AB1165 Effectiveness of Nursing Consultations in Rheumatology: Results from the Score Study

BackgroundNursing Consultations in Rheumatology (NCR) are organizational care models that provide care centred on the rheumatology patient within the scope of a nurse's abilities.ObjectivesTo analyze the effectiveness and quality of care of NCR.MethodsNational multicenter observational prospective cohort study one year follow-up, comparing patients attending rheumatology services with and without NCR. NCR was defined by the presence: 1) Office itself; 2) at least one dedicated nurse, albeit part-time; 3) own agenda citation; and 4) phone.Variables included were (baseline, 6 and 12 months): a) Clinical activity, research and training, infrastructure of unit and resources of NCR); b) Socio-demographics, work productivity (WPAI), assessment of rheumatic disease, use of services and treatments, quality of life, knowledge of the disease and treatment and perceived quality of care. Analysis: Chi square, Fischer's test, t-Student test, Mann–Whitney U test, Wilcoxon and McNemar's tests were used.ResultsA total of 393 patients were included: 181NCR and 212 not NCR, corresponding to 39 units, 21 with NCR and 18 without NCR (age 53±11,8 vs 56±13,5 years); females 70% vs 61% and AR 78.5% vs 75,5%. Statistically significant differences were found in patients attended in sites without NCR for the following parameters: higher CRP level (5.9±8.3 vs 4.8±7.8; p