Comorbidity Management in Rheumatic Disease.

Официальное название

Comorbidity Management in Rheumatic Disease: Assessing a Potential Care Gap in Patients With Rheumatoid Arthritis.

Обзор

Rheumatoid arthritis is a disease where the immune system attacks the body by mistake, causing inflammation of the joints and other body parts. People with rheumatoid arthritis are at higher risk of infections, heart problems, and bone issues compared to others. They regularly see rheumatologists, arthritis care physicians, to manage their disease. However, managing these other health problems alongside their main treatment is difficult for rheumatologists due to limited resources. This clinical study is being conducted to see if adding a family doctor to a team of rheumatologists can help. Rheumatologists will complete a case report form about the patient's health and send them to a special family physician clinic. This clinic will focus on improving vaccination against diseases, heart health, and bone strength. They will check if patients need special vaccines to protect them from infections. They will screen for heart disease using blood pressure measurements, and order blood work for high cholesterol and diabetes if needed. They will also review bone health and send people for tests to check their bone density if needed. A change in routines and medications may be recommended after their checkup. Rheumatologists will complete another case report about the patient's health 6 months after their family doctor appointment. The study will assess how these markers of health management improve after this family doctor joins the team. It hopes to prove that this new way of working in the community will give people with rheumatoid arthritis better protection against certain infections, heart problems and weak bones.

Вмешательства

• Другое Primary Care Rheumatology Family Physician Consultation
  The participant will be booked with a primary care rheumatology family physician for rheumatoid arthritis comorbidity screening. They will complete weight, height, blood pressure measurement, assess for risk factors for dyslipidemia, type 2 diabetes, hypertension, bone mineral density loss and vaccine preventable infectious diseases.

Первичные конечные точки

• Care Gap: Pneumococcal vaccination [Срок оценки: 6 months]
• Care Gap: Cardiovascular screening [Срок оценки: 6 months]
• Care Gap: Osteoporosis screening [Срок оценки: 6 months]

Вторичные конечные точки (2)

• Care Gap: vaccine-preventable diseases (herpes zoster, influenza and COVID-19) [Срок оценки: 6 months]
• Care Gap: Comorbidity treatment with medication [Срок оценки: 6 months]

Критерии участия

Критерии включения

• Patients of the Waterloo Rheumatology Community Clinic
• Aged 18 to 80 years of age
• Diagnosis of rheumatoid arthritis
• Minimum of limited working proficiency in English
• No significant cognitive impairment that can inhibit their ability to engage in the study

Критерии исключения

• Age less than 18 years or greater than 80 years
• Significant cognitive impairment that impedes ability to engage in the study
• Unwilling to participate in the study
• Patients currently pregnant will be excluded from the study

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Не применимо

Модель

Одна группа

Маскирование

Открытое

Основная цель

Поддерживающая терапия

Центры проведения

Канада · 1 центр

• Waterloo Rheumatology — Waterloo

Идентификаторы

NCT: NCT06579222 · 125677

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗