Rheumatoid arthritis (RA) is associated with substantial pain, fatigue, disability, depression, and an increased risk of morbidity and mortality. The negative effects of RA on both physical and psychological health can be quantitatively assessed through the use of validated health-related quality-of-life (HRQOL) assessment tools. HRQOL correlates with disease activity and predicts mortality risk in patients with RA. HRQOL assessments are essential for gauging the effects of RA on an individual’s daily life, the effectiveness of the current treatment, and whether any changes in therapy are needed. Effective RA treatment has been shown to improve HRQOL at all stages of disease: in early RA, after failure of methotrexate, and after failure of a tumor-necrosis-factor (TNF) inhibitor. Long-term clinical trials have shown that current treatment paradigms can maintain HRQOL and prevent disability; thus, it is critical that patients with RA obtain proper care by a rheumatologist early in the disease course.
This activity has been designed for rheumatologists and internists who provide care and support to patients with rheumatoid arthritis. Clinical nurse specialists, nurse practitioners, physician assistants and other healthcare professionals may also participate.
As a result of participating in this educational activity, learners will be better able to:
- Identify how RA can negatively affect HRQOL by impairing physical and psychological health
- Compare validated tools commonly used to assess HRQOL in patients with RA
- Evaluate the effect of RA therapies on HRQOL in early RA and in patients with established disease
- Incorporate HRQOL monitoring into the assessment of patients with RA
AMA PRA Category 1 Credit(s)TM
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of CME and Alliance Medical Communications. The American Academy of CME is accredited by the ACCME to provide continuing medical education for physicians.
The American Academy of CME designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Stanley B. Cohen, MD
Department of Internal Medicine
Southwestern Medical School
William F.C. Rigby, MD (Activity Director)
Professor of Medicine, Microbiology and Immunology
Division of Rheumatology
Department of Medicine
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire
According to the disclosure policy of the Academy, all faculty, planning committee members, editors, managers and other individuals who are in a position to control content are required to disclose any relevant relationships with any commercial interests related to this activity. The existence of these interests or relationships is not viewed as implying bias or decreasing the value of the presentation. All educational materials are reviewed for fair balance, scientific objectivity and levels of evidence. Disclosures are as follows:
Stanley B. Cohen, MD
Advisory Board – for scientific purposes: Bristol-Myers Squibb, Pfizer
Consultant – for clinical trial design: Amgen, Astellas Pharma, Dynavax, Pfizer
Grant/Research Support: Astellas Pharma, Amgen, Biogen-IDEC, Bristol-Myers Squibb, Genentech, Janssen (Centocor), Johnson & Johnson, Lilly, Merck, Pfizer, Hoffman-La Roche, Sanofi, UCB (Medical Director for Clinical Trials Center; Center has received grants for clinical trials.)
William F.C. Rigby, MD (Activity Director)
Advisory Board – for scientific information: Bristol-Myers Squibb, UCB Pharma
Consultant – for marketing purposes: Hoffman-La Roche
Consultant – for clinical trial design: Crescendo Bioscience, Hoffman-La Roche
Promotional Speakers’ Bureau: Hoffman-La Roche
Independent Clinical Peer Reviewer
Rodolfo V. Curiel, MD, Assistant Professor of Medicine, Rheumatology Fellowship, Program Director, The George Washington University, Washington, DC: No relevant financial relationships with any commercial interests.
John JD Juchniewicz, MCIS, CCMEP, American Academy of CME and Deborah Dean, Michelle Yechout, and Melinda Tanzola, PhD (editorial assistance provided), Alliance Medical Communications: No relevant financial relationships with any commercial interests.
Unapproved Product Use
This activity will not review off-label or investigational information.
This activity is designed for use by health care professionals for educational purposes only. The opinions expressed in this educational activity are those of the faculty, and do not represent those of the Academy or Alliance Medical Communications. This activity is intended as a supplement to existing knowledge, published information, and practice guidelines. Learners should appraise the information presented critically, and draw conclusions only after careful consideration of all available scientific information.
In addition, the American Academy of CME requires all faculty/authors to note the level of evidence for any patient care recommendation made during their presentations. For this activity, the Academy used the Category of Evidence and the Strength of Recommendation classification schemes from the 1999 British Medical Journal Clinical Guidelines (Shekelle PG, et al. Clinical Guidelines: Developing Guidelines. BMJ. 1999;318(7183):593-596.) for levels of evidence.
Category of Evidence:
| Ia ||Evidence for metaanalysis of randomized controlled trials|
| Ib ||Evidence from at least one randomized controlled trial|
| IIa ||Evidence from at least one controlled study without randomization|
| IIb ||Evidence from at least one other type of quasiexperimental study|
| III ||Evidence from nonexperimental descriptive studies, such as comparative studies, correlation studies, and casecontrol studies|
| IV ||Evidence from expert committee reports or opinions or clinical experience of respected authorities, or both|
Strength of Recommendation:
| A ||Directly based on category I evidence|
| B ||Directly based on category II evidence or extrapolated recommendation from category I evidence|
| C ||Directly based on category III evidence or extrapolated recommendation from category I or II evidence|
| D ||Directly based on category IV evidence or extrapolated recommendation from category I, II or III evidence|
The information presented at this activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician regarding diagnosis and treatment of a specific patient’s medical condition.
Jointly sponsored by:
If you have any questions relating to the accreditation for this activity, please contact:
John JD Juchniewicz, MCIS, CCMEP
American Academy of CME, Inc.
2275 West County Line Road
Jackson, NJ 08527
Support for this activity has been made possible through an independent educational grant from
There are no fees to participate in the activity. Participants must review the CME information including the learning objectives and disclosure statements, as well as the content of the activity. To receive CME credit for your participation, please complete the post-test (achieving a passing grade of 70% or greater), and program evaluation.
If you have any other questions relating to your certificate or other issues with this activity, please contact myCME.Support@haymarketmedical.com.
© 2012. This CME-certified activity is held as copyrighted © by the American Academy of CME and Alliance Medical Communications. Through this notice, the Academy and Alliance Medical Communications grant permission of its use for educational purposes only. These materials may not be used, in whole or in part, for any commercial purposes without prior permission in writing from the copyright owner(s).
WINDOWS PC SYSTEM REQUIREMENTS:
266-MHz Pentium II; Windows 98 or higher; 64 MB RAM; 800 x 600 screen resolution
set for “High Color (16-Bit)”; Macromedia Flash Player 6 or higher.
MACINTOSH® SYSTEM REQUIREMENTS:
Power Mac g3 at 300 MHz; System 8.5 or higher (excluding Mac OSX); 96 MB RAM; 20
MB minimum hard disk space available; 800 x 600 screen resolution set to “Thousands
of Colors”; Macromedia Flash Player 6 or higher.