Patient‐initiated hospital follow‐up for rheumatoid arthritis

Hewlett, Sarah; Mitchell, Kathryn; Haynes, Julie; Paine, Thomas F.; Korendowych, Eleanor; Kirwan, John R.

doi:10.1093/rheumatology/39.9.990

Cited by 49 publications

(73 citation statements)

References 14 publications

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“…26 A trial conducted in Bristol randomised 209 RA patients to shared care (no routine hospital review but rapid access on request) or traditional hospital care (routine review every 3-4 months) for 2 years. 27 At the end of the trial, the shared care group reported significantly less pain and reported greater satisfaction with their care. The overall cost for managing the shared care group was £208 per patient per year compared with £313 per patient per year for the traditional care group.…”

Section: Setting For the Delivery Of Rheumatology Carementioning

confidence: 93%

“…This gave the added advantage of further evaluating a model of shared care that is already being advocated in many parts of the country. 27 The trial was a multicentred, randomised, controlled, observer-blinded study of effectiveness and cost-effectiveness.…”

Section: Methodsmentioning

confidence: 99%

“…The closest in design is the study by Hewlett and colleagues 27 which found equivalent outcome in patients in shared care but at reduced cost. The costs were assessed from the perspective of the NHS only.…”

Section: Costs Of Rheumatoid Arthritismentioning

confidence: 99%

See 2 more Smart Citations

The British Rheumatoid Outcome Study Group (BROSG) randomised controlled trial to compare the effectiveness and cost-effectiveness of aggressive versus symptomatic therapy in established rheumatoid arthritis

Symmons

Tricker²,

Roberts³

et al. 2005

Health Technol Assess

111

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Section: Setting For the Delivery Of Rheumatology Carementioning

confidence: 93%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

The British Rheumatoid Outcome Study Group (BROSG) randomised controlled trial to compare the effectiveness and cost-effectiveness of aggressive versus symptomatic therapy in established rheumatoid arthritis

Symmons

Tricker²,

Roberts³

et al. 2005

Health Technol Assess

111

View full text Add to dashboard Cite

show abstract

“…An awareness of this adds meaning and weight to the concept of patient choice and working in partnership with the patient. It is also an argument in favour of patient-initiated review (Hewlett et al, 2000) and telephone advice lines, as these give the patient a sense of control through the knowledge that they can call on specialist resources when they need them. For the health professional, a knowledge of control theory can be valuable in identifying those people who are least well adapted to their illness and who need additional support and/or education in order to feel in control.…”

Section: Relevance Of Control Theory To People With Ramentioning

confidence: 99%

Can the application of control theory assist patient management in rheumatoid arthritis?

Mann

2010

Musculoskeletal Care

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Supporting patient self-management is an important part of the care of patients with rheumatoid arthritis (RA) but patients vary in their capacity and willingness to manage their illness and may feel overwhelmed by the challenge of controlling the impact on their life. This paper discusses the value and importance of control theory and how it might be applied to enhance patients' self-management. Not only does it offer a means of identifying those who might have greatest difficulty in managing their illness, but it also points the way to effective interventions.

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“…The patient serves as his or her own control, thus reducing measurement error and variation -and management can be effective even without patient visits, as documented in elegant studies by Hewlett and Kirwan 19,20 .…”

Section: To the Editormentioning

confidence: 99%

Dr. Pincus replies

Pincus¹

2009

J Rheumatol

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Patient‐initiated hospital follow‐up for rheumatoid arthritis

Abstract: A patient-initiated system for hospital review over 2 yr offers some clinical benefit compared with the traditional system, using fewer resources and attracting greater patient confidence. Longer-term assessment of the system would be appropriate.

Cited by 49 publications

References 14 publications

The British Rheumatoid Outcome Study Group (BROSG) randomised controlled trial to compare the effectiveness and cost-effectiveness of aggressive versus symptomatic therapy in established rheumatoid arthritis

The British Rheumatoid Outcome Study Group (BROSG) randomised controlled trial to compare the effectiveness and cost-effectiveness of aggressive versus symptomatic therapy in established rheumatoid arthritis

Can the application of control theory assist patient management in rheumatoid arthritis?

Dr. Pincus replies

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