Publications by authors named "S Provan"

65 Publications

Inflammatory Joint Diseases and Risk of Cardiovascular Disease in Modern Rheumatology.

J Rheumatol 2021 Mar;48(3):311-313

I.J. Berg, MD, PhD, Consultant Rheumatologist; S.A. Provan, MD, PhD Associate Professor, Consultant Rheumatologist, Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.

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http://dx.doi.org/10.3899/jrheum.201134DOI Listing
March 2021

Effects of a mindfulness-based and acceptance-based group programme followed by physical activity for patients with fibromyalgia: a randomised controlled trial.

BMJ Open 2021 Jun 29;11(6):e046943. Epub 2021 Jun 29.

Division of Rheumatology and Research, Diakonhjemmet Hospital, Norwegian National Advisory Unit on Rehabilitation in Rheumatology, Oslo, Norway.

Introduction: Non-pharmacological approaches are recommended as first-line treatment for patients with fibromyalgia. This randomised controlled trial investigated the effects of a multicomponent rehabilitation programme for patients with recently diagnosed fibromyalgia in primary and secondary healthcare.

Methods: Patients with widespread pain ≥3 months were referred to rheumatologists for diagnostic clarification and assessment of study eligibility. Inclusion criteria were age 20-50 years, engaged in work or studies at present or during the past 2 years, and fibromyalgia diagnosed according to the American College of Rheumatology 2010 criteria. All eligible patients participated in a short patient education programme before inclusion and randomisation. The multicomponent programme, a 10-session mindfulness-based and acceptance-based group programme followed by 12 weeks of physical activity counselling was evaluated in comparison with treatment as usual, that is, no treatment or any other treatment of their choice. The primary outcome was the Patient Global Impression of Change (PGIC). Secondary outcomes were self-reported pain, fatigue, sleep quality, psychological distress, physical activity, health-related quality of life and work ability at 12-month follow-up.

Results: In total, 170 patients were randomised, 1:1, intervention:control. Overall, the multicomponent rehabilitation programme was not more effective than treatment as usual; 13% in the intervention group and 8% in the control group reported clinically relevant improvement in PGIC (p=0.28). No statistically significant between-group differences were found in any disease-related secondary outcomes. There were significant between-group differences in patient's tendency to be mindful (p=0.016) and perceived benefits of exercise (p=0.033) in favour of the intervention group.

Conclusions: A multicomponent rehabilitation programme combining patient education with a mindfulness-based and acceptance-based group programme followed by physical activity counselling was not more effective than patient education and treatment as usual for patients with recently diagnosed fibromyalgia at 12-month follow-up.

Trial Registration Number: BMC Registry (ISRCTN96836577).
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http://dx.doi.org/10.1136/bmjopen-2020-046943DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8245472PMC
June 2021

Use of video consultations in an outpatient rheumatology clinic.

Tidsskr Nor Laegeforen 2021 05 19;141(8). Epub 2021 May 19.

Background: Due to the COVID-19 pandemic, the implementation of video consultations as an alternative to hospital face-to-face consultations was advanced for persons with rheumatic diseases at Diakonhjemmet Hospital. Video consultations were introduced in March 2020, and this article presents the experiences gained by healthcare professionals and patients.

Material And Method: The data was collected in June 2020 through focus-group interviews with healthcare professionals and through an anonymous online survey of patients who had attended video consultations during a period of three weeks in June 2020.

Results: The data from the focus-group interviews with seven rheumatologists and seven nurses were sorted into main thematic categories: patient, healthcare professional, consultation, and technology. The healthcare professionals felt that video consultations, with some exceptions, were appropriate in the follow-up of patients with rheumatic diseases, and especially for stable patients with no confounding issues. Of the 383 patients who were invited to participate, 139 (36 %) responded to the survey. The patients were largely satisfied with the video consultation, with a median score of 10 (quartiles 8-10) on a numerical rating scale from 0 to 10, however, 32 (27 %) patients considered the lack of clinical examination to be detrimental.

Interpretation: Video consultations are often appropriate in the follow-up of patients with a rheumatic disease.
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http://dx.doi.org/10.4045/tidsskr.20.0882DOI Listing
May 2021

The referral of patients with fibromyalgia to a rheumatological specialist care unit. Is it necessary?

Clin Exp Rheumatol 2021 May-Jun;39 Suppl 130(3):194. Epub 2021 May 13.

Department of Rheumatology, National Resource Centre for Rehabilitation in Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.

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July 2021

Viral respiratory infections in patients treated with hydroxychloroquine.

Clin Exp Rheumatol 2021 Apr 7. Epub 2021 Apr 7.

Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.

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April 2021