The aim was to study the different strategies used to implement cardiovascular risk evaluation and management for patients with rheumatoid arthritis (RA) in daily clinical practice. A questionnaire survey was performed among both the members of the international Trans-Atlantic Cardiovascular Risk Consortium for Rheumatoid Arthritis (ATACC-RA) as well as the Survey of cardiovascular disease risk factors (CVD-RF) in patients with RA (SURF-RA) group. The questionnaire included 18 questions with the overarching topics: (1) organization and responsibility of cardiovascular risk management (CVRM); (2) screening of CVD-RFs; (3) overview current CVRM status; and (4) availability of data regarding CVRM. Based on the answers, two researchers (JW, PR) independently categorized the different strategies. Thirteen out of 27 rheumatology centers responded to the questionnaire. One rheumatology center did not have organized CVRM for their RA patients. Among the other centers, three strategies to organize CVRM in daily practice were distinguished: (1) the rheumatologist performs CVRM during outpatient visits (n = 6); (2) cardiologists and rheumatologists co-operate in a cardio-rheuma-clinic/team with different tasks and responsibilities (n = 3); and (3) the general practitioner screens and intervenes on CVD-RFs (n = 3). Each CVRM strategy was based on agreements between medical professionals and was also dependent on the national healthcare system and available financial resources. Three strategies were identified for CVRM implementation in daily clinical practice based on who is primarily responsible for performing CVRM. More research is warranted to compare their relative merits and effectiveness in relation to CVRM.

中文翻译：

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类风湿关节炎患者的心血管风险管理指南实施策略：专家风湿病学中心问卷调查的结果。

目的是研究日常临床实践中用于对类风湿关节炎（RA）患者实施心血管风险评估和管理的不同策略。国际跨大西洋类风湿关节炎心血管风险协会（ATACC-RA）和RA患者的心血管疾病危险因素（CVD-RF）调查（SURF-RA）均进行了问卷调查组。问卷包括18个问题，这些问题具有首要主题：（1）心血管风险管理（CVRM）的组织和职责；（2）CVD-RFs的筛查；（3）概述当前CVRM状态；（4）有关CVRM的数据可用性。根据答案，两名研究人员（JW，PR）分别对不同的策略进行了分类。27个风湿病学中心中有13个对问卷进行了回复。一个风湿病中心没有为其RA患者组织CVRM。在其他中心中，区分了在日常实践中组织CVRM的三种策略：（1）风湿病学家在门诊就诊时进行CVRM（n = 6）；（2）心脏病专家和风湿病专家在有不同任务和职责的心肺风湿诊所/团队中合作（n = 3）；（3）全科医生筛选并干预CVD-RF（n = 3）。每个CVRM策略均基于医疗专业人员之间的协议，并且还取决于国家医疗保健系统和可用的财务资源。根据谁主要负责执行CVRM，在日常临床实践中确定了三种CVRM实施策略。