Do changes in prescription practice in patients with rheumatoid arthritis treated with biological agents affect treatment response and adherence to therapy? Results from the nationwide Danish DANBIO Registry
Abstract:From 2000 to 2005, significantly improved treatment responses to TNF inhibitors were seen in clinical practice despite decreasing baseline disease activity levels. This lends support to the less stringent prescription practice towards treating patients with lower disease activity that has been observed in several countries.
“…Hierfür eignen sich am besten die publizierten Daten aus der Kerndokumentation sowie aus RAB-BIT, dem deutschen Biologikaregister mit integrierter DMARD-Kontrollgruppe. [4].…”
Section: Versorgungsrealität In Deutschlandunclassified
The development of evidence-based treat-to-target (T2T) recommendations alleviates decision-making for the rheumatologist and simultaneously promises substantial improvement of outcome for rheumatoid arthritis (RA) patients. For the office-based rheumatologist in Germany, however, implementation of T2T recommendations contains several difficulties. Limitations arise as a result of an insufficient number of rheumatologists as well as a lack of adequate remuneration both resulting in a lack of time for the individual RA patient. Furthermore budget limitations hinder the appropriate use of antirheumatic drugs and insofar counteract treating to the target of remission. Establishment of selective contracts for rheumatologists by health insurance funds might reduce many of these problems in future for the office-based rheumatologist in Germany.
“…Hierfür eignen sich am besten die publizierten Daten aus der Kerndokumentation sowie aus RAB-BIT, dem deutschen Biologikaregister mit integrierter DMARD-Kontrollgruppe. [4].…”
Section: Versorgungsrealität In Deutschlandunclassified
The development of evidence-based treat-to-target (T2T) recommendations alleviates decision-making for the rheumatologist and simultaneously promises substantial improvement of outcome for rheumatoid arthritis (RA) patients. For the office-based rheumatologist in Germany, however, implementation of T2T recommendations contains several difficulties. Limitations arise as a result of an insufficient number of rheumatologists as well as a lack of adequate remuneration both resulting in a lack of time for the individual RA patient. Furthermore budget limitations hinder the appropriate use of antirheumatic drugs and insofar counteract treating to the target of remission. Establishment of selective contracts for rheumatologists by health insurance funds might reduce many of these problems in future for the office-based rheumatologist in Germany.
“…The mandatory reporting of biological treatment to the database makes coverage and completeness of data high 27 28. The registry currently includes up to 8 years of follow-up.…”
TNFα inhibitors provide a rapid and sustained decrease of disease activity among patients with AS in clinical practice. Factors associated with continued treatment, clinical response and achievement of a BASDAI <40 mm were identified.
“…7 The study of register data over time has provided insights into secular changes in the use of biologics, demonstrating earlier use following fewer csDMARDs in patients with lesser amounts of disability and corticosteroid exposure. 8,9 Biologic Treatment Effectiveness …”
Section: The Use Of Biologics In Clinical Practicementioning
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