Percentile benchmarks in patients with rheumatoid arthritis Health Assessment Questionnaire as a quality indicator (QI) 英文参考文献.docVIP

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Percentile benchmarks in patients with rheumatoid arthritis Health Assessment Questionnaire as a quality indicator (QI) 英文参考文献.doc

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Percentile benchmarks in patients with rheumatoid arthritis Health Assessment Questionnaire as a quality indicator (QI) 英文参考文献

Available online /content/6/6/R505 Research article Open Access Vol 6 No 6 Percentile benchmarks in patients with rheumatoid arthritis: Health Assessment Questionnaire as a quality indicator (QI) Eswar Krishnan1,2, Peter Tugwell3 and James F Fries2 1Clinical Research Center of Reading, West Reading, PA, USA 2Division of Immunology and Rheumatology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA 3University of Ottawa, Ottawa, Canada Corresponding author: Eswar Krishnan, Eswar_krishnan@ Received: 25 Mar 2004 Revisions requested: 30 Apr 2004 Revisions received: 6 Jun 2004 Accepted: 30 Jun 2004 Published: 14 Sep 2004 Arthritis Res Ther 2004, 6:R505-R513 (DOI 10.1186/ar1220) /content/6/6/R505 ? 2004 Krishnan et al.; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the articles original URL. Abstract Physicians are in need of a simple objective, standardized tool to compare their patients with rheumatoid arthritis, as a group and individually, with national standards. The Disability Index of the Health Assessment Questionnaire (HAQ-DI) is a simple, robust tool that can fulfill these needs. However, use of this tool as a quality indicator (QI) is hampered by the unavailability of national reference values or benchmarks based on large, multicentric, heterogenous longitudinal patient cohorts. We utilized the 20-year longitudinal prospective data from 11 data banks of Arthritis Rheumatism and Aging Medical Information to calculate reference values for HAQ-DI. Overall, 6436 patients with rheumatoid arthritis were longitudinally followed for 32,324 person-years over the 20 years from 1981 to 2000. There were 64,647 HAQ-DI measurements, with an average of 19 measurements per person. Overall, 75% of patients were women and 89% we