Healthcare resource utilization and costs in stable patients with rheumatoid arthritis: Comparing nurse-led and rheumatologist-led models of care delivery
Authors' conclusion
A nurse-led model of care delivery for stable patients with RA was not associated with increases in healthcare resource utilization or cost as compared to RLC.
Study context
- Population
- Stable patients with RA
- Participants
- 244 patients
- Exposure
- Nurse-led care vs rheumatologist-led care for stable RA
- Outcome
- Mean per-patient healthcare resource utilization and direct cost (2020 Canadian dollars)
- Follow-up
- 1 year
Methodological detailslinked administrative data, Generalized Linear Models accounting for baseline differences
- Linked administrative data
- Generalized Linear Models accounting for baseline differences
Main finding
As reported in the abstract
Mean cost of health services
Nurse-led care (NLC)
$2275
mean · 2020 Canadian dollars
Rheumatologist-led care (RLC)
$3772
mean · 2020 Canadian dollars
P = 0.30
Observational data: associations, not effects.
Further findings
| Outcome | NLC | RLC | P value |
|---|---|---|---|
| Mean total cost · 1 yearRLC included more patients on biologic DMARDs | mean $3056 2020 Canadian dollars | mean $9191 2020 Canadian dollars | P < 0.01 |
- Hospitalizations · 1 year · NLC had fewer hospitalizations
- P = 0.03
Emergency department (ED) visits and visits to general practice, internal medicine physicians and orthopedic surgeons · 1 year
- No differences found
Original publication
Healthcare resource utilization and costs in stable patients with rheumatoid arthritis: Comparing nurse-led and rheumatologist-led models of care delivery. Semin Arthritis Rheum. Published 23 December 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →