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Adult nursing
Emerging evidence for nurse-led interventions in patients with systemic lupus erythematosus and systemic sclerosis
  1. Anne-Marie Tetsche Sweeney1,2,
  2. Mwidimi Ndosi1,2
  1. 1 School of Health and Social Wellbeing, University of the West of England, Bristol, Bristol, UK
  2. 2 Academic Rheumatology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK
  1. Correspondence to Dr Mwidimi Ndosi, School of Health and Social Wellbeing, University of the West of England, Bristol, Bristol, UK; Mwidimi.Ndosi{at}

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Commentary on: Wojeck RK, Arcoleo K, Hathaway EC, Somers TJ. Nurse-led interventions in systemic autoimmune rheumatic diseases: a systematic review. BMC Nurs. 2023 Jul 4;22(1):232. doi: 10.1186/s12912-023-01393-8.

Implications for practice and research

  • Nurse-led interventions may improve patient outcomes in systemic lupus erythematosus and systemic sclerosis.

  • More high-quality nurse-led intervention studies with both clinical and patient-reported outcomes are needed to have generalisable conclusions.


Over the last two decades, rheumatology nurse-led care has evolved to become a specialist service providing comprehensive and personalised care to patients with inflammatory arthritis and systemic autoimmune rheumatic diseases such as systemic lupus erythematosus (SLE), systemic sclerosis (SSc) and other rare autoimmune rheumatic diseases.1–3 In inflammatory arthritis, nurse-led care has been shown to improve clinical and patient-reported outcomes, and lower healthcare costs.2 4 However, little is known about the effectiveness of nurse-led interventions in patients …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.