PMID- 22035430
OWN - NLM
STAT- MEDLINE
DCOM- 20120223
LR  - 20151119
IS  - 1936-9727 (Electronic)
IS  - 1936-9719 (Linking)
VI  - 69
IP  - 3
DP  - 2011
TI  - MDHAQ/RAPID3 scores: quantitative patient history data in a standardized 
      "scientific" format for optimal assessment of patient status and quality of care 
      in rheumatic diseases.
PG  - 201-14
AB  - Quantitative measurement according to a laboratory test such as hemoglobin A1c or 
      creatinine provides a "gold standard" for care of every individual with a 
      specific diagnosis. By contrast, no single "gold standard" quantitative measure 
      is available in rheumatic diseases. Laboratory tests are limited, and clinical 
      decisions are based more on patient history and physical examination than 
      laboratory tests. A quantitative patient history is provided by a self-report 
      questionnaire as standardized, "scientific" data to compare from one visit to the 
      next. Patient questionnaires for usual clinical care emphasize feasibility, 
      acceptability to patients and physicians, and clinical utility, which are not 
      considered in research questionnaires. Development of a multidimensional health 
      assessment questionnaire (MDHAQ) over 27 years is seen as a continuous quality 
      improvement (CQI) rather than research activity, to account for all rather than a 
      few selected patients for a research study. Both the traditional HAQ and MDHAQ 
      are 2-page questionnaires, easily completed by patients in 5 to 10 minutes, 
      although scoring a HAQ disability index (HAQ-DI) requires 42 seconds, compared to 
      5 seconds for an MDHAQ/RAPID3. The MDHAQ includes, within 2 pages: complex 
      activities, psychological queries, visual analog scales (VAS) as 21 numbered 
      circles rather than 10-cm lines, a fatigue VAS, RADAI (rheumatoid arthritis 
      disease activity index) self-report joint count, traditional "medical" review of 
      systems and recent medical history, and demographic data, as well as a data 
      management system that incorporates medication data and laboratory tests, reports 
      for physicians and patients, and flow sheets to compare a current visit with a 
      previous visit.
FAU - Pincus, Theodore
AU  - Pincus T
AD  - Division of Rheumatology, Department of Medicine, New York University School of 
      Medicine and NYU Hospital for Joint Diseases, New York, New York, USA. 
      Theodore.Pincus@nyumc.org
FAU - Castrejon, Isabel
AU  - Castrejon I
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Bull NYU Hosp Jt Dis
JT  - Bulletin of the NYU hospital for joint diseases
JID - 101300541
SB  - IM
MH  - *Health Status
MH  - *Health Status Indicators
MH  - Humans
MH  - Medical History Taking/*standards
MH  - Predictive Value of Tests
MH  - Prognosis
MH  - Quality Improvement/*standards
MH  - Quality Indicators, Health Care/*standards
MH  - Rheumatic Diseases/*diagnosis/physiopathology/psychology/*therapy
MH  - Severity of Illness Index
MH  - Surveys and Questionnaires/*standards
MH  - Time Factors
EDAT- 2011/11/01 06:00
MHDA- 2012/02/24 06:00
CRDT- 2011/11/01 06:00
PHST- 2011/11/01 06:00 [entrez]
PHST- 2011/11/01 06:00 [pubmed]
PHST- 2012/02/24 06:00 [medline]
PST - ppublish
SO  - Bull NYU Hosp Jt Dis. 2011;69(3):201-14.