Cristin-resultat-ID: 1316628
Sist endret: 9. februar 2017, 12:54
NVI-rapporteringsår: 2016
Resultat
Vitenskapelig artikkel
2016

Involvement of the multidisciplinary team and outcomes in inpatient rehabilitation among patients with inflammatory rheumatic disease

Bidragsytere:
  • Till Uhlig
  • Olav Bjørneboe
  • Frode Krøll
  • Øyvind Palm
  • Inge Christoffer Olsen og
  • Margreth Grotle

Tidsskrift

BMC Musculoskeletal Disorders
ISSN 1471-2474
e-ISSN 1471-2474
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2016
Publisert online: 2016
Volum: 17
Artikkelnummer: 18
Open Access

Importkilder

Scopus-ID: 2-s2.0-84954480713
Scopus-ID: 2-s2.0-84991672323

Beskrivelse Beskrivelse

Tittel

Involvement of the multidisciplinary team and outcomes in inpatient rehabilitation among patients with inflammatory rheumatic disease

Sammendrag

Background The last decades have for patients with inflammatory rheumatic diseases seen a shift towards more physically active rehabilitation programs, often provided as out-patients with less use of inpatient facilities. There is little research on which effect the multidisciplinary team has on health outcomes for patients with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and connective tissue disease. This study examined patient reported outcomes for patients with inflammatory rheumatic diseases receiving rehabilitation care as inpatients in departments of rheumatology, and studied how number of consultations with the multidisciplinary team affected these clinical outcomes. Methods Patients with inflammatory rheumatic diseases were included in a multi-center prospective observational study if rehabilitation was considered a focus during an inpatient stay at four departments of rheumatology. At admission, discharge, and after 3 and 6 months, 317 patients were assessed with patients reported outcomes (PRO) including health assessment questionnaire (HAQ), short-form 36 (SF-36), pain, fatigue, patient global assessment of disease activity, self-efficacy scales, rheumatoid arthritis disease activity index (RADAI), and SF-6D utility. Patients stated consultations with the multidisciplinary team. Results Improvements were short-lived, and at 6 months follow-up period only mental health, pain and utility remained improved with small effect sizes. Extensive involvement of health professionals was not associated with improved outcomes. Conclusions Patients with inflammatory rheumatic disease receiving inpatient multidisciplinary rehabilitation had small and mainly short-term improvements in most PROs. High use of the multidisciplinary team did not enhance or preserve rehabilitation outcomes in inflammatory rheumatic conditions when admitted as inpatients. Keywords Patient care team – Rehabilitation – Outcome assessment – Rheumatoid arthritis – Psoriatic arthritis – Ankylosing spondylitis

Bidragsytere

Aktiv cristin-person

Tillmann Uhlig

Bidragsyterens navn vises på dette resultatet som Till Uhlig
  • Tilknyttet:
    Forfatter
    ved Nasjonal kompetansetjeneste for revmatologisk rehabilitering (NKRR) ved Diakonhjemmet sykehus
  • Tilknyttet:
    Forfatter
    ved Ortopedisk - Ullevål ved Universitetet i Oslo

Olav Bjørneboe

  • Tilknyttet:
    Forfatter
    ved Martina Hansens Hospital

Frode Krøll

  • Tilknyttet:
    Forfatter
    ved Revmatismesykehuset AS

Øyvind Palm

  • Tilknyttet:
    Forfatter
    ved Revmatologisk avdeling ved Sykehuset Østfold HF

Inge Christoffer Olsen

  • Tilknyttet:
    Forfatter
    ved Nasjonal kompetansetjeneste for revmatologisk rehabilitering (NKRR) ved Diakonhjemmet sykehus
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