Routine use of quantitative disease activity measurements among us rheumatologists: Implications for treat-to-target management strategies in rheumatoid arthritis

Jeffrey R. Curtis, Lang Chen, Maria I. Danila, Kenneth G. Saag, Kathy L. Parham, John J. Cush

Research output: Contribution to journalArticle

8 Scopus citations


Objective: The aim of our study was to examine why real-world practices and attitudes regarding quantitative measurements of rheumatoid arthritis (RA) have received limited attention. Methods: An e-mail survey asked US rheumatologists to self-report on their use of quantitative measurements (metric). Results: Among 439 respondents, metric rheumatologists (58%) were more likely to be in group practice and to use tumor necrosis factor inhibitors. The quantitative tools most commonly used were the Health Assessment Questionnaire (35.5%) and the Routine Assessment of Patient Index Data 3 (27.1%). Reasons for not measuring included time needed and electronic availability. Based on simulated case scenarios, providing more quantitative information increased the likelihood that a patient would change to a different disease-modifying antirheumatic drug or biologic. Conclusion: Routine use of quantitative measurement for patients in the United States with RA is increasing over time but remains low.

Original languageEnglish (US)
Pages (from-to)40-44
Number of pages5
JournalJournal of Rheumatology
Issue number1
Publication statusPublished - Jan 1 2018
Externally publishedYes



  • Rheumatoid arthritis
  • Rheumatology
  • Survey

ASJC Scopus subject areas

  • Rheumatology
  • Immunology and Allergy
  • Immunology

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