Axial Spondyloarthritis Clinical Trial
Official title:
COmorbidities and EDucation in SpondyloArthritis Study (COMEDSPA) Evaluation of Standardized Follow-up in Axial Spondyloarthritis
Giving both the gap existing between the current recommendations to prevent/detect
comorbidities and the clinical practice in patients suffering from spondyloarthritis and also
the specificity of some recommendations to rheumatic diseases, it seems logical to check
these recommendations in a rheumatologic "environment".
This study with its two parts should be able to demonstrate:
- The importance of a systematic evaluation of comorbidities in Spondyloarthritis,
- The utility of a nurse-led program of self-assessment and self-management of the disease
Patients with spondyloarthritis will be invited by their rheumatologists to participate at
this study in 21 centers in France.
500 patients are planned to be included.
After written informed consent will be obtained, the patients will be randomized in two arms:
- comorbidities
- self-assessment/self-management The patients will be seen again in the same center 12
months later in order to collect the outcome measures
The two primary objectives of this trial are :
- To evaluate the impact of a nurse led program of self-assessment of disease
activity/severity and self-management on the level of satisfaction/coping
- To evaluate the impact of a nurse led program of assessment of comorbidities on the
management of such comorbidities
The Secondary objectives are:
- To evaluate the prevalence of comorbidities in SpA;
- To evaluate the level of adherence to recommendations of prevention of comorbidities;
- To evaluate the impact of the nurse led program of self-assessment / self-management on
the amount of NSAID (Non-steroidal Anti-Inflammatory Drugs) intake and the level of
disability (e.g. functional disability)
;
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