Literature DB >> 21242234

A model for the development and implementation of a national plan for the optimal management of early spondyloarthritis: the Esperanza Program.

Santiago Muñoz-Fernández1, Loreto Carmona, Eduardo Collantes, Juan Mulero, M Jesús García-Yébenes, Eugenio de Miguel, Raquel Almodovar, Cristina Fernández-Carballido, José Francisco García Llorente, Milena Gobbo.   

Abstract

OBJECTIVES: To evaluate the performance of a healthcare programme in early spondyloarthritis (SpA).
METHODS: Based on previous analyses and expectations of a nominal group, the following were set: (1) minimum standards to create early SpA units; (2) standard operating procedures; and (3) eight performance indicators that can be measured in real time using a web-based platform.
RESULTS: At the end of the evaluation of the programme the expected level of performance was achieved in three of the indicators: 'referral reliability' (standard (S) >50%, real value (RV) 92%), 'accessibility' (S >90%, RV=91%) and 'duration of first visit' (S >50%, RV=53%). The performance in the remaining indicators was inferior: 'success of referral criteria' (S >50%, RV=28%), 'clinical reports issued' (S >90%, RV=25%), 'feedback guarantee' (S >85%, RV=2%), 'missing data' (S <10%, RV=24%) and 'frequency of review' (S >90%, RV=84%). Explanations for the low performance are provided.
CONCLUSIONS: It is possible to implement a large-scale programme that is measurable.

Entities:  

Mesh:

Year:  2011        PMID: 21242234     DOI: 10.1136/ard.2010.141200

Source DB:  PubMed          Journal:  Ann Rheum Dis        ISSN: 0003-4967            Impact factor:   19.103


  7 in total

Review 1.  Standards of care for patients with spondyloarthritis.

Authors:  Miguel Ángel Abad; Rafael Ariza Ariza; Juan José Aznar; Enrique Batlle; Emma Beltrán; Juan de Dios Cañete; Eugenio de Miguel; Alejandro Escudero; Cristina Fernández-Carballido; Jordi Gratacós; Estíbaliz Loza; Luis Francisco Linares; Carlos Montilla; Manuel Moreno Ramos; Juan Mulero; Rubén Queiro; Enrique Raya; Carlos Rodríguez Lozano; Jesús Rodríguez Moreno; Jesús Sanz; Lucía Silva-Fernández; Juan Carlos Torre Alonso; Pedro Zarco; José Luis Fernández-Sueiro; Xavier Juanola
Journal:  Rheumatol Int       Date:  2014-01-04       Impact factor: 2.631

2.  Association of biomarkers of inflammation, cartilage and bone turnover with gender, disease activity, radiological damage and sacroiliitis by magnetic resonance imaging in patients with early spondyloarthritis.

Authors:  Raquel Almodóvar; Valeria Ríos; Sara Ocaña; Milena Gobbo; María-Luisa Casas; Pedro Zarco-Montejo; Xavier Juanola
Journal:  Clin Rheumatol       Date:  2013-08-07       Impact factor: 2.980

3.  Standards of care and quality indicators for multidisciplinary care models for psoriatic arthritis in Spain.

Authors:  Jordi Gratacós; Jesús Luelmo; Jesús Rodríguez; Jaume Notario; Teresa Navío Marco; Pablo de la Cueva; Manel Pujol Busquets; Mercè García Font; Beatriz Joven; Raquel Rivera; Jose Luis Alvarez Vega; Antonio Javier Chaves Álvarez; Ricardo Sánchez Parera; Jose Carlos Ruiz Carrascosa; Fernando José Rodríguez Martínez; José Pardo Sánchez; Carlos Feced Olmos; Conrad Pujol; Eva Galindez; Silvia Pérez Barrio; Ana Urruticoechea Arana; Mercedes Hergueta; Pablo Coto; Rubén Queiro
Journal:  Rheumatol Int       Date:  2018-02-07       Impact factor: 2.631

4.  Sponyloarthritis features forecasting the presence of HLA-B27 or sacroiliitis on magnetic resonance imaging in patients with suspected axial spondyloarthritis: results from a cross-sectional study in the ESPeranza Cohort.

Authors:  Victoria Navarro-Compán; Eugenio de Miguel; Désirée van der Heijde; Robert Landewé; Raquel Almodóvar; Carlos Montilla; Emma Beltrán; Pedro Zarco
Journal:  Arthritis Res Ther       Date:  2015-09-23       Impact factor: 5.156

5.  Challenges to conquer from the gender perspective in medicine: The case of spondyloarthritis.

Authors:  Vega Jovani; Mar Blasco-Blasco; Eliseo Pascual; M Teresa Ruiz-Cantero
Journal:  PLoS One       Date:  2018-10-12       Impact factor: 3.240

6.  No radiographic sacroiliitis progression was observed in patients with early spondyloarthritis at 6 years: results of the Esperanza multicentric prospective cohort.

Authors:  Cristina Fernández-Carballido; Carolina Tornero; M Carmen Castro-Villegas; Eva Galindez; José Francisco García-Llorente; María Luz García-Vivar; Beatriz Joven-Ibáñez; Xavier Juanola; Claudia Urrego-Laurín; Clementina López-Medina; Raquel Almodovar; Nieves Martínez-Alberola; Teresa Ruiz-Jimeno; Eugenio de Miguel
Journal:  RMD Open       Date:  2020-09

7.  Diagnostic delay in patients with rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis: results from the Danish nationwide DANBIO registry.

Authors:  Jan Sørensen; Merete Lund Hetland
Journal:  Ann Rheum Dis       Date:  2014-02-17       Impact factor: 19.103

  7 in total

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