Evidence map›Paper›PMID 12804484›Full record

SynthesisThe Cochrane database of systematic reviews2003

Patient education for adults with rheumatoid arthritis.

R P Riemsma, J R Kirwan, E Taal, J J Rasker

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 14 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 14 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Information provision for stroke survivors and their carers.The Cochrane database of systematic reviews · 2021
    Pooled it
  5. Information provision for people with multiple sclerosis.The Cochrane database of systematic reviews · 2018
    Pooled it
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  7. Pooled it
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  12. Non-pharmacological interventions for fatigue in rheumatoid arthritis.The Cochrane database of systematic reviews · 2013
    Pooled it
  13. Information provision for stroke patients and their caregivers.The Cochrane database of systematic reviews · 2012
    Pooled it
  14. Guideline
  15. Trial
  16. Trial
  17. Trial
  18. Article
  19. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

R P RiemsmaNHS Centre for Reviews and DIssemination, University of York, Heslington, York, UK, YO10 5DD. rpr1@york.ac.uk
J R Kirwan
E Taal
J J Rasker

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBecause of the unpredictability people with arthritis face on a daily basis, patient education programmes have become an effective complement to traditional medical treatment giving people with arthritis the strategies and the tools necessary to make daily decisions to cope with the disease.

objectivesTo assess the effectiveness of patient education interventions on health status in patients with rheumatoid arthritis. SEARCH STRATEGY: We searched MEDLINE, EMBASE and PsycINFO and the Cochrane Controlled Trials Register. A selection of review articles (see references) were examined to identify further relevant publications. There was no language restriction. SELECTION CRITERIA: Randomised controlled trials (RCT's) evaluating patient education interventions that included an instructional component and a non-intervention control group; pre- and post-test results available separately for RA, either in the publication or from the studies' authors; and study results presented in full, end-of-study report. MAIN

resultsThirty-one studies with relevant data were included. We found significant effects of patient education at first follow-up for scores on disability, joint counts, patient global assessment, psychological status, and depression. A trend favouring patient education was found for scores on pain. Physician global assessment was not assessed in any of the included studies. The dimensions of anxiety and disease activity showed no significant effects. At final follow up no significant effects of patient education were found, although there was a trend favouring patient education for scores on disability. REVIEWER'S

conclusionsPatient education as provided in the studies reviewed here had small short-term effects on disability, joint counts, patient global assessment, psychological status and depression. There was no evidence of long-term benefits in adults with rheumatoid arthritis.

Indexed as

Arthritis, RheumatoidPatient Education as TopicAnti-Inflammatory Agents, Non-SteroidalHumansRandomized Controlled Trials as TopicAnti-Inflammatory Agents, Non-Steroidal

Identifiers

PMID12804484

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.