Getting rheumatologists to treat RA to target

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Takeaway

  • A learning collaborative (LC) approach to implementing a treat-to-target (TTT) strategy for rheumatoid arthritis (RA) improved adherence.

Why this matters

  • TTT outperforms usual care in RA; however, rheumatologists do not use it consistently.
  • Group-based multisite educational collaboratives (LCs) may improve adherence.

Key results

  • At baseline, both groups’ mean TTT implementation score was 11%.
  • After intervention, score rose to 57.1% in intervention arm and 24.7% in control arm (P=.004).
  • In intervention arm, target specification rose from 0.6% at baseline to 45.6% after intervention, disease activity recording from 20.0% to 89.1%, shared decision-making from 51.3% to 85.9%, and treatment based on target went from 0.6% to 27.8%.

Study design

  • TTT in RA: Collaboration To Improve adOption and adhereNce (TRACTION) trial invited 11 US rheumatology practices to 9-mo study. None use...