Evidence map›Paper›PMID 26315715›Full record

ArticleArthritis care & research2016

Rheumatologist and Primary Care Management of Cardiovascular Disease Risk in Rheumatoid Arthritis: Patient and Provider Perspectives.

Christie M Bartels, Tonya J Roberts, Karen E Hansen, Elizabeth A Jacobs, Andrea Gilmore, Courtney Maxcy, Barbara J Bowers

Abstract read
In one paragraph

Article in Arthritis care & research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  7. Management of Rheumatoid Arthritis in Primary Care: A Scoping Review.International journal of environmental research and public health · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Christie M BartelsUniversity of Wisconsin, Madison.
Tonya J RobertsUniversity of Wisconsin, Madison.
Karen E HansenUniversity of Wisconsin, Madison.
Elizabeth A JacobsUniversity of Wisconsin, Madison.
Andrea GilmoreUniversity of Wisconsin, Madison.
Courtney MaxcyUniversity of Wisconsin, Madison.
Barbara J BowersUniversity of Wisconsin, Madison.

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Impact of Rheumatologist Communication Upon Managing Cardiovascular Risk in RAK23AR062381 · NIAMS · UNIVERSITY OF WISCONSIN-MADISON · PI BARTELS, CHRISTIE MICHELS · 2012 to 2015
$423k
NCATS NIH HHS UL1 TR000427NIAMS NIH HHS K23 AR062381NIAMS NIH HHS K23-AR-062381NIAMS NIH HHS L30 AR063469PHS HHS ULTR000427
6 · The paper itself

Abstract

objectiveDespite increased cardiovascular disease (CVD) risk, rheumatoid arthritis (RA) patients often lack CVD preventive care. We examined CVD preventive care processes from RA patient and provider perspectives to develop a process map for identifying targets for future interventions to improve CVD preventive care.

methodsThirty-one participants (15 patients, 7 rheumatologists, and 9 primary care physicians [PCPs]) participated in interviews that were coded using NVivo software and analyzed using grounded theory techniques.

resultsPatients and providers reported that receipt of preventive care depends upon identifying and acting on risk factors, although most noted that both processes rarely occurred. Engagement in these processes was influenced by various provider-, system-, visit-, and patient-related conditions, such as patient activation or patients' knowledge about their risk. While nearly half of patients and PCPs were unaware of RA-CVD risk, all rheumatologists were aware of risk. Rheumatologists reported not systematically identifying risk factors, or, if identified, they described communicating about CVD risk factors via clinic notes to PCPs instead of acting directly due to perceived role boundaries. PCPs suggested that scheduling PCP visits could improve CVD risk management, and all participants viewed comanagement positively.

conclusionFindings from this study illustrate important gaps and opportunities to support identifying and acting on CVD risk factors in RA patients from the provider, system, visit, and patient levels. Future work should investigate professional role support through improved guidelines, patient activation, and system-based RA-CVD preventive care strategies.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticePerceptionPreventive Health ServicesPrimary Health CareRheumatologyAdultAgedAged, 80 and overArthritis, RheumatoidCardiovascular DiseasesFemaleGuideline AdherenceHealth Care SurveysHumansInterviews as Topic

Identifiers

PMID26315715
PMCPMC4893805

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.