Rheumatoid arthritis

Global variation in the quality of care for rheumatoid arthritis and associated factors

Arthritis Res TherPublished Cross-sectional study

Authors' conclusion

Disparities in RA-related care exist across gender, age, and geographic regions.

Study context

Population
Global rheumatoid arthritis (RA) burden data (incidence, mortality and prognostic indicators), 1990–2021
Exposure
Males vs Females
Outcome
Modified Quality of Care Index (QCI) for RA
Follow-up
2021
Methodological detailsprincipal component analysis, Joinpoint regression, linear mixed models
  • Principal component analysis
  • Joinpoint regression
  • Linear mixed models

Main finding

As reported in the abstract

QCI for RA

Males

77.25

Females

71.12

Global Quality of Care Index (QCI) for RA
72.09

Observational data: associations, not effects.

Further findings

OutcomeMalesFemales
AAPC of RA QCI, 1990–2021 (Joinpoint regression)0.22 (interval 0.20–0.23)0.29 (interval 0.28–0.30)

AAPC of RA QCI, 1990–2021 (Joinpoint regression)

Global AAPC 0.30 (0.29-0.31)

Factors associated with QCI (LMM)

Age, gender, year and SDI all significantly associated with QCI
P < 0.05
Positive correlations with QCI: under 14 years, 20-24 years, 40-54 years, 70-74 years, males, high-SDI regions
Negative correlations with QCI: 15-19 years, 25-39 years, 55-69 years, 75 years and above

Original publication

Global variation in the quality of care for rheumatoid arthritis and associated factors. Arthritis Res Ther. Published 26 January 2026. doi:10.1186/s13075-026-03737-6

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