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Update to a Systematic Review on Quality Measures for Rheumatoid Arthritis
Racheal Githumbi1, Steven J Katz2, Jessica Widdifield3
1R. Githumbi, MBT, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
The Journal of Rheumatology
|April 15, 2025
Summary
This review identified new quality measures (QMs) for rheumatoid arthritis (RA) care, but most were duplicates. A centralized system is needed to reduce redundancy and optimize RA patient outcomes.
Area of Science:
- Rheumatology
- Health Services Research
- Quality Improvement
Background:
- Systematic reviews are crucial for assessing quality measures (QMs) in rheumatoid arthritis (RA).
- Previous systematic reviews have informed measure development and endorsement efforts.
- An updated review is needed to capture recent advancements in RA quality measurement.
Purpose of the Study:
- To provide an updated systematic review of quality measures (QMs) for rheumatoid arthritis (RA).
- To inform future QM development and endorsement processes.
- To identify new QMs and assess their alignment with existing measures.
Main Methods:
- Searched published and grey literature from January 2018 to July 2023.
- Included sources targeted RA patients and used consensus-building methodology.
- Extracted and categorized QMs, comparing them to a previous systematic review to identify non-duplicative measures.
Main Results:
- Identified 187 quality measures (QMs), with 68% being duplicative or similar to existing ones.
- Extracted 60 new QMs, primarily structural (50%) and process measures (33%).
- New QMs frequently addressed healthcare delivery (35%).
Conclusions:
- While new QMs indicate progress in RA quality assessment, significant redundancy exists.
- A centralized approach is necessary to streamline QM development and reduce duplication.
- Improved dissemination of QMs can optimize care for individuals with RA.
