RT Journal Article
SR Electronic
T1 Update to a Systematic Review on Quality Measures for Rheumatoid Arthritis
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP jrheum.2024-1314
DO 10.3899/jrheum.2024-1314
A1 Githumbi, Racheal
A1 Katz, Steven J.
A1 Widdifield, Jessica
A1 Barber, Claire E.H.
YR 2025
UL http://www.jrheum.org/content/early/2025/04/09/jrheum.2024-1314.abstract
AB Objective This work aims to provide an update on a previously published systematic review on quality measures (QMs) in rheumatoid arthritis (RA) to inform future measure development and endorsement efforts.Methods We searched published and grey literature sources from January 2018-July 2023. Included sources were limited to those that targeted RA patients, either exclusively or alongside other rheumatic conditions and were guided by a clear consensus-building methodology. We extracted QMs and categorized them into topic and subtopics. Extracted measures were then reviewed for similarity with the previously extracted set from a published systematic review. Non-duplicative measures were labelled as "new".Results The updated search resulted in 2395 citations from which 339 studies were selected for full text review. From these, a total of six studies met the inclusion/exclusion criteria resulting in the extraction of 156 QMs, along with 31 additional QMs extracted from 87 grey literature sources. Amongst the 187 extracted QMs, most were duplicative and/or similar to previously developed measures (68%, n= 127). 60 were identified as "new". New QMs were primarily structural (50%, n= 30) and process measures (33%, n= 20). New QMs frequently addressed the topic of health care delivery (35%, n= 21).Conclusion While this review identified new QMs that reflect various reassuring trends in healthcare quality assessment, most were duplicative/similar to existing measures. This highlights the need for a centralized way to reduce redundancy in QM development efforts, and enable easy dissemination of QMs to optimize care for individuals with RA.