The objective was to test the hypothesis that rheumatoid arthritis (RA) patients currently not receiving specialist care have milder and less active disease than clinic attenders.
The subjects were recruited from a media campaign aimed at identifying RA patients for a nationwide twin study.
All subjects were interviewed at home and examined.
Data from serological and radiological investigations were obtained.
Data were also obtained about any specialist care, including the date, where relevant, of the most recent hospital appointment.
For subjects reporting ever attending a specialist clinic, the current status (discharged/under current care) and the date of their most recent appointment were verified from hospital records.
Data from 149 patients were analysed, of whom 114 (76%) were current hospital clinic attenders at the time of interview, 10 (7%) had never attended and 25 (17%) were ex-attenders.
There was a similar proportion with current morning stiffness (>1 h) in all three groups (60%). The median number of (i) swollen (S) joints, (ii) tender (T) joints and (iii) swollen and tender (ST) joints was almost identical-current attenders :
(S) 7, (T) 9, (ST) 11 ;
ex-attenders : (S) 5, (T) 8, (ST) 10 ;
never attenders : (S) 7, (T) 14, (ST) 17.
There were similar proportions with radiological erosions in the current and ex-attenders (79 and 72%, respectively).
Current attenders were, however, substantially more likely to be taking disease-modifying drugs. (...)
Mots-clés Pascal : Polyarthrite rhumatoïde, Homme, Evolutivité, Stade clinique, Etude comparative, Evaluation, Utilisation, Service santé, Rhumatologie, Consultation, Royaume Uni, Europe, Chronique, Système ostéoarticulaire pathologie, Rhumatisme inflammatoire, Immunopathologie, Maladie autoimmune, Consultation spécialisée
Mots-clés Pascal anglais : Rheumatoid arthritis, Human, Evolutivity, Clinical stage, Comparative study, Evaluation, Use, Health service, Rheumatology, Consultation, United Kingdom, Europe, Chronic, Diseases of the osteoarticular system, Inflammatory joint disease, Immunopathology, Autoimmune disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0017378
Code Inist : 002B15D. Création : 21/05/1997.