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Correlation between the WT1 suppressor gene and skin lesions: an alternative diagnostic-differential factor. Postepy Dermatol Alergol 2022; 39:819-820. [PMID: 36090709 PMCID: PMC9454367 DOI: 10.5114/ada.2022.118928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Accepted: 08/06/2021] [Indexed: 11/17/2022] Open
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García EI, Guilabert M, Queiro R, Carrillo I, Mira JJ. Evaluating standards of care in psoriatic arthritis of the QUANTUM project (qualitative initiative to improve outcomes): results of an accreditation project in Spain. Rheumatol Int 2020; 40:1817-1823. [PMID: 32588190 PMCID: PMC7519894 DOI: 10.1007/s00296-020-04632-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Accepted: 06/15/2020] [Indexed: 11/16/2022]
Abstract
In Spain, the QUANTUM project has been promoted to reduce variability in clinical practice and improve the care and quality of life of people with psoriatic arthritis (PsA) by accrediting PsA units throughout the Spanish national health system. To present the results of this approach which sought to ensure an optimum level of quality for patients with PsA. Descriptive analysis of the self-assessments that the PsA units have carried out assessing their degree of compliance with the quality standards established in the QUANTUM project grouped into four blocks: shortening time to diagnosis; optimizing disease management; improving multidisciplinary collaboration; and improving patient monitoring. A total of 41 PsA units were self-evaluated. They met 64.1% of the defined quality standards. Optimize disease management obtained a higher level of standards compliance (72%) and improve multidisciplinary collaboration the lesser (63.9%). Accessibility to the treatments available for PsA in all hospitals was guaranteed (100%). Appropriate diagnostic equipment is available (97.6%). Compliance with specific quality standards leads to detect actions that should be implemented: quality of life assessment (9.8%), locomotor system assessment (12.2%), physical examination data record (14.6%), periodic cardiovascular risk assessment (17.1%). The QUANTUM project results make it possible to visualise how to care for patients with PsA is being developed in Spain. Problems identified in recent multinational reports are also identified in Spain.
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Affiliation(s)
| | - Mercedes Guilabert
- Calite Research Group, Universidad Miguel Hernández de Elche., Health Psychology Department, Altamira Building, Avenida de la Universidad, s/n, 03202, Elche, Spain.
| | - Rubén Queiro
- Rheumatology Division, Hospital Universitario Central de Asturias, Oviedo, Spain
| | - Irene Carrillo
- Calite Research Group, Universidad Miguel Hernández de Elche., Health Psychology Department, Altamira Building, Avenida de la Universidad, s/n, 03202, Elche, Spain.,The Foundation for the Promotion of Health and Biomedical Research of Valencia Region, FISABIO, Sant Joan d'Alacant, Spain
| | - José Joaquín Mira
- Calite Research Group, Universidad Miguel Hernández de Elche., Health Psychology Department, Altamira Building, Avenida de la Universidad, s/n, 03202, Elche, Spain.,Alicante-Sant Joan Health District, Alicante, Spain.,REDISSEC, Madrid, Spain
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