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Delays in assessment of patients with rheumatoid arthritis: variations across Europe

Raza, Karim (författare)
Rheumatology Research Group, MRC Centre for Immune Regulation, Institute for Biomedical Research, School of Immunity and Infection, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK; Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK; Department of Rheumatology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
Stack, Rebecca (författare)
Rheumatology Research Group, MRC Centre for Immune Regulation, Institute for Biomedical Research, School of Immunity and Infection, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK; Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK
Kumar, Kanta (författare)
Rheumatology Research Group, MRC Centre for Immune Regulation, Institute for Biomedical Research, School of Immunity and Infection, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK; Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK
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Filer, Andrew (författare)
Rheumatology Research Group, MRC Centre for Immune Regulation, Institute for Biomedical Research, School of Immunity and Infection, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK; Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK; Department of Rheumatology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
Detert, Jacqueline (författare)
Department of Rheumatology and Clinical Immunology, Charité – Universitätsmedizin Berlin, Berlin, Germany
Bastian, Hans (författare)
Department of Rheumatology and Clinical Immunology, Charité – Universitätsmedizin Berlin, Berlin, Germany
Burmester, Gerd R. (författare)
Department of Rheumatology and Clinical Immunology, Charité – Universitätsmedizin Berlin, Berlin, Germany
Sidiropoulos, Prodromos (författare)
Department of Rheumatology, Clinical Immunology and Allergy, Medical School, University of Crete, Crete, Greece
Kteniadaki, Eleni (författare)
Department of Rheumatology, Clinical Immunology and Allergy, Medical School, University of Crete, Crete, Greece
Repa, Argyro (författare)
Department of Rheumatology, Clinical Immunology and Allergy, Medical School, University of Crete, Crete, Greece
Saxne, Tore (författare)
Lund University,Lunds universitet,Reumatologi och molekylär skelettbiologi,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Rheumatology,Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Department of Clinical Sciences, Section of Rheumatology, Lund University, Skåne University Hospital, Lund, Sweden
Turesson, Carl (författare)
Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Department of Clinical Sciences, Section of Rheumatology, Lund University, Skåne University Hospital, Lund, Sweden
Mann, Herman (författare)
Institute of Rheumatology and Department of Rheumatology, Charles University, Prague, Czech Republic
Vencovsky, Jiri (författare)
Institute of Rheumatology and Department of Rheumatology, Charles University, Prague, Czech Republic
Catrina, Anca (författare)
Karolinska Institutet,Rheumatology Unit, Department of Medicine, Karolinska Institute and Karolinska University Hospital, Solna, Sweden
Chatzidionysiou, Aikaterini (författare)
Karolinska Institutet,Rheumatology Unit, Department of Medicine, Karolinska Institute and Karolinska University Hospital, Solna, Sweden
Hensvold, Aase (författare)
Karolinska Institutet,Rheumatology Unit, Department of Medicine, Karolinska Institute and Karolinska University Hospital, Solna, Sweden
Rantapaa-Dahlqvist, Solbritt (författare)
Umeå universitet,Reumatologi
Binder, Alexa (författare)
Department of Rheumatology, Medical University of Vienna, Vienna, Austria
Machold, Klaus (författare)
Department of Rheumatology, Medical University of Vienna, Vienna, Austria
Kwiakowska, Brygida (författare)
Department of Early Arthritis Diagnosis, Institute of Rheumatology, Warsaw, Poland
Ciurea, Adrian (författare)
Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland
Tamborrini, Giorgio (författare)
Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland
Kyburz, Diego (författare)
Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland
Buckley, Christopher D. (författare)
Rheumatology Research Group, MRC Centre for Immune Regulation, Institute for Biomedical Research, School of Immunity and Infection, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK; Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK; Department of Rheumatology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
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 (creator_code:org_t)
2011-08-07
2011
Engelska.
Ingår i: Annals of the Rheumatic Diseases. - London : BMJ. - 1468-2060 .- 0003-4967. ; 70:10, s. 1822-1825
Relaterad länk:
http://dx.doi.org/10...
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https://lup.lub.lu.s...
https://doi.org/10.1...
http://kipublication...
https://urn.kb.se/re...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Objective The first 3 months after symptom onset represent an important therapeutic window for rheumatoid arthritis (RA). This study investigates the extent and causes of delay in assessment of patients with RA in eight European countries. Method Data on the following levels of delay were collected from 10 centres (Berlin, Birmingham, Heraklion, Lund, Prague, Stockholm, Umea, Vienna, Warsaw and Zurich): (1) from onset of RA symptoms to request to see healthcare professional (HCP); (2) from request to see HCP to assessment by that HCP; (3) from initial assessment by HCP to referral to rheumatologist; and (4) from referral to rheumatologist to assessment by that rheumatologist. Results Data were collected from 482 patients with RA. The median delay across the 10 centres from symptom onset to assessment by the rheumatologist was 24 weeks, with the percentage of patients seen within 12 weeks of symptom onset ranging from 8% to 42%. There were important differences in the levels underlying the total delays at individual centres. Conclusions This research highlights the contribution of patients, professionals and health systems to treatment delay for patients with RA in Europe. Although some centres have strengths in minimising certain types of delay, interventions are required in all centres to ensure timely treatment for patients.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)

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