Unmet Needs in the Treatment of RA in the Era of Jak-i: IDRA (Italian Delphi Rheumatoid Arthritis) Consensus

Table 3

Answers to the Delphi questionnaire. (Items 5 and 6). The table shows the Delphi questionnaire and the answers relating to the individual items. The answers given by the Delphi participants are expressed in numerical terms. The percentages indicate the sum of the answers related to nonconsensus (1, 2) and consensus (3, 4, and 5).

Maintain workability
5. One third of subjects with RA stop working at an early age. 30-40 of the patients show disability after 5 years of diagnosis. The desire to return to a normal working life is one of the main goals from the patient’s perspective. I believe that to achieve this goal it is important:
	1	2	3	4	5
5.1 Diagnosis and early treatment to avoid disability	1	0	1	8	38
	2		98
5.2 To Improve adherence to therapy	1	1	4	18	24
	4		96
5.3 To include the preservation of productivity as an integral part of the therapeutic goals of treatment	0	1	8	18	21
	2		98
5.4 To Evaluate the patient's work productivity / inability to work at least every six months in normal clinical practice	0	3	16	19	10
	6		94
Social Functioning
6. Although the “desire for normality" is very important for patients with RA, the aspect of social functioning has never been the main focus of RA publications. Therefore I think that in order to take into account the patients' perspective, it is appropriate
	1	2	3	4	5
6.1 To include the return to a normal social life among the treatment goals	0	1	7	24	16
	2		98
6.2 Use the SF-36 for global evaluation of the QoL	1	3	23	16	5
	8		92
6.3 Include the evaluation of social functioning in the objectives of clinical trials	0	2	18	20	8
	4		96
6.4 The sharing between doctor and patient of the possible impact of therapy on social life	0	1	6	22	19
	2		98

Abbreviations. RA: rheumatoid arthritis; SF-36: short form 36; QoL: quality of life.