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  • Comparative Effectiveness Review of Disease-Modifying Antirheumatic Drugs
 
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This CME/CE activity is provided by PRIME Education, Inc. (PRIME®) and is accredited for a multi-disciplinary audience of health care practitioners. This activity is supported by contract number HHSA290201000006G from the Agency for Healthcare Research and Quality. User data collected through this activity will reside on PRIME's educational portal for use by AHRQ.

Summary of AHRQ's Comparative Effectiveness Review of Disease-Modifying Antirheumatic Drugs for Children with Juvenile Idiopathic Arthritis

To Receive a Certificate for This Activity:

Course Image
  1. 1. Read the Program Overview on this page.
  2. 2. Review the Faculty Biographies, Accreditation Statements, and Disclosure tabs.
  3. 3. Access the Activity in full.
  4. 4. Complete the Post-Test & Evaluation.
  5. 5. A printable certificate will be available immediately following the activity.

Program Overview

Activity Description

In September 2011, the Agency for Healthcare Research and Quality (AHRQ) published a comparative effectiveness review on conventional therapies, as well as newer synthetic and biologic disease-modifying antirheumatic drugs (DMARDs), for juvenile idiopathic arthritis (JIA). The review comprehensively examines findings from scientific studies on the benefits and risks of these treatments. The synthesis of this information clarifies the available evidence to guide clinicians and families in making appropriate treatment decisions. Potential clinical applications of the AHRQ review findings are presented in this continuing education monograph.

Learning Objectives

At the conclusion of this activity, the participant should be able to:

  • Compare the effectiveness of conventional treatments versus newer synthetic or biologic DMARDs for the following outcomes: symptoms, laboratory measures of inflammation, radiographic progression, and health status
  • Assess the comparative effectiveness of various DMARDs on key clinical, laboratory, and radiographic outcome measures
  • Summarize the rates and types of adverse events in comparisons between various DMARDs and between conventional treatments and DMARDs

Target Audience

This CME activity is designed to meet the educational needs of physicians, pharmacists, nurses and case managers.

Method of Participation

To receive a certificate for this activity, you should:

  • Complete the learner assessment pretest
  • View the entire activity online
  • Complete an online evaluation & post-test
  • Print your certificate online

The estimated time to complete this activity, including review of the materials, is 1.25 hours.

Term of Approval

December 31, 2011 through December 30, 2013. Original release date: December 31, 2011

Acknowledgement of Support

There is no fee for this CME/CE activity. This activity is sponsored by PRIME Education, Inc (PRIME®) and funded under contract HHSA290201000006G from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services (HHS).

Faculty Biographies and Disclosures

Click faculty name to view full biography.

Expert Faculty

Mark F Hoeltzel, MD
Section of Pediatric Rheumatology
Children's Mercy Hospital
Assistant Professor of Pediatrics
University of Missouri-Kansas City School of Medicine
Kansas City, MO

Planner

Heidi Wynn Maloni, PhD, ANP-BC
National Clinical Nursing Director
Department of Neurology
Multiple Sclerosis Center of Excellence, East
Veterans Affairs Medical Center
Adjunct Faculty
Trinity Nursing Program School of Professional Studies
Trinity Washington University
Clinical Preceptor and Instructor
Advanced Practice Programs
The Catholic University of America School of Nursing
Washington, DC

Planner

Michele B Kaufman, PharmD, BPharm, RPh
President
PRN Communications, Inc
Clinical Pharmacist
New York Downtown Hospital
New York, NY

Peer Reviewer

Michael N Baxley, MD, MS, MPH
Chief of Quality Medical Initiative
MCCI Medical Group
Miami, FL
President and Founder Physician
AUK DOK
Managed Care Consulting Service Company
Miami, FL

Peer Reviewer

Debbie DeMuria, PharmD, RPh
Clinical Pharmacist
Consultant, Regulatory Affairs
Southborough, MA

Peer Reviewer

Kathleen A Jarvis, MS, RN, CCM
Clinical Educator
Alere Healthcare
Fort Lauderdale, FL

Begin Activity

Accreditation/Credit Designation

Physician Credit Designation Statement

A C C M E Logo

PRIME Education, Inc. (PRIME®) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

PRIME® designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit. Physicians should claim only credit commensurate with the extent of their participation in the activity.

Physician Assistant Accreditation Statement

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME. Physician assistants may receive a maximum of 1.25 hours of Category I credit for completing this program.

Pharmacist Accreditation StatementA C P E Logo

This curriculum has been approved for 1.25 contact hours (0.125 CEUs) by PRIME®. PRIME® is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. The Universal Activity Number for this program is 0255-0000-11-035-H01-P. This learning activity is Knowledge-Based.

Nurse Accreditation StatementA N C C Logo

PRIME Education, Inc. (PRIME®) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

PRIME® designates this activity for 1.25 contact hours.

Case Manager Accreditation Statement

The Commission for Case Manager Certification designates this educational activity for 1.25 contact hours for certified case managers.

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Faculty Disclosures

Faculty Name
Advisory Board Consultant Grants / Research Salary / Contractual Supported Promotional Education Stock / Shareholder Other Financial Support
Mark F Hoeltzel, MD
Speaker
None None None None None None None
Heidi Wynn Maloni, PhD, ANP-BC
Planner
Sanofi-Aventis None None None None None None
Michele B Kaufman, PharmD, BPharm, RPh
Planner
None Ortho-McNeil Janssen None None None None None
Michael N Baxley, MD, MS, MPH
Reviewer
None None None None None None None
Debbie DeMuria, PharmD, RPh
Reviewer
None Millennium Pharmaceuticals, Inc None None None None None
Kathleen A Jarvis, MS, RN, CCM
Reviewer
None None None None None None None
Chris R Prostko, PhD
Scientific Program Director
NoneNoneNonePRIME®NoneNoneNone
Lynn Goldenberg, RN, BSN
Director of Accreditation & Compliance
NoneNoneNonePRIME®NoneNoneNone

Disclosure Policy

PRIME Education Inc (PRIME®) endorses the standards of the ACCME, as well as those of the AANP, ANCC and ACPE, that require everyone in a position to control the content of a CME/CE activity to disclose all financial relationships with commercial interests that are related to the content of the CME/CE activity. CME/CE activities must be balanced, independent of commercial bias and promote improvements or quality in healthcare. All recommendations involving clinical medicine must be based on evidence accepted within the medical profession.

A conflict of interest is created when individuals in a position to control the content of CME/CE have a relevant financial relationship with a commercial interest which therefore may bias his/her opinion and teaching. This may include receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, stocks or other financial benefits.

PRIME® willidentify, review and resolve all conflicts of interest that speakers, authors, course directors, planners, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for speakers, authors, course directors, planners, peer reviewers, and/or relevant staff are provided with this activity.

Presentations that provide information in whole or in part related to non FDA approved uses of drugs and/or devices will disclose the unlabeled indications or the investigational nature of their proposed uses to the audience. Participants should refer to the official prescribing information for each product for discussion of approved indications, contraindications and warnings. Participants should verify all information and data before treating patients or employing any therapies prescribed in this educational activity. The opinions expressed in the educational activity are those of the presenting faculty and do not necessarily represent the views of PRIME®, the ACCME, AANP, ACPE, ANCC and other relevant accreditation bodies.

Content validation methods are consistently utilized by PRIME® to ensure that all program content is evidence-based, fair-balanced, and developed with scientific rigor and integrity. All clinical recommendations are based on evidence accepted within the medical profession. All scientific research referred to, reported or used to support a clinical recommendation conforms to accepted standards of experimental design, data collection and analysis. In addition to review of content by course directors and expert faculty, content is also validated through independent peer reviewers selected for their expertise in the content area, as well as their experience in the intended audience. All peer reviewers, planners, course directors, faculty and relevant staff utilized by PRIME® complete disclosures which are related to their role in the educational activity.

Accessibility

PRIME®is committed to providing access to our CME programs for individuals with disabilities as identified in Section 508 of the Rehabilitation Act for all web-based programs. This website is 508 compliant.

Begin Activity

Pretest

To access the activity, please complete this brief Pretest.

  • Returning user? Login Here!
  1. Before accessing this educational activity, were you aware of the AHRQ-supported comparative effectiveness research on treatments for juvenile idiopathic arthritis (JIA)?

  2. Which of the following is the most extensively evaluated outcome measure for assessing functional status and disability in children with JIA?

  3. Which of the following statements is FALSE regarding the findings from the AHRQ review on JIA treatments?

  4. How would you describe your current level of confidence in applying comparative effectiveness research on treatments for JIA?

  5. How valuable is comparative effectiveness research on treatments for JIA in making patient-centered treatment and management decisions?

  6. If you had a clinician guide/consumer guide on treatments for JIA, what would you most likely do?

  7. A 10-year-old girl with a 2-year history of JIA presents to the pediatric rheumatologist. Although the patient is receiving treatment with methotrexate, she is currently experiencing joint symptoms. For assessing disease severity, which of the following measures would be appropriate? Check all that apply.

Post-Test & Evaluation

You must access the activity before receiving credit!

Clinician & Consumer Summaries on JIA

Download these free summaries for your reference and/or patient handouts. You may also order bulk copies free of charge from the AHRQ Publication Clearinghouse below.

AHRQ Clearinghouse Bulk Order Form

Returning user? Login Here
  • (Limit 200)
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  • Alternatively, you can call the AHRQ Publications Clearinghouse at 1-800-358-9295. Reference the title and product number above.