Objectives There is a need for implementing the knowledge of cardiovascular (CV) risk in patients with rheumatoid arthritis (RA) into clinical practice. Our aim was to evaluate CV risk factor (CVRF) recording in a rheumatology outpatient clinic (ROC), where the standard was annual CVRF recording. A second aim was to compare CVRF recording between a regular ROC (RegROC) and an arthritis clinic (AC), which consisted of a structured, team-based model.
Methods In 2012, 1142 RA patients visited the ROC of the Hospital of Southern Norway. Of these 612 attended RegROC and 530 attended AC. We conducted a search in the patients' hospital records to identify recording of CVRFs.
Results CVRFs were recorded in 38.2% of the patients. All the CVRFs included in the European CV risk calculator, systematic coronary risk evaluation (SCORE) were recorded in only 26.9% of the patients. Overall, the rate of CVRF recording was 50.4% for blood pressure, 47.0% for total cholesterol, 30.7% for fasting blood glucose, 33.7% for HbA1c, 66.2% for smoking, 22% for CV medication and 20.2% for CV co-morbidities. When comparing AC versus RegROC, odds ratios for CVRFs being recorded in the patient journal was for: BP: 12.4, the various lipids: 5.0-6.0, fasting blood glucose: 9.1, HbA1c: 6.1, smoking: 1.4, CV medication: 6.3 and CV co-morbidities: 6.4.
Conclusions The overall CVRF recordings were low in a ROC, although a systematic team-based model increased CVRF recording significantly; it was still suboptimal compared to what is shown for other high CV risk patients. There is an unmet need for systems improving CVRF recording in RA patients.
Disclosure of Interest None declared