Correlates of Successful Rheumatoid Arthritis Flare Management: Clinician-driven Treatment, Home-based Strategies, and Medication Change.
Taysir G MahmoudJie HuangMichelle FritsChristine IannacconeVivian P BykerkClifton O BinghamMichael WeinblattNancy A ShadickPublished in: The Journal of rheumatology (2019)
Flares occur frequently even in patients with low disease activity. Independent of home-based or clinically guided care, making a medication change and having less severe pain during a flare were associated with better flare outcomes. Of interest, the decision to change medications was frequently made without clinical advice. Future studies might address how best to intervene when patients experience flares and whether patient-initiated medication changes have adverse outcomes.
Keyphrases
- disease activity
- rheumatoid arthritis
- healthcare
- systemic lupus erythematosus
- rheumatoid arthritis patients
- ankylosing spondylitis
- end stage renal disease
- adverse drug
- pain management
- ejection fraction
- chronic pain
- newly diagnosed
- chronic kidney disease
- juvenile idiopathic arthritis
- palliative care
- prognostic factors
- type diabetes
- neuropathic pain
- case report
- emergency department
- spinal cord injury
- adipose tissue
- metabolic syndrome
- spinal cord
- quality improvement
- affordable care act
- health insurance
- current status
- postoperative pain