What does a primary care annual review for RA include? A national GP survey
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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  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 . The aims of this study were to investigate what domains GPs report including in their annual review for patients with RA and to determine...
KeywordsRheumatoid Arthritis Rheumatoid Arthritis Patient Annual Review Secondary Care Rheumatoid Arthritis Disease Activity
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.
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- 3.NICE (2009) Rheumatoid arthritis: the management of rheumatoid arthritis in adults. www.nice.org.uk/guidance/cg79