Advertisement

Topics

Nurse-led Clinic for Patients With Rheumatic Diseases and Biological Treatment

2014-08-27 03:15:49 | BioPortfolio

Summary

Randomized controlled trial including 100 subjects with rheumatic diseases and biological treatment with a 28 point-Disease Activity Score(DAS28)3.2 or less. The subjects will be randomized to either nurse-led clinic or rheumatologist-led clinic. The hypothesis is that there will be no difference in DAS28 between the two groups after 1 year follow-up.

Description

Aim To compare nurse-led clinic and rheumatologist-led clinic regarding results of treatment, and health economic costs.

Intervention Rheumatologist-led clinic: The subjects are seeing a rheumatologist after six months and after 12-months of intervention and have the possibility to contact the rheumatology clinic.

Nurse-led clinic: The subjects are seeing a rheumatology nurse after six months and a rheumatologist after 12 months of intervention and have the possibility to contact the rheumatology nurse during the intervention.

Outcome measures:

Main outcome: DAS28 and costs for the clinics respectively.

Secondary outcome: HAQ (Health Assessment Questionnaire), VAS-pain (Visual Analog Scale), VAS-global health, VAS-satisfaction, VAS-security/trust, Tender joints, swollen joints, Quality of life-EQ5D, Effective consumer survey 17, Inflammatory parameters in blood.

Study Design

Allocation: Randomized, Control: Active Control, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Conditions

Rheumatic Diseases

Intervention

Nurse-led clinic vs rheumatologist-led clinic

Location

Spenshult Hospital
Oskarström
Sweden
S-31392

Status

Recruiting

Source

Spenshult Hospital

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-08-27T03:15:49-0400

Clinical Trials [1975 Associated Clinical Trials listed on BioPortfolio]

Trial of a Nurse Led Hypertension Clinic in Inner City General Practices

The investigators will do a trial in two general practices to see if the introduction of a blood pressure clinic staffed by a specialist nurse supported by visiting consultant improves blo...

Effects on Liver Cirrhotic Patients' by a Nurse-led Clinic

This study compare the effects of traditional follow-up by physician with a combined follow-up alternately by physician and nurse-led clinic. The main variables are; health related quality...

Rheumatic Diseases and Computer Use

Computers allow individuals to engage in economic, social, and entertainment activities. Despite the many benefits of computer use, many individuals with rheumatic diseases may have diffic...

Atrial Fibrillation (AF) Clinic to Improve the Treatment of Patients With Atrial Fibrillation.

- Randomized controlled trial comparing specialized AF Clinic with 'care as usual' - Hypothesis: treatment of AF patients in the AF-Clinic by a nurse, specialised in AF, using gu...

Assessment of Tender & Swollen Joints Count Score Performed by a Rheumatologist And Rheumatology Nurses in Patients With RA and PsA.

This study will establish a comparison in follow-up care of 100 patients between Health Care Practitioners, more specifically the rheumatologist and a trained nurse. The study objective is...

PubMed Articles [9915 Associated PubMed Articles listed on BioPortfolio]

Relevance and feasibility of a systematic screening of multimorbidities in patients with chronic inflammatory rheumatic diseases.

EULAR recently proposed to screen multimorbidities in chronic inflammatory rheumatic diseases. The aims of the study were to (i) define the most common multimorbidities in chronic inflammatory rheumat...

Assessing Unwanted Variations in Rheumatology Clinic Previsit Rooming.

Rheumatologists face time pressures similar to primary care but have not generally benefitted from optimized team-based rooming during the time from the waiting room until the rheumatologist enters th...

The Context of Patients' Lives.

I try to touch base with the clinic nurses each day before patients and physicians (in that order) start arriving and the usual busyness of the day takes over. A recent early morning conversation cent...

Nurse Practitioner Triage of the Neurosurgical Patient: A Patient-Centered Care Delivery Model.

Nurse practitioners (NPs) are helping to bridge the gap not only in primary care but also in specialty practice. In an outpatient, neurosurgical spinal clinic in the midwest, patient volume exceeded p...

Cost-Effectiveness of Warfarin Medication Therapy Adherence Clinic versus Usual Medical Clinic at Kuala Lumpur Hospital.

Systematic anticoagulation management clinic is recommended to manage patients on chronic warfarin therapy. In Malaysia, the service was introduced as warfarin medication therapy adherence clinic (WMT...

Medical and Biotech [MESH] Definitions

An approach, process, or methodology which emphasizes credible evidence and the best available scientific knowledge, judiciously integrated to achieve the best possible outcomes in structural design. For example, the design of a new OUTPATIENT CLINIC might incorporate a review of published research on outpatient clinic design, decisions on similar past projects, along with interviews with staff and consumers.

Healthcare setting managed by medical personnel in training.

Persons who receive ambulatory care at an outpatient department or clinic without room and board being provided.

Any waste product generated by a dental office, surgery, clinic, or laboratory including amalgams, saliva, and rinse water.

An area in a clinic, unit, or ward in a health care facility that serves as the administrative center for nursing care. (from Mosby's Medical Dictionary, 8th ed)

More From BioPortfolio on "Nurse-led Clinic for Patients With Rheumatic Diseases and Biological Treatment"

Advertisement
Quick Search
Advertisement
Advertisement

 

Relevant Topics

Biological Therapy
Biological therapy involves the use of living organisms, substances derived from living organisms, or laboratory-produced versions of such substances to treat disease. Some biological therapies for cancer use vaccines or bacteria to stimulate the body&rs...

Nutrition
Within medicine, nutrition (the study of food and the effect of its components on the body) has many different roles. Appropriate nutrition can help prevent certain diseases, or treat others. In critically ill patients, artificial feeding by tubes need t...


Searches Linking to this Trial