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Yamamoto M, Kataoka Y, Tsujimoto Y, Nagase F, Iwasaki K, Ito Y, Ikai H, Watanabe T, Yokoyama-Kokuryo W, Takizawa N, Fujita Y
Disease Activity Assessment Frequency in Rheumatoid Arthritis: A Retrospective Observational Study of the Medical Support System for Rheumatoid Arthritis System Implementation
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Improvement in Disease Activity Assessment Frequency in Patients with Rheumatoid Arthritis Through the Introduction of the “MiRAi” System: An Observational Study Regarding Enhancing Quality in Routine Clinical Practice
Mari Yamamoto;
Yuki Kataoka;
Yasushi Tsujimoto;
Fumika Nagase;
Keita Iwasaki;
Yuuki Ito;
Hiroki Ikai;
Tsuyoshi Watanabe;
Waka Yokoyama-Kokuryo;
Naoho Takizawa;
Yoshiro Fujita
ABSTRACT
Background:
Rheumatoid arthritis (RA) is a global health concern with increasing prevalence. Despite recommendations for regular disease activity assessments, their implementation in routine clinical practice remains challenging.
Objective:
This study evaluated the association between the implementation of a Medical Support System for Rheumatoid Arthritis (MiRAi), an automated tool integrated with electronic health records that calculates the Disease Activity Rating Index for RA, and the frequency of disease activity assessments in patients with RA.
Methods:
This retrospective cohort study included patients with RA treated at a tertiary hospital in Japan between April 2022 and March 2023. The primary outcomes were the Clinical Disease Activity Index (CDAI) and modified Health Assessment Questionnaire (mHAQ) evaluations. A post-implementation survey was conducted among rheumatologists to assess their perceptions of MiRAi.
Results:
MiRAi was utilized in 236 of 884 (26.7%) patients with RA. CDAI and mHAQ scores increased from 5.9% in June 2022 to 19% in November 2022. The post-implementation survey revealed mixed perceptions among rheumatologists; 50% of respondents reported regular use of MiRAi.
Conclusions:
MiRAi may increase assessment frequency; however, increasing the adoption rate of MiRAi in daily clinical practice among physicians remains a significant challenge. Further research is warranted to evaluate the impact of MiRAi implementation on treatment choices and patient outcomes.
Citation
Please cite as:
Yamamoto M, Kataoka Y, Tsujimoto Y, Nagase F, Iwasaki K, Ito Y, Ikai H, Watanabe T, Yokoyama-Kokuryo W, Takizawa N, Fujita Y
Disease Activity Assessment Frequency in Rheumatoid Arthritis: A Retrospective Observational Study of the Medical Support System for Rheumatoid Arthritis System Implementation