Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

RA Patients’ Care Goals Reviewed Extensively

Musculoskeletal Care; ePub 2016 Dec 14; Hulen, et al

Patients' goals when receiving care for rheumatoid arthritis (RA) are multidimensional and span several facets of everyday life, a recent study found. Goals for RA care should be collaboratively developed between patients and providers, with particular attention to the patient's life context and priorities. A search of medical literature was done using a specialized algorithm developed to identify articles about patient goals for RA care. Investigators screened search results according to pre-specified inclusion criteria and then reviewed included articles and synthesized the evidence qualitatively, utilizing an inductive approach. They found:

  • A total of 909 titles were retrieved in the literature search, of which 871 were excluded after a title/abstract screen.
  • Of the remaining 38, 22 papers were included in the final review.
  • Investigators identified 4 major themes in the literature: (a) the bodily experience of RA; (b) achieving normalcy and maintaining wellness; (c) social connectedness and support; and (d) interpersonal and healthcare system interactions.

Citation:

Hulen E, Ervin A, Schue A, et al. Patient goals in rheumatoid arthritis care: A systematic review and qualitative synthesis. [Published online ahead of print December 14, 2016]. Musculoskeletal Care. doi:10.1002/msc.1173.