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  • Combining nurse-led care with patient self-assessment could enhance tight control of rheumatoid arthritis and management of comorbidities

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Primary health care
Randomised controlled trial
Combining nurse-led care with patient self-assessment could enhance tight control of rheumatoid arthritis and management of comorbidities
  1. Mwidimi Ndosi
  1. Correspondence to : Dr Mwidimi Ndosi, University of Leeds, School of Healthcare, Baines Wing, Leeds LS2 9JT, UK; m.e.ndosi{at}leeds.ac.uk

http://dx.doi.org/10.1136/eb-2015-102262

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    Commentary on: Dougados M, Soubrier M, Perrodeau E, et al. Impact of a nurse-led programme on comorbidity management and impact of a patient self-assessment of disease activity on the management of rheumatoid arthritis: results of a prospective, multicentre, randomised, controlled trial (COMEDRA). Ann Rheum Dis 2015;74:1725–33.OpenUrlAbstract/FREE Full Text

    Implications for practice and research

    • Patient self-monitoring of disease activity can improve tight control of rheumatoid arthritis (RA).

    • Nurse-led care can be used in the monitoring and management of comorbidities associated with RA.

    • Further research should assess wider acceptability, as well as the clinical and cost-effectiveness of a patient self-monitoring approach.

    Context

    ‘Tight control’ of rheumatoid arthritis (RA) is defined as the frequent assessment of disease activity and subsequent adjustments in medication in order to keep …

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