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首页> 美国卫生研究院文献>Springer Open Choice >An educational leaflet improves response to invitation for screening for arthritis in patients with psoriasis in primary care but only in practices in the most deprived areas
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An educational leaflet improves response to invitation for screening for arthritis in patients with psoriasis in primary care but only in practices in the most deprived areas

机译：教育传单可以改善对银屑病患者在初级保健中筛查关节炎的反应但仅限于最贫困地区的实践

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This study hypothesises that an educational leaflet about psoriatic arthritis (PsA) will improve psoriasis patients’ attendance for screening for PsA. A random sample of patients ≥18 years old with a coded diagnosis of psoriasis and no diagnosis of PsA, rheumatoid arthritis or ankylosing spondylitis were identified from five GP surgeries in Yorkshire, UK. Patients were randomised 1:1 to receive study information alone or with the educational leaflet, with an invitation to attend for a screening examination by a dermatologist and rheumatologist. Nine hundred thirty-two invitation packs were sent to recruit 191 (20.5%) participants. One hundred sixty-nine (88.5%) had current or previous psoriasis and 17 (10.1%) had previously undiagnosed PsA. The estimated prevalence of PsA was 18.1% (95% CI: 16.2, 20.1%).The response rate was lower than expected and was not significantly higher when patients received the educational leaflet (22.8 vs 18.3%, p = 0.08). Response rates varied by practice (14.7 to 30.6%). However, deprivation scores for each practice revealed a significant increase in response with the leaflet for deprivation decile of 3 (p < 0.001) but no significant differences in the other practices. An educational leaflet about PsA improves attendance for screening in primary care, but only in those practices with higher levels of socioeconomic deprivation.
机译：这项研究的假设是，有关银屑病关节炎（PsA）的教育传单将提高牛皮癣患者对PsA进行筛查的机会。从英国约克郡的五次全科医生手术中，随机抽取≥18岁的患者，对牛皮癣进行编码诊断，未诊断出PsA，类风湿性关节炎或强直性脊柱炎。患者按1：1的比例随机分配，以单独或通过教育传单接收研究信息，并应邀参加皮肤科医生和风湿病学家的筛查。发送了392个邀请包，以招募191名（20.5％）参与者。 169例（88.5％）患有当前或先前的牛皮癣，另有17例（10.1％）先前未诊断出PsA。 PsA的估计患病率为18.1％（95％CI：16.2，20.1％）。当患者接受教育传单时，缓解率低于预期并且没有显着提高（22.8 vs 18.3％，p = 0.08）。响应率因实践而异（14.7至30.6％）。但是，每种做法的剥夺分数都显示剥夺十分位数为3的传单的响应显着增加（p <0.001），但其他做法没有显着差异。有关PsA的教育传单可提高初级保健筛查的出席率，但仅限于那些社会经济贫困程度较高的实践中。

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