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Reumatol Clin. 2016 May-Jun;12(3):146-50. doi: 10.1016/j.reuma.2015.08.002. Epub 2015 Sep 8.

Diagnostic and therapeutic delay of rheumatoid arthritis and its relationship with health care devices in Catalonia. The AUDIT study.

[Article in English, Spanish]

Author information

1
Hospital Moisès Broggi, Sant Joan Despí, Barcelona, España; Hospital de l'Hospitalet, Barcelona, España. Electronic address: vancor@yahoo.com.
2
Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
3
Hospital Universitari de la Santa Creu, i Sant Pau, Barcelona, España.
4
Hospital Universitari Mútua de Terrassa, Barcelona, España.
5
Hospital Clínic Universitari, Barcelona, España.
6
Hospital de Viladecans, Barcelona, España.
7
Hospital Residència Sant Camil, Barcelona, España.
8
Hospital Moisès Broggi, Sant Joan Despí, Barcelona, España; Hospital de l'Hospitalet, Barcelona, España.
9
Hospital de Palamós, Girona, España.
10
Hospital Sant Pau i Santa Tecla, Tarragona, España.
11
Hospital de Tortosa Verge de la Cinta, Tarragona, España.
12
Institut Poal de Reumatologia, Barcelona, España.
13
Hospital General Universitari de la Vall d'Hebrón, Barcelona, España.
14
Hospital Universitari Parc Taulí de Sabadell, Barcelona, España.
15
Hospital General de Granollers, Barcelona, España.
16
Parc de Salut Mar, Barcelona, España.
17
Hospital de Mollet, Barcelona, España.
18
Hospital de Sant Boi, Barcelona, España.
19
Centre Internacional de Medicina Avançada (CIMA), Barcelona, España.

Abstract

OBJECTIVE:

Diagnosis and therapy of patients with early onset rheumatoid arthritis (RA) is influenced by accessibility to specialized care devices. We attempted to analyze the impact of their availability.

METHODS:

We analyzed time related to diagnosis delay measuring: 1) Time from first clinical symptoms to the first visit with the Rheumatologist; 2) Time from referral to the first visit of Rheumatology; 3) Time between first symptom until final diagnosis; 4) time between first symptom until the initiation of the first disease-modifying antirheumatic drug (DMARD). The presence of these 6 rheumatology devices was defined: 1) early arthritis monographic clinics, 2) RA monographic clinics, 3) Mechanisms for fast programming, 4) Algorithms for referral from primary care (PC), 5) rheumatology consultation services in PC and 6) consulting services in PC.

RESULTS:

The mean time from onset of symptoms to diagnosis or the establishment of a DMARD in RA patients in Catalonia is very long (11 months). Patients seen in rheumatology devices such as RA monographic clinics, rheumatology consultation in PC and specially in early arthritis clinics are treated early with DMARDs.

CONCLUSION:

the existence of monographic clinics or consulting in primary care centers is essential to improve early care of RA patients.

KEYWORDS:

AUDIT study; Artritis reumatoide de inicio reciente; Dispositivos de asistenciales especializados; Early onset rheumatoid arthritis; Estudio AUDIT; Health care devices

PMID:
26362843
DOI:
10.1016/j.reuma.2015.08.002
[Indexed for MEDLINE]
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