Understanding the Effect of Meeting Performance Measures on the Outcomes of Joint Replacement in Rheumatoid Arthritis: A Population-Based Study in British Columbia, Canada
Main finding · Risk of TJR, by PMResult — go to the resultHazard ratio 1.19 95% CI 1.03–1.37Authors' conclusion
There were deficits in RA care identified at a population level; however, no clear protective effect of adherence to PMs was found.
Study context
- Population
- People with rheumatoid arthritis (RA) diagnosed between 2000 and 2008, followed until 2019, British Columbia, Canada
- Participants
- 19,765 people4 matched cohorts
- Exposure
- Meeting vs not meeting Canadian RA performance measures (PMs) within 2 years of diagnosis
- Outcome
- Risk of TJR of any joint
- Follow-up
- 10 years
Methodological detailspropensity score-matched, population-based
- Propensity score-matched
- Population-based
Main finding
Risk of TJR, by PM
Hazard ratio
1.19
95% CI 1.03–1.37
PMs metvs PMs not met
HR 1.19 (95% CI 1.03–1.37)
As reported in the abstract
Observational data: associations, not effects.
Further findings
PM attainment in the population
- Access to a rheumatologist within 1 year of diagnosis
- 44.78%
- Retained in care
- 24.91%
- Disease-modifying antirheumatic drug (DMARD) dispensed within 30 days
- 24.30%
- DMARD annually for the first 2 years
- 32.66%
Original publication
Understanding the Effect of Meeting Performance Measures on the Outcomes of Joint Replacement in Rheumatoid Arthritis: A Population-Based Study in British Columbia, Canada. J Rheumatol. Published 1 August 2026. doi:10.
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