TY - JOUR
T1 - Efficacy of embedded nurse-led versus conventional physician-led follow-up in rheumatoid arthritis
T2 - a systematic review and meta-analysis
AU - de Thurah, Annette
AU - Esbensen, Bente Appel
AU - Roelsgaard, Ida Kristiane
AU - Frandsen, Tove Faber
AU - Primdahl, Jette
PY - 2017/8/1
Y1 - 2017/8/1
N2 - Objective To compare the efficacy of embedded nurse-led versus conventional physician-led follow-up on disease activity in patients with rheumatoid arthritis (RA). Methods In a systematic literature search, we identified randomised controlled trials (RCTs) reporting on the efficacy of nurse-led follow-up on disease control in patients with RA compared with physician-led follow-up. Primary outcome was disease activity indicated by Disease Activity Score (DAS)-28. Secondary outcomes were: patient satisfaction, physical disability, fatigue, self-efficacy and quality of life. Outcomes were assessed after 1-year and 2 year follow-ups. Results Seven studies representing five RCTs, including a total of 723 participants, were included. All but one study included stable patients in low disease activity or remission at baseline. No difference in DAS-28 was found after 1 year (mean difference (MD) a '0.07 (95% CI a '0.23 to 0.09)). After 2 years, a statistically significant difference was seen in favour of nurse-led follow-up (MD a '0.28 (95% CI a '0.53 to a '0.04)). However, the difference did not reach a clinically relevant level. No difference was found in patient satisfaction after 1 year (standard mean difference (SMD) a '0.17 (95 % CI a '1.0 to 0.67), whereas a statistical significant difference in favour of nurse-led follow-up was seen after 2 years (SMD: 0.6 (95% CI-0.00 to 1.20)). Conclusion After 1 year no difference in disease activity, indicated by DAS-28, were found between embedded nurse-led follow-up compared with conventional physician-led follow-up, in RA patients with low disease activity or remission.
AB - Objective To compare the efficacy of embedded nurse-led versus conventional physician-led follow-up on disease activity in patients with rheumatoid arthritis (RA). Methods In a systematic literature search, we identified randomised controlled trials (RCTs) reporting on the efficacy of nurse-led follow-up on disease control in patients with RA compared with physician-led follow-up. Primary outcome was disease activity indicated by Disease Activity Score (DAS)-28. Secondary outcomes were: patient satisfaction, physical disability, fatigue, self-efficacy and quality of life. Outcomes were assessed after 1-year and 2 year follow-ups. Results Seven studies representing five RCTs, including a total of 723 participants, were included. All but one study included stable patients in low disease activity or remission at baseline. No difference in DAS-28 was found after 1 year (mean difference (MD) a '0.07 (95% CI a '0.23 to 0.09)). After 2 years, a statistically significant difference was seen in favour of nurse-led follow-up (MD a '0.28 (95% CI a '0.53 to a '0.04)). However, the difference did not reach a clinically relevant level. No difference was found in patient satisfaction after 1 year (standard mean difference (SMD) a '0.17 (95 % CI a '1.0 to 0.67), whereas a statistical significant difference in favour of nurse-led follow-up was seen after 2 years (SMD: 0.6 (95% CI-0.00 to 1.20)). Conclusion After 1 year no difference in disease activity, indicated by DAS-28, were found between embedded nurse-led follow-up compared with conventional physician-led follow-up, in RA patients with low disease activity or remission.
U2 - 10.1136/rmdopen-2017-000481
DO - 10.1136/rmdopen-2017-000481
M3 - Review
C2 - 28879053
SN - 2056-5933
VL - 3
JO - RMD Open
JF - RMD Open
IS - 2
M1 - e000481
ER -