• Reumatología clinica · May 2016

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

    • Hèctor Corominas, Javier Narváez, César Díaz-Torné, Georgina Salvador, María Eugenia Gomez-Caballero, Diana de la Fuente, Ester Campoy, Daniel Roig-Vilaseca, Teresa Clavaguera, Rosa Morlà, Vicenç Torrente-Segarra, Xavier Arasa, José Alfredo Gomez-Puerta, Ingrid Möller, Cayetano Alegre, Eduard Graell, Andrés Ponce, María Pilar Lisbona, Carolina Pérez-Garcia, Ramon Fíguls, Elena Sirvent, Violan Poca, and Raimon Sanmartí.
    • Hospital Moisès Broggi, Sant Joan Despí, Barcelona, España; Hospital de l'Hospitalet, Barcelona, España. Electronic address: vancor@yahoo.com.
    • Reumatol Clin. 2016 May 1; 12 (3): 146-50.

    ObjectiveDiagnosis 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.MethodsWe 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.ResultsThe 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.Conclusionthe existence of monographic clinics or consulting in primary care centers is essential to improve early care of RA patients.Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

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