Rheumatoid arthritis

Barriers to, Facilitators of, and Interventions to Support Treat‐to‐Target Implementation in Rheumatoid Arthritis: A Systematic Review

Arthritis Care Res (Hoboken)Published Systematic review

Authors' conclusion

Despite long-established treat-to-target recommendations, there remain many barriers to its implementation.

Study context

Population
Published studies on barriers to, facilitators of, and interventions to support treat-to-target implementation in rheumatoid arthritis (RA)articles analysed
Participants
146 participants
Outcome
Barriers/facilitators and interventions for treat-to-target implementation in RA
Methodological detailssystematic and scoping literature searches, Critical Appraisal Skills Programme (CASP) quality assessment, narrative synthesis
  • Systematic and scoping literature searches
  • CASP quality assessment
  • Narrative synthesis

Pooled result

As reported in the abstract

Articles including ≥50% of CASP checklist items
123 (84%)
Studies evaluating treat-to-target barriers and facilitators
76
Relevant statements identified, regrouped into 18 target areas (e.g. Health care professional (HCP) or patient knowledge or perceptions; patient-HCP communication or alignment; time or resources)
329
Interventions identified from 70 studies across the 18 target areas
56
Interventions addressing disease activity or patient-reported outcome assessments
54%
Interventions that improved treat-to-target implementation and/or patient outcomes
36

Original publication

Barriers to, Facilitators of, and Interventions to Support Treat‐to‐Target Implementation in Rheumatoid Arthritis: A Systematic Review. Arthritis Care Res (Hoboken). Published 4 September 2024. doi:10.1002/acr.25408

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