Delay in referral of rheumatoid arthritis patients to rheumatology clinic

Abstract Background Rheumatoid arthritis (RA) is an inflammatory connective tissue disease with both articular and extra articular manifestations. Early diagnosis and proper treatment affect strongly the patients’ quality of life. In the early phase of the disease, effective treatment and strict mon...

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Main Authors: Sahar Ahmed Saad, Najwa Khalil Alhaj
Format: Article
Language:English
Published: SpringerOpen 2020-08-01
Series:Egyptian Rheumatology and Rehabilitation
Subjects:
Online Access:https://doi.org/10.1186/s43166-020-00012-7
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author Sahar Ahmed Saad
Najwa Khalil Alhaj
author_facet Sahar Ahmed Saad
Najwa Khalil Alhaj
author_sort Sahar Ahmed Saad
collection DOAJ
description Abstract Background Rheumatoid arthritis (RA) is an inflammatory connective tissue disease with both articular and extra articular manifestations. Early diagnosis and proper treatment affect strongly the patients’ quality of life. In the early phase of the disease, effective treatment and strict monitoring would help to achieve remission within the shortest period. Delay in detection of these cases and consequently late referral to a rheumatologist result in loss of the golden time when effective treatment must start. Results Delay of patients’ referral by the family physician was the most statistically significant factor responsible for the delay in starting of a specific therapy for RA. Conclusion Clear guidelines according to 2016 update of the EULAR recommendations for the management of early arthritis (Combe et al., Ann Rheum Dis 76:948–959, 2017) must be known to all primary care physicians to suspect RA and to avoid delay in referral of patients.
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spelling doaj.art-cd057630bf8b44b18333bec01eb85cb02022-12-21T22:26:16ZengSpringerOpenEgyptian Rheumatology and Rehabilitation2090-32352020-08-014711410.1186/s43166-020-00012-7Delay in referral of rheumatoid arthritis patients to rheumatology clinicSahar Ahmed Saad0Najwa Khalil Alhaj1Department of Rheumatology, King Hamad University Hospital (KHUH)Department of Internal Medicine, King Hamad University HospitalAbstract Background Rheumatoid arthritis (RA) is an inflammatory connective tissue disease with both articular and extra articular manifestations. Early diagnosis and proper treatment affect strongly the patients’ quality of life. In the early phase of the disease, effective treatment and strict monitoring would help to achieve remission within the shortest period. Delay in detection of these cases and consequently late referral to a rheumatologist result in loss of the golden time when effective treatment must start. Results Delay of patients’ referral by the family physician was the most statistically significant factor responsible for the delay in starting of a specific therapy for RA. Conclusion Clear guidelines according to 2016 update of the EULAR recommendations for the management of early arthritis (Combe et al., Ann Rheum Dis 76:948–959, 2017) must be known to all primary care physicians to suspect RA and to avoid delay in referral of patients.https://doi.org/10.1186/s43166-020-00012-7Rheumatoid arthritisDelay in referralPrimary care physicians
spellingShingle Sahar Ahmed Saad
Najwa Khalil Alhaj
Delay in referral of rheumatoid arthritis patients to rheumatology clinic
Egyptian Rheumatology and Rehabilitation
Rheumatoid arthritis
Delay in referral
Primary care physicians
title Delay in referral of rheumatoid arthritis patients to rheumatology clinic
title_full Delay in referral of rheumatoid arthritis patients to rheumatology clinic
title_fullStr Delay in referral of rheumatoid arthritis patients to rheumatology clinic
title_full_unstemmed Delay in referral of rheumatoid arthritis patients to rheumatology clinic
title_short Delay in referral of rheumatoid arthritis patients to rheumatology clinic
title_sort delay in referral of rheumatoid arthritis patients to rheumatology clinic
topic Rheumatoid arthritis
Delay in referral
Primary care physicians
url https://doi.org/10.1186/s43166-020-00012-7
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