The electronic medical record management systems may improve monitoring and control of disease activity in patients with ankylosing spondylitis
Abstract To investigate the impact of an electronic medical record management system (EMRMS) on disease activity and the frequency of outpatient visits among patients with ankylosing spondylitis (AS). We identified 652 patients with AS who were followed up for at least 1 year before and after the fi...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-03-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-30848-w |
| _version_ | 1797864925326999552 |
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| author | Pei-Ju Huang Yi-Hsing Chen Wen-Nan Huang Yi-Ming Chen Kuo-Lung Lai Tsu-Yi Hsieh Wei-Ting Hung Ching-Tsai Lin Chih-Wei Tseng Kuo-Tung Tang Yin-Yi Chou Yi-Da Wu Chin-Yin Huang Chia-Wei Hsieh Yen-Ju Chen Yu-Wan Liao Yen-Tze Liu Hsin-Hua Chen |
| author_facet | Pei-Ju Huang Yi-Hsing Chen Wen-Nan Huang Yi-Ming Chen Kuo-Lung Lai Tsu-Yi Hsieh Wei-Ting Hung Ching-Tsai Lin Chih-Wei Tseng Kuo-Tung Tang Yin-Yi Chou Yi-Da Wu Chin-Yin Huang Chia-Wei Hsieh Yen-Ju Chen Yu-Wan Liao Yen-Tze Liu Hsin-Hua Chen |
| author_sort | Pei-Ju Huang |
| collection | DOAJ |
| description | Abstract To investigate the impact of an electronic medical record management system (EMRMS) on disease activity and the frequency of outpatient visits among patients with ankylosing spondylitis (AS). We identified 652 patients with AS who were followed up for at least 1 year before and after the first Ankylosing Spondylitis Disease Activity Score (ASDAS) assessment and compared the number of outpatient visits and average visit time within 1 year before and after the initial ASDAS assessment. Finally, we analyzed 201 patients with AS who had complete data and received ≥ 3 continuous ASDAS assessments at an interval of 3 months, and we compared the results of the second and third ASDAS assessments with those of the first. The number of annual outpatient visits increased after ASDAS assessment (4.0 (4.0, 7.0) vs. 4.0 (4.0, 8.0), p < 0.001), particularly among those with a high initial disease activity. The average visit time was reduced within 1 year after ASDAS assessment (6.4 (8.5, 11.2) vs. 6.3 (8.3, 10.8) min, p = 0.073), especially among patients whose with an inactive disease activity was < 1.3 (ASDAS C-reactive protein (CRP) 6.7 (8.8, 11.1) vs. 6.1 (8.0, 10.3) min, p = 0.033; ASDAS erythrocyte sedimentation rate (ESR) 6.4 (8.7, 11.1) vs. 6.1 (8.1, 10.0) min, p = 0.027). Among patients who received at least three ASDAS assessments, the third ASDAS-CRP tended to be lower than the first (1.5 (0.9, 2.1) vs. 1.4 (0.8, 1.9), p = 0.058). The use of an EMRMS increased the frequency of ambulatory visits among AS patients with high and very high disease activity and reduced the visit time among those with an inactive disease. Continual ASDAS assessments may help control the disease activity of patients with AS. |
| first_indexed | 2024-04-09T23:01:02Z |
| format | Article |
| id | doaj.art-af205c19719d41558ea8670c12978f6a |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-09T23:01:02Z |
| publishDate | 2023-03-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-af205c19719d41558ea8670c12978f6a2023-03-22T11:01:07ZengNature PortfolioScientific Reports2045-23222023-03-011311810.1038/s41598-023-30848-wThe electronic medical record management systems may improve monitoring and control of disease activity in patients with ankylosing spondylitisPei-Ju Huang0Yi-Hsing Chen1Wen-Nan Huang2Yi-Ming Chen3Kuo-Lung Lai4Tsu-Yi Hsieh5Wei-Ting Hung6Ching-Tsai Lin7Chih-Wei Tseng8Kuo-Tung Tang9Yin-Yi Chou10Yi-Da Wu11Chin-Yin Huang12Chia-Wei Hsieh13Yen-Ju Chen14Yu-Wan Liao15Yen-Tze Liu16Hsin-Hua Chen17Department of Family Medicine, Changhua Christian HospitalDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General HospitalSchool of Medicine, National Yang Ming Chiao Tung UniversityDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General HospitalDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General HospitalDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General HospitalDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General HospitalDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General HospitalDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General HospitalDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General HospitalDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General HospitalDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General HospitalDepartment of Industrial Engineering and Enterprise Information, Tunghai UniversityDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General HospitalDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General HospitalDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General HospitalDepartment of Family Medicine, Changhua Christian HospitalDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Taichung Veterans General HospitalAbstract To investigate the impact of an electronic medical record management system (EMRMS) on disease activity and the frequency of outpatient visits among patients with ankylosing spondylitis (AS). We identified 652 patients with AS who were followed up for at least 1 year before and after the first Ankylosing Spondylitis Disease Activity Score (ASDAS) assessment and compared the number of outpatient visits and average visit time within 1 year before and after the initial ASDAS assessment. Finally, we analyzed 201 patients with AS who had complete data and received ≥ 3 continuous ASDAS assessments at an interval of 3 months, and we compared the results of the second and third ASDAS assessments with those of the first. The number of annual outpatient visits increased after ASDAS assessment (4.0 (4.0, 7.0) vs. 4.0 (4.0, 8.0), p < 0.001), particularly among those with a high initial disease activity. The average visit time was reduced within 1 year after ASDAS assessment (6.4 (8.5, 11.2) vs. 6.3 (8.3, 10.8) min, p = 0.073), especially among patients whose with an inactive disease activity was < 1.3 (ASDAS C-reactive protein (CRP) 6.7 (8.8, 11.1) vs. 6.1 (8.0, 10.3) min, p = 0.033; ASDAS erythrocyte sedimentation rate (ESR) 6.4 (8.7, 11.1) vs. 6.1 (8.1, 10.0) min, p = 0.027). Among patients who received at least three ASDAS assessments, the third ASDAS-CRP tended to be lower than the first (1.5 (0.9, 2.1) vs. 1.4 (0.8, 1.9), p = 0.058). The use of an EMRMS increased the frequency of ambulatory visits among AS patients with high and very high disease activity and reduced the visit time among those with an inactive disease. Continual ASDAS assessments may help control the disease activity of patients with AS.https://doi.org/10.1038/s41598-023-30848-w |
| spellingShingle | Pei-Ju Huang Yi-Hsing Chen Wen-Nan Huang Yi-Ming Chen Kuo-Lung Lai Tsu-Yi Hsieh Wei-Ting Hung Ching-Tsai Lin Chih-Wei Tseng Kuo-Tung Tang Yin-Yi Chou Yi-Da Wu Chin-Yin Huang Chia-Wei Hsieh Yen-Ju Chen Yu-Wan Liao Yen-Tze Liu Hsin-Hua Chen The electronic medical record management systems may improve monitoring and control of disease activity in patients with ankylosing spondylitis Scientific Reports |
| title | The electronic medical record management systems may improve monitoring and control of disease activity in patients with ankylosing spondylitis |
| title_full | The electronic medical record management systems may improve monitoring and control of disease activity in patients with ankylosing spondylitis |
| title_fullStr | The electronic medical record management systems may improve monitoring and control of disease activity in patients with ankylosing spondylitis |
| title_full_unstemmed | The electronic medical record management systems may improve monitoring and control of disease activity in patients with ankylosing spondylitis |
| title_short | The electronic medical record management systems may improve monitoring and control of disease activity in patients with ankylosing spondylitis |
| title_sort | electronic medical record management systems may improve monitoring and control of disease activity in patients with ankylosing spondylitis |
| url | https://doi.org/10.1038/s41598-023-30848-w |
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