TY - JOUR T1 - Development of a Canadian Core Clinical Dataset to Support High-quality Care for Canadian Patients with Rheumatoid Arthritis JF - The Journal of Rheumatology JO - J Rheumatol SP - 1813 LP - 1822 DO - 10.3899/jrheum.170421 VL - 44 IS - 12 AU - Claire E.H. Barber AU - Dianne P. Mosher AU - Vandana Ahluwalia AU - Michel Zummer AU - Deborah A. Marshall AU - Denis Choquette AU - Diane Lacaille AU - Claire Bombardier AU - Anne Lyddiatt AU - Vinod Chandran AU - Dmitry Khodyakov AU - Emily Dao AU - Cheryl Barnabe Y1 - 2017/12/01 UR - http://www.jrheum.org/content/44/12/1813.abstract N2 - Objective. To develop a Canadian Rheumatoid Arthritis Core Clinical Dataset (CAN-RACCD) to standardize documentation encouraging high-quality care.Methods. A set of candidate elements was drafted through meetings with 27 rheumatologists, researchers, and patients, and supplemented with focused literature reviews. A 3-round online-modified Delphi consensus process was held with rheumatologists (n = 26), allied health professionals (n = 7), and patients (n = 4); for the remainder there was no demographic information. Participants rated both the importance and feasibility of documenting candidate elements on a Likert scale of 1–9, contributed to an online moderated discussion, and re-rated the elements for inclusion in the CAN-RACCD. Elements were included in the final set if importance and feasibility ratings had a median score of ≥ 6.5 and there was no disagreement among participants.Results. Fifty-five individual elements in 10 subgroups were proposed to the Delphi participants: measures of RA disease activity; dates to calculate waiting times, disease duration, and disease-modifying antirheumatic drug start; comorbidities; smoking status; patient-reported pain and fatigue; physical function; laboratory and radiographic investigations; medications; clinical characteristics; and vaccines. All groups were included in the final set, with the exception of vaccination status. Additionally, 3 individual elements from the smoking subgroup were eliminated with a recommendation to record smoking status as never/ever/current, and 2 elements relating to coping and effect of fatigue were eliminated due to low feasibility and importance ratings.Conclusion. The CAN-RACCD stands as a national recommendation on which data elements should be routinely collected in clinical practice to monitor and support high-quality RA care. ER -