Evidence map›Paper›PMID 23772698›Full record

Trial reportJournal of advanced nursing2014

Randomized controlled trial of a nurse-led rheumatology clinic for monitoring biological therapy.

Ingrid Larsson, Bengt Fridlund, Barbro Arvidsson, Annika Teleman, Stefan Bergman

Abstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of advanced nursing, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 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

28 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  5. Nurses as substitutes for doctors in primary care.The Cochrane database of systematic reviews · 2018
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  6. Evaluation of a multidisciplinary care model to improve quality of life in rheumatoid arthritis: a randomised controlled trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ingrid LarssonSchool of Health Sciences, Jönköping University, Sweden.
Bengt FridlundSchool of Health Sciences, Jönköping University, Sweden.
Barbro ArvidssonResearch and Development Centre, Spenshult Hospital, Oskarström, Sweden.
Annika TelemanSpenshult Hospital for Rheumatic diseases, Spenshult Hospital, Oskarström, Sweden.
Stefan BergmanResearch and Development Centre, Spenshult Hospital, Oskarström, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare and evaluate the treatment outcomes of a nurse-led rheumatology clinic and a rheumatologist-led clinic in patients with low disease activity or in remission who are undergoing biological therapy.

backgroundPatients with chronic inflammatory arthritis treated with biological therapy are usually monitored by rheumatologists. Nurse-led rheumatology clinics have been proposed in patients with low disease activity or in remission.

designRandomized controlled trial.

methodsA 12-month follow-up trial was conducted between October 2009 and August 2011, where 107 patients were randomized into two groups with a 6-month follow-up to a nurse-led rheumatology clinic based on person-centred care (intervention group; n = 53) or to a rheumatologist-led clinic (control group; n = 54). The hypothesis was that the nurse-led clinic outcomes would not be inferior to those obtained from a rheumatologist-led clinic at the 12-month follow-up. The primary outcome was disease activity measured by Disease Activity Score 28.

resultsA total of 47 patients in the intervention group and 50 in the control group completed the 12-month trial. The trial revealed no statistically significant differences between groups in mean change of Disease Activity Score 28, Visual Analogue Scales for pain, the Health Assessment Questionnaire, satisfaction with or confidence in obtaining rheumatology care.

conclusionPatients with stable chronic inflammatory arthritis undergoing biological therapy could be monitored by a nurse-led rheumatology clinic without difference in outcome as measured by the Disease Activity Score 28.

Indexed as

Practice Patterns, Nurses'Activities of Daily LivingAdultAgedAged, 80 and overAmbulatory CareArthritis, RheumatoidBiological TherapyFemaleHumansMaleMiddle AgedNursesPain MeasurementPatient-Centered CarePatient Satisfactionbiological therapyinterventionnurse-led rheumatology clinicperson-centred carerandomized controlled trial

Identifiers

PMID23772698
PMCPMC4285750

What OpenQuestion holds

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Registered trials

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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.