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Dr Haris F. Murad Dr. Kamran Hameed - Pakistan Society for ...

Dr Haris F. Murad Dr. Kamran Hameed - Pakistan Society for ...

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<strong>Dr</strong>. <strong>Kamran</strong> <strong>Hameed</strong><br />

<strong>Dr</strong> <strong>Haris</strong> F. <strong>Murad</strong>


There has been a need <strong>for</strong> an effective<br />

plat<strong>for</strong>m to record patient progress<br />

Clinic notes are not very comprehensive<br />

Calculating disease activity scores is difficult<br />

Compiling data <strong>for</strong> research is tedious<br />

Physicians find the task of recording patient<br />

progress daunting.<br />

Lack of data on RA in <strong>Pakistan</strong>


Meteor is an online application designed to<br />

record data of RA patients.<br />

Captures patient data and records outcomes<br />

over time, allowing the visualization of<br />

trends.<br />

Enhance and simplify rheumatologistpatient<br />

relationships


Provides a central database that can be used <strong>for</strong><br />

publications, case studies or general research.<br />

Comparison with international data from peers<br />

that can be used as a benchmark.<br />

Helpful in achieving institutional and individual<br />

target goals.


Record data on printed<br />

<strong>for</strong>ms<br />

Tender/swollen joint count<br />

and global assessment<br />

taken with physician<br />

HAQ questionnaire filled<br />

after consult<br />

Uploaded online<br />

Takes around 5<br />

minutes to fill<br />

A total of 200<br />

patients have been<br />

uploaded Over a<br />

period of 4.5<br />

months from 3/2012<br />

to 7/2012


www.meteorapplication.com


Basic Patient Data Report<br />

Scope:<br />

Patients with a visit from:<br />

Until:<br />

Number of patients<br />

Duration since debut of symptoms<br />

Duration since date of diagnoses<br />

Age<br />

Female<br />

hameed<br />

2011-07-10<br />

2012-07-10<br />

Total number of patients with RF status<br />

% Patients with positive RF<br />

% Patients with negative RF<br />

Total number of patients with aCCP status<br />

% Patients with positive aCCP<br />

% Patients with negative aCCP<br />

Total number of patients with erosions status<br />

% Patients with positive erosions<br />

% Patients with negative erosions<br />

Count /<br />

Percentage<br />

200<br />

85.9<br />

111<br />

86.5<br />

13.5<br />

39<br />

92.3<br />

7.7<br />

13<br />

69.2<br />

30.8<br />

Average<br />

(years)<br />

9.7 8.1<br />

7.8 7.6<br />

47.5 12.6<br />

SD Range<br />

0.4 - 40.5<br />

0.2 - 34.5<br />

10.4 - 80.5


12<br />

10<br />

8<br />

6<br />

4<br />

2<br />

0<br />

11<br />

9.7<br />

9.5<br />

7.8<br />

Duration since Debut of Sx Duration since Date of Dx<br />

Meteor<br />

Our Experience


70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

58.9<br />

Age<br />

47.5<br />

Meteor<br />

Our Experience


100<br />

90<br />

80<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

72.4<br />

%age Females<br />

85.9<br />

Meteor<br />

Our Experience


100<br />

90<br />

80<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

67.7<br />

86.5<br />

60.9<br />

92.3<br />

51.4<br />

69.2<br />

RF aCCP Erosions<br />

Meteor<br />

Our Experience


45<br />

40<br />

35<br />

30<br />

25<br />

20<br />

15<br />

10<br />

5<br />

0<br />

10.5<br />

10.8<br />

20.9<br />

CRP ESR<br />

41.3<br />

Meteor<br />

Our Experience


Indicator Meteor Our Experience<br />

DAS (4) 1.8 1.9<br />

DAS 28(4) 3.2 3.6<br />

Patient Global 34.9 38.1<br />

Physician Global 27.8 31.8


80<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

Percentage of patients<br />

Methotrexate, 73<br />

Leflunomide,<br />

55.4<br />

HCQ, 23.5<br />

Sulfasalazine,<br />

13.7<br />

Biologics, 2<br />

Methotrexate Leflunomide HCQ Sulfasalazine Biologics


40<br />

35<br />

30<br />

25<br />

20<br />

15<br />

10<br />

5<br />

0<br />

35.2<br />

21.7<br />

19.5<br />

25.8<br />

DAS 28 (4) remission DAS 28 (4) low disease<br />

activity<br />

Meteor<br />

Our Experience


, SDAI, CDAI, HAQ Graphs report<br />

nts with a visit from: 2011-07-10 Scope:<br />

l: 2012-07-10 Time interval: Quarter


Using this tool it is easy to capture patient<br />

data and record outcomes over time<br />

Provides a central database that can be used<br />

<strong>for</strong> research.<br />

Enhances and simplifies rheumatologistpatient<br />

relationships.<br />

We strongly recommend all to start recording<br />

data with meteor


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