An evidence-based medical visit for patients with rheumatoid arthritis based on standard, quantitative scientific data from a patient MDHAQ and physician report.

摘要: An evidence-based visit is described based on quantitative, standard scientific data two simple forms for a patient and physician. The focus rheumatoid arthritis (RA), but the principles may be applied to most rheumatic chronic diseases. A quantitative history recorded selfreport multidimensional health assessment questionnaire (MDHAQ), which includes scales physical function, pain, global estimate, psychological distress, change in status, exercise morning stiffness, fatigue, template score RAPID3 (routine of index 3). RAPID3, an only self-report measures, distinguishes active from control treatments clinical trials at similar levels disease activity (DAS28) (CDAI) calculated 5 seconds, compared almost 2 minutes DAS28 or CDAI. MDHAQ also traditional "medical" matters-a joint count, review systems, recent medical history, medications, demographic data, consents future monitoring by mail sharing with research colleagues; these queries enhance acceptance patients save time doctors. Patient function scores-not radiographs laboratory tests-are significant prognostic markers long-term work disability premature death RA. physician completes "doctor evaluation" (DOCEVAL) form, four visual analog overall inflammation, damage, "neither" (usually fibromyalgia), reflecting quantitatively expertise rheumatologist classify etiology pain distress into one three broad categories formulating treatment plan. Quantitative doctors can advance rheumatology care science.