Cardiovascular disease risk assessment in patients with rheumatoid arthritis: a scoping review
Loading...
Files
Published Version
Date
2024-05-11
Authors
Murphy, Louise M.
Saab, Mohamad M.
Cornally, Nicola
McHugh, Sheena M.
Cotter, Patrick
Journal Title
Journal ISSN
Volume Title
Publisher
Springer Nature
Published Version
Abstract
Patients with rheumatoid arthritis (RA) have an increased risk of developing cardiovascular disease (CVD). Identification of at-risk patients is paramount to initiate preventive care and tailor treatments accordingly. Despite international guidelines recommending all patients with RA undergo CVD risk assessment, rates remain suboptimal. The objectives of this review were to map the strategies used to conduct CVD risk assessments in patients with RA in routine care, determine who delivers CVD risk assessments, and identify what composite measures are used. The Joanna Briggs Institute methodological guidelines were used. A literature search was conducted in electronic and grey literature databases, trial registries, medical clearing houses, and professional rheumatology organisations. Findings were synthesised narratively. A total of 12 studies were included. Strategies reported in this review used various system-based interventions to support delivery of CVD risk assessments in patients with RA, operationalised in different ways, adopting two approaches: (a) multidisciplinary collaboration, and (b) education. Various composite measures were cited in use, with and without adjustment for RA. Results from this review demonstrate that although several strategies to support CVD risk assessments in patients with RA are cited in the literature, there is limited evidence to suggest a standardised model has been applied to routine care. Furthermore, extensive evidence to map how health care professionals conduct CVD risk assessments in practice is lacking. Research needs to be undertaken to establish the extent to which healthcare professionals are CVD risk assessing their patients with RA in routine care.
Description
Keywords
Cardiovascular disease , Rheumatoid arthritis , Scoping review , Cardiovascular risk assessment , Patient assessment , Routine care
Citation
Murphy, L., Saab, M.M., Cornally, N., McHugh, S. and Cotter, P. (2024) ‘Cardiovascular disease risk assessment in patients with rheumatoid arthritis: A scoping review’, Clinical Rheumatology, 43(7), pp. 2187–2202. doi: https://doi.org/10.1007/s10067-024-06996-3.