Chronic Inflammatory Rheumatism: Management of Comorbidities in Ambulatory Medicine

Study Overview
=================
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.

Official Title
-----------------
Chronic Inflammatory Rheumatism: Management of Comorbidities in Ambulatory Medicine

Conditions
-----------------
Chronic Inflammatory Disease

Intervention / Treatment
-----------------
* Other: Patients
* Other: Referring physician


Participation Criteria
=================
Eligibility Criteria
-----------------
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

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients<br>Patients followed by the rheumatology department of the CHU Grenoble Alpes, constituting the SCORIC group | Other: Patients<br>* Description by the patients through the questionnaire of the elements limiting the good ambulatory follow-up<br>|
| Referring physician<br>Physicians identified as the referring physician for patients in the SCORIC group | Other: Referring physician<br>* 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<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 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 | 1 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Elements limiting the good ambulatory follow-up, according to the patients | Description by the patients through the questionnaire of the elements limiting the good ambulatory follow-up | 1 day | 
| Elements limiting the applicability of the recommendations issued by the rheumatology department of the CHU Grenoble Alpes, according to the patients | 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 | 1 day | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
rheumatoid arthritis, spondyloarthropathy, spondylarthritis, ankylosing spondylitis, psoriatic arthritis, chronic inflammatory rheumatic diseases, comorbidities, continuity of patient care, patient compliance, adherence, non-adherence