UBC Faculty Research and Publications

Gaps in addressing cardiovascular risk in rheumatoid arthritis : assessing performance using cardiovascular quality indicators Barber, Claire E. H.; Esdaile, John M; Martin, Liam; Faris, Peter; Barnabe, Cheryl; Guo, Selynne; Lopatina, Elena; Marshall, Deborah

Abstract

Objectives: Cardiovascular disease (CVD) is a major comorbidity for patients with rheumatoid arthritis (RA). The study sought to determine performance on 11 recently developed CVD Quality Indicators (QIs) for RA in clinical practice. Methods: Medical charts for RA patients (early disease or biologic-treated) followed at one centre were retrospectively reviewed. A systematic assessment of adherence to 11 QIs over a two-year period was completed. Performance on the QIs is reported as a percentage pass rate. Results: 170 charts were reviewed (107 early disease and 63 biologictreated). The most frequent CVD risk factors present at diagnosis (early disease) and biologic start (biologictreated) included hypertension (26%), obesity (25%), smoking (21%) and dyslipidemia (15%). Performance on the CVD QIs was highly variable. Areas of low performance (

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