In 2010 the European League Against Rheumatism (EULAR) published recommendations for CVR management, which advocated CVR assessment in all patients with RA and to consider this in patients with other types of inflammatory arthritis (IA). Nurses are increasingly undertaking CVR assessment and management. We aimed to explore nurses' role in assessing and managing CVR in Europe, in order to suggest recommendations for future development and research in this area regarding persons with IA.
A systematic literature search was conducted in Embase, Cinahl, Cochrane, PsychInfo and PubMed. European articles from the past 10 years were included if they described how nurses assessed and or managed cardiovascular risk.
Trained nurses are undertaking CVR assessment and management in different settings and groups of patients. The assessments include blood-pressure, body mass index, waist circumference, glucose and lipid-profile, adherence to medication and behavioural risk factors (unhealthy diet, physical inactivity, alcohol use and smoking). Different tools were used to calculate the patients' risk. Risk management differed from brief advice to long term follow-up. Nurses tend to take a holistic and individually tailored approach. Examples of inclusion of rheumatology nurses in these tasks are scarce. With proper training, risk assessment, -communication and -management are highly relevant tasks for the rheumatology nurse to undertake in patients with IA. Further studies are needed to assess the patients' perspective, effectiveness and cost-effectiveness of nurse-led risk assessment and management in reducing patients' risk for development of diabetes and CVD.
Disclosure of Interest None declared
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