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Efficacy and cost-effectiveness of nurse-led care involving education and engagement of patients and a treat-to-target urate-lowering strategy versus usual care for gout: a randomised controlled trial.
The Lancet ( IF 98.4 ) Pub Date : 2018-10-20 , DOI: 10.1016/s0140-6736(18)32158-5
Michael Doherty , Wendy Jenkins , Helen Richardson , Aliya Sarmanova , Abhishek Abhishek , Deborah Ashton , Christine Barclay , Sally Doherty , Lelia Duley , Rachael Hatton , Frances Rees , Matthew Stevenson , Weiya Zhang

In the UK, gout management is suboptimum, with only 40% of patients receiving urate-lowering therapy, usually without titration to achieve a target serum urate concentration. Nurses successfully manage many diseases in primary care. We compared nurse-led gout care to usual care led by general practitioners (GPs) for people in the community.

中文翻译:

与痛风患者的常规护理相比,护士主导的护理(涉及患者的教育和参与以及降低目标的尿酸盐治疗策略)的疗效和成本效益:一项随机对照试验。

在英国,痛风的治疗效果欠佳,只有40%的患者接受降低尿酸盐的治疗,通常不进行滴定即可达到目标血清尿酸盐浓度。护士成功地管理了许多初级保健疾病。我们将护士主导的痛风护理与全科医生(GPs)为社区居民提供的常规护理进行了比较。
更新日期:2018-10-19
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