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Updated: Sep 18, 2025

Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
Published on: May 16, 2025
Comparing nurse-led and rheumatologist-led care for rheumatoid arthritis patients: a systematic review and
Weiwei Gu1, Xiangfu Ding2, Xu Han3
1Jilin University, China-Japan Union Hospital, Department of Gastrointestinal Surgery, Changchun, Jilin, China.
Objective:
This study aimed to compare nurse-led and rheumatologist-led management approaches for patients with rheumatoid arthritis, as previous studies yielded inconsistent results.
Method:
This study explored the PubMed, Embase, and Web of Science databases for research comparing these two therapy methods for individuals with rheumatoid arthritis. Outcomes analyzed were the Health Assessment Questionnaire, fatigue, stiffness, Disease Activity Score for 28 joints using C-reactive protein, Disease Activity Score for 28 joints, erythrocyte sedimentation rate, C-reactive protein, and visual analog scale pain score.
Results:
Six randomized controlled trials with 1,093 patients were included following the Cochrane Collaboration principles. The baseline parameters were similar between groups, except for the Disease Activity Score for 28 joints, satisfaction levels, and disease duration. Pooled analyses demonstrated that the nurse-led care group tended to improve relevant assessment indicators relative to the rheumatologist-led care group.
Conclusion:
The meta-analysis results suggest that rheumatoid arthritis patients in nurse-led care tend to have a better functional status and disease activity trend than those in rheumatologist-led care.
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