{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T09:14:45Z","timestamp":1775294085076,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care & Research"],"published-print":{"date-parts":[[2026,4]]},"abstract":"\n Objective<\/jats:title>\n We aimed to compare clinical outcomes between patients in the Allegheny Health Network rheumatoid arthritis (RA) care pathway and patients receiving usual care.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The care pathway initiative implements guideline\u2010based best practice alongside multidisciplinary team\u2010based care. Clinical and insurance claims data were extracted to compare the proportion of patients in clinical disease activity index (CDAI)\u2013based remission and evaluate health care utilization and per\u2010member per\u2010month (PMPM) costs of care.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The RA care pathway cohort included 817 patients, and the usual care cohort included 3,651 patients. The care pathway cohort had a significantly higher proportion of patients achieving remission at 6, 12, and 24 months (33.5% vs 20.3%; hazard ratio 1.53, 95% confidence interval 1.11\u20132.10;\n P<\/jats:italic>\n = 0.008 at 24 months), and on average, remission occurred 64 days earlier than usual care. This trend was also observed when including patients with low disease activity with those in remission and in a subgroup analysis of newly diagnosed RA. RA\u2010related PMPM costs were significantly higher in the care pathway group and primarily related to higher baseline CDAI, comorbidities, and biologic\/targeted synthetic disease modifying antirheumatic drug use and switching.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Patients in our RA care pathway were more likely to achieve remission than those in usual care. PMPM RA costs were higher compared to usual care. We plan to use a longer follow\u2010up to investigate if improved clinical outcomes result in reduced direct and indirect costs, to study the impact of individual team\u2010based care interventions, and to validate our findings in other populations.<\/jats:p>\n \n \n \n image<\/jats:alt-text>\n <\/jats:graphic>\n <\/jats:boxed-text>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/acr.25649","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T10:03:02Z","timestamp":1758016982000},"page":"512-519","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Outcomes of Patients Within the Rheumatoid Arthritis Care Pathway Cohort at a Tertiary Care Integrated Delivery Network: A Comparison to Usual Care"],"prefix":"10.1002","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6378-6547","authenticated-orcid":false,"given":"Tarun","family":"Sharma","sequence":"first","affiliation":[{"name":"Allegheny Health Network Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyson S.","family":"Barrett","sequence":"additional","affiliation":[{"name":"Highmark Health Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teigan","family":"Dwyer","sequence":"additional","affiliation":[{"name":"Highmark Health Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"Campbell","sequence":"additional","affiliation":[{"name":"Allegheny Health Network Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Heintzinger","sequence":"additional","affiliation":[{"name":"Allegheny Health Network Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen","family":"Kraemer","sequence":"additional","affiliation":[{"name":"Allegheny Health Network Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Dore","sequence":"additional","affiliation":[{"name":"Allegheny Health Network Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Manzi","sequence":"additional","affiliation":[{"name":"Allegheny Health Network Pittsburgh 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