Can standard rheumatology clinical practice be patient-based?

Br J Nurs. 2008;17(10):673-5. doi: 10.12968/bjon.2008.17.10.29485.

Abstract

Patient-reported outcome measures (PROMs) are an attractive option in standard clinical practice. However, they do need to be validated on a broader spectrum of disease activity. Another factor to consider is patient adherence to treatment programmes which is directly linked to their satisfaction with clinical outcome. A recently developed multidimensional health assessment questionnaire has proved to be valid, save time and provide permanent medical and medico-legal documentation of the patient status at a given time. The questionnaire gives patients the opportunity to record their joint pain from their own perspective. The aim of this work was to examine whether the patient's self-assessment of tender joint counts agrees with the physician's evaluation, and whether it correlates with other disease activity parameters.

Publication types

  • Validation Study

MeSH terms

  • Activities of Daily Living
  • Adult
  • Aged
  • Arthritis, Rheumatoid* / diagnosis
  • Arthritis, Rheumatoid* / prevention & control
  • Arthritis, Rheumatoid* / psychology
  • Attitude of Health Personnel
  • Female
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Nursing Evaluation Research
  • Outcome Assessment, Health Care / organization & administration
  • Pain Measurement / methods*
  • Pain Measurement / psychology
  • Patient Participation / methods*
  • Patient Participation / psychology
  • Patient-Centered Care / organization & administration*
  • Physicians / psychology
  • Rheumatology / organization & administration*
  • Severity of Illness Index*
  • Surveys and Questionnaires / standards