The identification, goals and principles of difficult-to-treat inflammatory arthritis: a consensus statement

Egyptian Rheumatology and Rehabilitation

Table 2 Breakdown of statements’ level of agreement, its individual mean and SD as rated by the experts’ opinion

Statements	1–3	4–6	7–9	Mean	SD
1. Terminology and definition of D2T
1.1 Terminology and definition of D2T	0	2	16	8.17	1.17
1.2 Challenges in identifying D2T	0	1	17	8.61	0.76
2. Characteristics of D2T
2.1 Patient characteristics	0	0	18	8.39	0.83
2.2 Illness characteristics	0	0	18	8.61	0.49
2.3 Treatment history	0	1	17	8.5	0.96
2.4 Assessment of D2T	0	0	18	8.39	0.83
2.5 Assessment of comorbidities	0	0	18	8.83	0.37
2.6 In what aspect D2T is different	1	0	17	8.39	1.83
3. Goals of management of D2T
3.1 Goal 1: Optimum symptom control	0	1	17	8.73	0.72
3.2 Goal 2: Reduce risks of flare-up/relapse	0	1	17	8.56	1.012
3.3 Goal 3: Optimize QOL/functioning	0	0	18	8.72	0.45
3.4 Goal 4: Optimize treatment adherence	0	0	18	8.67	0.47
4. Principles of management of D2T
4.1 Principle 1: Shared decision making	0	0	18	8.78	0.42
4.2 Principle 2: Measurement-based treatment	0	0	18	8.67	0.47
4.3 Principle 3: Enhance engagement and regular monitoring under care of the service	0	0	18	8.67	0.58
4.4 Principle 4: Adopting self-management to empower the patients	0	0	18	8.39	0.68
4.5 Principle 5: Set up ‘integrated patient-centered service pathways	0	1	17	8.39	1.06
4.6 Principle 6: Frequent re-assessment and consideration of treatment direction	0	0	18	8.61	0.59
5. Tackling of D2T in standard practice
5.1 Treatment strategy	0	0	18	8.67	0.67
5.2 Measuring treatment success	0	0	18	8.72	0.56