Evidence map›Paper›PMID 33677724›Full record

Trial reportClinical rheumatology2021

Patient-controlled outpatient follow-up on demand for patients with rheumatoid arthritis: a 2-year randomized controlled trial.

René Panduro Poggenborg, Ole Rintek Madsen, Anne-Marie Tetsche Sweeney, Lene Dreyer, Gunhild Bukh, Annette Hansen

Erratum issued Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04476875 (Patient-controlled Outpatient Follow-up on Demand for Patients With Rheumatoid Arthritis), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% of its field
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.

NCT04476875 nacompletednot on this map

Patient-controlled Outpatient Follow-up on Demand for Patients With Rheumatoid Arthritis: a Two-year Randomized Trial

TypeinterventionalSponsorUniversity Hospital, Gentofte, CopenhagenRan2015 to 2017Enrolled282ConditionsRheumatoid ArthritisArmsOpen Outpatient Clinic Programme
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

René Panduro PoggenborgCenter for Rheumatology and Spine Diseases, Copenhagen University Hospital Gentofte, Copenhagen, Denmark. poggenborg@dadlnet.dk.ORCID http://orcid.org/0000-0002-2231-5084
Ole Rintek MadsenCenter for Rheumatology and Spine Diseases, Copenhagen University Hospital Gentofte, Copenhagen, Denmark.
Anne-Marie Tetsche SweeneyCenter for Rheumatology and Spine Diseases, Copenhagen University Hospital Gentofte, Copenhagen, Denmark.
Lene DreyerCenter for Rheumatology and Spine Diseases, Copenhagen University Hospital Gentofte, Copenhagen, Denmark.
Gunhild BukhCenter for Rheumatology and Spine Diseases, Copenhagen University Hospital Gentofte, Copenhagen, Denmark.
Annette HansenCenter for Rheumatology and Spine Diseases, Copenhagen University Hospital Gentofte, Copenhagen, Denmark.
Gentofte Hospital · DKAalborg University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionScheduled routine visits in patients with rheumatoid arthritis (RA) may be in a stable period without active disease. Consequently, there is a demand for developing outpatient control procedures which cater to the needs of the individual patient.

objectiveThis study aims to compare a patient-controlled outpatient follow-up system, Open Outpatient Clinic Programme (OOCP), with traditional scheduled routine follow-up (TSRF) regarding patient satisfaction and disease activity markers in RA patients.

methodIn a 2-year randomized controlled trial, RA patients were allocated to OOCP or TSRF. OOCP patients had no scheduled appointments but were allowed acute appointments with their rheumatologist and had access to nurse-led consultations and a telephone helpline. Appointments for the TSRF group were scheduled according to routine procedures (clinical parameters: DAS-28, C-reactive protein, VAS pain, tender and swollen joint count, HAQ-DI and radiographs; psychological parameters: VAS patient satisfaction and EQ-5D).

resultsOf 282 patients, 239 completed the study (OOCP/TSRF characteristics: age 61.4 ± 10.5/60.9 ± 12.2 years, females 77/74%, ACPA positive 66/65%). At years 1 and 2, OCCP had fewer visits (year 2: 2.6 ± 1.6 vs. 3.5 ± 2; p < 0.0005) but more phone calls (year 2: 0.7 ± 1.4 vs. 0.1 ± 0.3; p < 0.0005) compared to TSRF. OOCP was comparable to TSRF regarding clinical and psychological outcome measures, and no radiographic progression was observed.

conclusionsOOCP was associated with significantly fewer visits but with more phone calls to the nurse and was comparable with TSGentofte University HospitalRF regarding clinical, psychological and radiographic outcomes. Thus, the organization of outpatient care according to OOCP may be applied to strengthen patient-centred care in patients with RA. ClinicalTrials.gov Identifier (July 20, 2020): NCT04476875 Key points • In a patient-controlled outpatient follow-up system, RA patients had significantly fewer visits compared to traditional follow-up. • The patient-controlled follow-up system was comparable with traditional follow-up regarding clinical, psychological and radiographic outcomes. • Organization of outpatient care according to a patient-controlled follow-up system may be applied to strengthen patient-centred care in patients with RA.

Indexed as

Arthritis, RheumatoidOutpatientsAgedAmbulatory CareFemaleFollow-Up StudiesHumansMiddle AgedPatient SatisfactionOutpatient follow-up on demandRheumatoid arthritis

Identifiers

PMID33677724
PMCPMC7936865
OpenAlexW3135274962

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.