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Improving inflammatory arthritis management through tighter monitoring of patients and the use of innovative electronic tools

van Riel, Piet, Alten, Rieke, Combe, Bernard, Abdulganieva, Diana, Bousquet, Paola, Courtenay, Molly, Curiale, Cinzia, Gómez-Centeno, Antonio, Haugeberg, Glenn, Leeb, Burkhard, Puolakka, Kari, Ravelli, Angelo, Rintelen, Bernhard and Sarzi-Puttini, Piercarlo 2016. Improving inflammatory arthritis management through tighter monitoring of patients and the use of innovative electronic tools. RMD Open 2 (2) , e000302. 10.1136/rmdopen-2016-000302

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Abstract

Treating to target by monitoring disease activity and adjusting therapy to attain remission or low disease activity has been shown to lead to improved outcomes in chronic rheumatic diseases such as rheumatoid arthritis and spondyloarthritis. Patient-reported outcomes, used in conjunction with clinical measures, add an important perspective of disease activity as perceived by the patient. Several validated PROs are available for inflammatory arthritis, and advances in electronic patient monitoring tools are helping patients with chronic diseases to self-monitor and assess their symptoms and health. Frequent patient monitoring could potentially lead to the early identification of disease flares or adverse events, early intervention for patients who may require treatment adaptation, and possibly reduced appointment frequency for those with stable disease. A literature search was conducted to evaluate the potential role of patient self-monitoring and innovative monitoring of tools in optimising disease control in inflammatory arthritis. Experience from the treatment of congestive heart failure, diabetes and hypertension shows improved outcomes with remote electronic self-monitoring by patients. In inflammatory arthritis, electronic self-monitoring has been shown to be feasible in patients despite manual disability and to be acceptable to older patients. Patients' self-assessment of disease activity using such methods correlates well with disease activity assessed by rheumatologists. This review also describes several remote monitoring tools that are being developed and used in inflammatory arthritis, offering the potential to improve disease management and reduce pressure on specialists.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Subjects: R Medicine > R Medicine (General)
Publisher: BMJ Publishing Group
ISSN: 2056-5933
Date of First Compliant Deposit: 30 January 2017
Date of Acceptance: 19 September 2016
Last Modified: 04 Jun 2017 09:39
URI: http://orca.cf.ac.uk/id/eprint/97880

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