VARIATION AMONG RHEUMATOLOGISTS IN THE USE OF PREDNISONE AND 2ND-LINE AGENTS FOR THE TREATMENT OF RHEUMATOID-ARTHRITIS

被引:28
作者
CRISWELL, LA [1 ]
REDFEARN, WJ [1 ]
机构
[1] UNIV CALIF BERKELEY,BERKELEY,CA 94720
来源
ARTHRITIS AND RHEUMATISM | 1994年 / 37卷 / 04期
关键词
D O I
10.1002/art.1780370407
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective. To test for and estimate variation among rheumatologists in their prescribing of prednisone and second-line agents for the treatment of rheumatoid arthritis (RA), after taking into account the characteristics of their patients. Methods. Multiple logistic regression incorporating random effects for rheumatologists, with adjustment for patient characteristics. Results. Values for the likelihood-ratio statistic provided strong evidence of such variation. Random-effect variance estimates showed that the variation is of great magnitude. Conclusion. Even after patient characteristics have been taken into account, the data show that the rheumatologist may strongly influence the use of prednisone and second-line agents by a patient.
引用
收藏
页码:476 / 480
页数:5
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