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EULAR—The European Alliance of Associations for Rheumatology—believes that nurses are an essential a part of the well being care staff, particularly for offering evidence-based care and endorsing shared decision-making in session with the affected person. That is additionally essential contemplating the scarcity of rheumatologists in Europe, which implies delegation is important.
EULAR suggestions on the function of the nurse within the administration of power inflammatory arthritis cowl the contribution of rheumatology nursing in needs-based affected person training, satisfaction with care, well timed entry to care, illness administration, effectivity of care, psychosocial help and the promotion of self-management.
Two new research shared on the 2025 annual EULAR congress in Barcelona reinforce that place, highlighting the advantages that nurse-led care can deliver for each sufferers and well being care techniques.
Nurse-led care and self-monitoring can each help treat-to-target (T2T) approaches. Combining self-monitoring with nurse help throughout the initiation of urate-lowering remedy in individuals with gout might assist scale back doctor visits and prices whereas sustaining or enhancing high quality of care. The research shared by Jeffrey van der Ven checked out estimating the cost-effectiveness of nurse-led residence monitoring of serum urate in comparison with common administration in secondary care utilizing a decision-modeling strategy.
The modeled intervention concerned specialised rheumatology nurses remotely supporting sufferers in stepwise dose changes utilizing a T2T strategy primarily based on point-of-care testing for serum urate, which sufferers can carry out at residence. Common care relied on the identical T2T technique with commonplace hospital-based laboratory measurements and routine rheumatologist visits.
The findings confirmed residence monitoring was cost-effective with a imply incremental web financial advantage of €130. Enhancements in well being outcomes had been modest, however in comparison with common care the intervention saved time for rheumatologists resulting from job reallocation in the direction of rheumatology nurses—with rheumatologists saving 42.7 minutes, whereas nurses spent an additional 51.2 minutes.
This time saving might probably permit rheumatologists to see extra new sufferers. Future research ought to concentrate on methods to cut back the nurse time wanted whereas sustaining adherence—and automatic suggestions and danger stratification primarily based on home-monitored values is perhaps a promising subsequent step.
A clinic within the U.Ok. has been experimenting with utilizing nurses to hurry the time to biologic initiation for sufferers with inflammatory arthritis. Theresa Might presenting findings from a weekly biologic group training clinic led by an skilled nurse practitioner—instead of particular person face-to-face appointments.
Every clinic has two teams of three–4 sufferers, grouped in response to the category of biologics. In a gaggle appointment over half-hour, sufferers are knowledgeable of remedy advantages, dangers and unwanted effects, administration, and monitoring. A high quality enchancment undertaking and audit included 28 sufferers, and confirmed that ready instances from remedy choice to the training appointment improved from 46 to 10 days after implementation of group training clinics.
The weekly clinic capability for biologic training has elevated from 6 to 12–18 sufferers per clinic, with minimal affect on administrative burden. All sufferers reported that they discovered the classes helpful, interactive, and fascinating, and had been proud of the format—particularly the chance for peer help.
When requested to attain out of 10 (10=greatest), sufferers gave the general high quality of the session 9.85, and rated their confidence about biologic information after the session as 9.42. The authors conclude that nurse-led biologic group training clinics are a possible and efficient intervention for lowering ready instances for sufferers beginning biologic remedy, and might enhance affected person satisfaction.
Extra info:
van der Ven J, et al. Value-effectiveness of nurse-led residence monitoring of serum uric acid values for gout sufferers in secondary care: a modelling research. Introduced at EULAR 2025; OP0303. DOI: 10.1136/annrheumdis-2025-eular.B3248
Alcala TM, et al. Nurse-led Biologic Group Training Clinic for sufferers with inflammatory arthritis: A High quality Enchancment Venture. Introduced at EULAR 2025; OP0118-HPR. DOI: 10.1136/annrheumdis-2025-eular.C138
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European Alliance of Associations for Rheumatology, EULAR
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Research present nurses play a crucial function for individuals with rheumatic musculoskeletal illnesses (2025, June 13)
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