What Affects Care Complexity in Rheumatoid Arthritis? An Integrative Review of Complexity Domains and Associated Patient and Health System Outcomes
Authors' conclusion
We identified 12 domains of care complexity and 5 patient outcomes.
Study context
- Population
- Studies of people living with rheumatoid arthritis (RA) examining care complexity domains and patient, provider and health system outcomes181 articles included
- Participants
- 181 participants
- Outcome
- RA-related care complexity domains and associated outcomes
Methodological detailsMEDLINE search, 2000 to present, constant comparison method, 9835 articles screened by the search
- MEDLINE search, 2000 to present
- Constant comparison method
- 9835 articles screened by the search
Main finding
As reported in the abstract
Care complexity domains identified: comorbidity/multimorbidity and polypharmacy, overweight/obesity, substance use, mental health, chronic pain, difficult-to-treat RA, cognitive impairment, advanced age and/or frailty, race and ethnicity, socioeconomic considerations, social support/connectedness, healthcare access
12
Most common outcomes: impaired functional status, poor quality of life, elevated mortality risk, high disease activity and/or difficulty achieving remission, higher healthcare utilization
5
Original publication
What Affects Care Complexity in Rheumatoid Arthritis? An Integrative Review of Complexity Domains and Associated Patient and Health System Outcomes. J Rheumatol. Published 15 July 2026. doi:10.
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