Rapidity of rheumatology consultation for people in an early inflammatory arthritis cohort
Autor: | Sasha Bernatsky, Murray Baron, A J Montcalm, D Ehrmann Feldman, Orit Schieir |
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Rok vydání: | 2009 |
Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Time Factors Referral Inflammatory arthritis Immunology General Biochemistry Genetics and Molecular Biology Arthritis Rheumatoid Cohort Studies Disease severity Rheumatology Internal medicine medicine Immunology and Allergy Rheumatoid factor Humans skin and connective tissue diseases Referral and Consultation Aged business.industry Quebec Early Inflammatory Arthritis Middle Aged medicine.disease Rheumatoid arthritis Cohort Physical therapy Female business |
Zdroj: | Annals of the rheumatic diseases. 68(11) |
ISSN: | 1468-2060 |
Popis: | Patients with rheumatoid arthritis (RA) who have contact with a rheumatologist have better health outcomes than those who do not.1 We found that only 27% of newly suspected cases of RA consulted with a rheumatologist.2 However, this study was based on physician billing data; quality control of diagnostic coding and absence of severity indicators limit the conclusions. We pursued this issue further with patients who had a confirmed diagnosis and were in an early arthritis cohort. We hypothesised that this group would represent a “best case scenario” where the majority would have consulted a rheumatologist within the 3-month recommended window.3 We also explored factors that may be associated with referral, including patient characteristics such as laboratory results (C-reactive protein (CRP), rheumatoid factor),4 5 sociodemographic factors and disease severity,2 6 … |
Databáze: | OpenAIRE |
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