Chronic Inflammatory Rheumatism: Management of Comorbidities in Ambulatory Medicine

Recruiting

• Conditions: Chronic Inflammatory Disease
• Interventions: Other: Patients; Other: Referring physician

• Registration Number: NCT05613712
• Lead Sponsor: University Hospital, Grenoble

Brief Summary

Identification of factors limiting compliance with the recommendations established during the evaluation of the SCORIC population by the rheumatology department of the CHU Grenoble Alpes

Detailed Description

In the rheumatology department of the CHU Grenoble Alpes, Professor Baillet and other rheumatologists have set up a holistic assessment of inflammatory rheumatism (rheumatoid arthritis, spondyloarthritis and psoriatic arthritis) and associated co-morbidities in a day hospital. Based on this assessment, a hospital report is drawn up summarising the patient's treatment options, which is then sent to the patient's referring physician. They analysed the first 100 patients in the cohort and showed that 98% of patients were not up to date with their care. Their longitudinal analysis shows that patients update two thirds of the recommendations made within 12 to 18 months. Therefore, the investigators would like to assess the applicability of this screening in these patients, through a questionnaire sent to the 400 patients of the cohort and to their treating physicians.

Study Timeline

• Study First Submitted: 2022-11-04
• Study First Submitted QC: 2022-11-04
• Study First Posted: 2022-11-14
• Study Start: 2023-02-11
• Status Verified: 2023-03
• Last Update Submitted: 2023-03-24
• Last Update Posted: 2023-03-28
• Primary Completion: 2024-02-11
• Study Completion: 2024-02-11

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 400

Inclusion Criteria

• Patient cohort :
• men and women over 18 years of age
• Informed volunteers who have consented to participate in the study
• have rheumatoid arthritis, spondyloarthritis or psoriatic arthritis
• have been hospitalised in a day hospital in the rheumatology department of the Grenoble-Alpes University = SCORIC cohort of the department
• Cohort of referring physicians :
• volunteers who received informed information and consented to participate in the study
• be the referring physician of a patient of the SCORIC cohort of the rheumatology department of the South Hospital of the CHU Grenoble-Alpes

Exclusion Criteria

• Patient cohort :
• psychiatric pathologies or history of behavioural disorders
• persons referred to in articles L1121-5 to L1121-8 of the Public Health Code
• persons under guardianship or curatorship
• not affiliated to the social security system
• minors
• Refusal to participate by the patient and/or unreturned questionnaire
• Cohort of referring physicians:
• the physician is no longer the patient's referring physician
• refusal of the doctor to participate and/or questionnaire not returned

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Patients	Patients	Patients followed by the rheumatology department of the CHU Grenoble Alpes, constituting the SCORIC group
Referring physician	Referring physician	Physicians identified as the referring physician for patients in the SCORIC group

Primary Outcome Measures

Name	Time	Method
Identification of the factors limiting compliance with the recommendations established during the evaluation of the SCORIC population by the rheumatology department of the CHU Grenoble Alpes, through questionnaires	1 day	Identification of the factors limiting compliance with the recommendations established during the evaluation of the SCORIC population by the rheumatology department of the CHU Grenoble Alpes

Secondary Outcome Measures

Name	Time	Method
Elements limiting the good ambulatory follow-up, according to the patients	1 day	Description by the patients through the questionnaire of the elements limiting the good ambulatory follow-up
Elements limiting the applicability of the recommendations issued by the rheumatology department of the CHU Grenoble Alpes, according to the patients	1 day	Description by the referring physicians through the questionnaire of the elements limiting the applicability of the recommendations issued by the rheumatology department of the CHU Grenoble Alpes

Trial Locations

Locations (1)

CHU Grenoble Alpes; 🇫🇷 Grenoble, France