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Clinical Rheumatology

, Volume 35, Issue 8, pp 2137–2138 | Cite as

What does a primary care annual review for RA include? A national GP survey

  • S. L. HiderEmail author
  • M. Blagojevic-Bucknall
  • R. Whittle
  • K. Clarkson
  • N. Mangat
  • R. Stack
  • K. Raza
  • C. D. Mallen
Letter to the Editor

Sir

Patients with rheumatoid arthritis (RA) are at increased risk of comorbidities particularly cardiovascular disease and osteoporosis [1, 2]. NICE standards of care for rheumatoid arthritis (RA) recommend patients should receive a holistic annual review that should include an assessment of disease activity and severity, active screening for and management of comorbidities [3] and assessment of the impact of RA on quality of life. In 2013, RA was included in the Quality Outcomes Framework (QOF) of the UK general practice contract. General practitioners (GPs) were incentivised to provide a face to face annual review for RA patients, including cardiovascular and fracture risk screening, mirroring the routine care for patients with other long-term conditions such as diabetes—a model which improves quality of care and clinically important outcomes [4]. The aims of this study were to investigate what domains GPs report including in their annual review for patients with RA and to determine...

Keywords

Rheumatoid Arthritis Rheumatoid Arthritis Patient Annual Review Secondary Care Rheumatoid Arthritis Disease Activity 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

This manuscript presents independent research funded by the National Institute for Health Research (NIHR). CDM is funded by the NIHR Collaborations for Leadership in Applied Health Research and Care West Midlands, the NIHR School for Primary Care Research and a NIHR Research Professorship in General Practice (NIHR-RP-2014-04-026). MB is funded by an NIHR School for Primary Care Fellowship. RW is funded by an NIHR Research Methods Fellowship. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.

Compliance with ethical standards

Disclosures

None.

References

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    Scott DL, Wolfe F, Huizinga TW (2010) Rheumatoid arthritis. Lancet 376(9746):1094–1108CrossRefPubMedGoogle Scholar
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    Gullick NJ, Scott DL (2011) Co-morbidities in established rheumatoid arthritis. Best Pract Res Clin Rheumatol 25(4):469–483CrossRefPubMedGoogle Scholar
  3. 3.
    NICE (2009) Rheumatoid arthritis: the management of rheumatoid arthritis in adults. www.nice.org.uk/guidance/cg79
  4. 4.
    Kontopantelis E, Reeves D, Valderas JM, Campbell S, Doran T (2013) Recorded quality of primary care for patients with diabetes in England before and after the introduction of a financial incentive scheme: a longitudinal observational study. BMJ Qual Saf 22(1):53–64CrossRefPubMedGoogle Scholar

Copyright information

© International League of Associations for Rheumatology (ILAR) 2015

Authors and Affiliations

  • S. L. Hider
    • 1
    • 2
    Email author
  • M. Blagojevic-Bucknall
    • 1
  • R. Whittle
    • 1
  • K. Clarkson
    • 1
  • N. Mangat
    • 1
    • 3
  • R. Stack
    • 3
    • 4
  • K. Raza
    • 3
    • 5
  • C. D. Mallen
    • 1
  1. 1.Arthritis Research UK Primary Care CentreKeele UniversityKeeleUK
  2. 2.Haywood Rheumatology CentreHaywood HospitalStoke on TrentUK
  3. 3.Rheumatology Research GroupUniversity of BirminghamBirminghamUK
  4. 4.Division of PsychologyNottingham Trent UniversityNottinghamUK
  5. 5.Department of RheumatologySandwell and West Birmingham Hospitals NHS TrustBirminghamUK

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