Publications by authors named "P Nero"
Objective: To compare the 2-year retention rate between a second tumor necrosis factor alpha inhibitor (TNFi) and secukinumab (SEK) or ustekinumab (UST), in Psoriatic Arthritis (PsA) patients with previous inadequate response to their first TNFi.
Methods: Prospective longitudinal cohort study with a follow-up period of 2 years using the Nationwide Portuguese Reuma.pt database.
Article Synopsis
- Psoriatic disease (PsD), which includes psoriasis and psoriatic arthritis, negatively impacts patients' quality of life and requires a multidisciplinary approach involving dermatology and rheumatology for effective management and treatment.
- In Portugal, five hospitals have established specialized clinics for assessing PsD, each with unique operational models while agreeing on core assessment criteria that include all disease manifestations and quality of life.
- The main goal of these clinics is to achieve remission or minimal disease activity, though they face challenges such as financial limitations, time management, and resource constraints in implementing effective integrated care.
The Portuguese Rheumatology Society (SPR) embraced quality as a major goal and launched, in early 2015, a program to aim for excellence in global clinical care: Rheuma SPACE - Standard Practice Aiming Clinical Excellence. Evaluating daily reality is the first step in a quality development timeline, ultimately contributing for health gains. Herein we describe the results of the evaluation of the quality indicators defined for this project and the improvement strategies identified.
View Article and Find Full Text PDFBackground: Quality of care is a key component of the right to health, and the route to equity and dignity. The aim of the project Rheuma SPACE - Standard Practice Aiming Clinical Excellence was to develop a set of quality indicators focused in rheumatoid arthritis care and apply them to rheumatology departments of the Portuguese National Health Service in order to benchmark the care for these patients. This article details the methodology that was applied.
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