
Hypertension - prevention & control
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Osteoporosis - epidemiology
Osteoporosis - prevention & control
Preventive Health Services - utilization
Primary Health Care - statistics & numerical data
Rheumatology
Risk
Uterine Cervical Neoplasms - epidemiology
Young Adult
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Summary:To determine the proportion of rheumatoid arthritis (RA) patients receiving preventive health care according to US Preventive Services Task Force recommendations compared with a community-based population sample, with emphasis on dyslipidemia testing, given the increased risk of cardiovascular disease (CVD) in RA patients. Patients with RA (ICD-9 code 714.0 at ≥2 office visits with a rheumatologist) and a primary care physician (PCP) at the Geisinger Health System (GHS) were identified through electronic health records. The records were searched back from 3/31/08 for the length of time required to satisfy each outcome measure. Percentages were compared with population testing rates using the Pearson Chi-square test. Eight hundred and thirty-one RA patients were compared to 169,476 subjects with a PCP at GHS, stratified by gender and age. Patients with RA were more likely to have had dyslipidemia and osteoporosis testing compared with the general population (86 vs. 75 and 75 vs. 55%, respectively, P  
ISSN:0172-8172
1437-160X
DOI:10.1007/s00296-010-1461-y