Diagnostic delay of more than 6 months contributes to poor radiographic and functional outcome in psoriatic arthritis
(1) To investigate the demographic and clinical characteristics contributing to the delay from symptom onset to the first visit to a rheumatologist; (2) to compare clinical, radiographic and patient-reported outcome measures of those who saw a rheumatologist early in their disease course with those...
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| Veröffentlicht in: | Annals of the rheumatic diseases Jg. 74; H. 6; S. 1045 - 1050 |
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| Hauptverfasser: | , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
England
01.06.2015
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| ISSN: | 0003-4967, 1468-2060, 1468-2060 |
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| Abstract | (1) To investigate the demographic and clinical characteristics contributing to the delay from symptom onset to the first visit to a rheumatologist; (2) to compare clinical, radiographic and patient-reported outcome measures of those who saw a rheumatologist early in their disease course with those who were diagnosed later.
All psoriatic arthritis (PsA) patients, fulfilling CASPAR criteria, with an average disease duration of >10 years were invited for detailed clinical evaluation. The total lag time from symptom onset to their first rheumatological encounter was studied. The data were extracted from the referral letters and medical records. Patients were classified as early consulters or late consulters depending on whether they were seen by a rheumatologist within or beyond 6 months of symptom onset.
283 PsA patients were studied. Median lag time from the disease onset to the first rheumatological assessment of the cohort was 1.00 years (IQR 0.5-2). 30% (n=86), 53% (n=149) and 71% (n=202) of the cohort were seen by a rheumatologist within 6 months, 1 and 2 years of symptom onset, respectively. PsA patients with low education status (OR 2.09, p=0.02) and Body Mass Index (OR 0.92, p=0.01) were significantly more likely to have a diagnostic delay of >2 years. On multiple stepwise regression analysis, the model predicted significant association of late consulters with the development of peripheral joint erosions (OR 4.25, p=0.001) and worse Health Assessment Questionnaire scores (OR 2.2, p=0.004).
Even a 6-month delay from symptom onset to the first visit with a rheumatologist contributes to the development of peripheral joint erosions and worse long-term physical function. |
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| AbstractList | (1) To investigate the demographic and clinical characteristics contributing to the delay from symptom onset to the first visit to a rheumatologist; (2) to compare clinical, radiographic and patient-reported outcome measures of those who saw a rheumatologist early in their disease course with those who were diagnosed later.OBJECTIVES(1) To investigate the demographic and clinical characteristics contributing to the delay from symptom onset to the first visit to a rheumatologist; (2) to compare clinical, radiographic and patient-reported outcome measures of those who saw a rheumatologist early in their disease course with those who were diagnosed later.All psoriatic arthritis (PsA) patients, fulfilling CASPAR criteria, with an average disease duration of >10 years were invited for detailed clinical evaluation. The total lag time from symptom onset to their first rheumatological encounter was studied. The data were extracted from the referral letters and medical records. Patients were classified as early consulters or late consulters depending on whether they were seen by a rheumatologist within or beyond 6 months of symptom onset.METHODSAll psoriatic arthritis (PsA) patients, fulfilling CASPAR criteria, with an average disease duration of >10 years were invited for detailed clinical evaluation. The total lag time from symptom onset to their first rheumatological encounter was studied. The data were extracted from the referral letters and medical records. Patients were classified as early consulters or late consulters depending on whether they were seen by a rheumatologist within or beyond 6 months of symptom onset.283 PsA patients were studied. Median lag time from the disease onset to the first rheumatological assessment of the cohort was 1.00 years (IQR 0.5-2). 30% (n=86), 53% (n=149) and 71% (n=202) of the cohort were seen by a rheumatologist within 6 months, 1 and 2 years of symptom onset, respectively. PsA patients with low education status (OR 2.09, p=0.02) and Body Mass Index (OR 0.92, p=0.01) were significantly more likely to have a diagnostic delay of >2 years. On multiple stepwise regression analysis, the model predicted significant association of late consulters with the development of peripheral joint erosions (OR 4.25, p=0.001) and worse Health Assessment Questionnaire scores (OR 2.2, p=0.004).RESULTS283 PsA patients were studied. Median lag time from the disease onset to the first rheumatological assessment of the cohort was 1.00 years (IQR 0.5-2). 30% (n=86), 53% (n=149) and 71% (n=202) of the cohort were seen by a rheumatologist within 6 months, 1 and 2 years of symptom onset, respectively. PsA patients with low education status (OR 2.09, p=0.02) and Body Mass Index (OR 0.92, p=0.01) were significantly more likely to have a diagnostic delay of >2 years. On multiple stepwise regression analysis, the model predicted significant association of late consulters with the development of peripheral joint erosions (OR 4.25, p=0.001) and worse Health Assessment Questionnaire scores (OR 2.2, p=0.004).Even a 6-month delay from symptom onset to the first visit with a rheumatologist contributes to the development of peripheral joint erosions and worse long-term physical function.CONCLUSIONSEven a 6-month delay from symptom onset to the first visit with a rheumatologist contributes to the development of peripheral joint erosions and worse long-term physical function. (1) To investigate the demographic and clinical characteristics contributing to the delay from symptom onset to the first visit to a rheumatologist; (2) to compare clinical, radiographic and patient-reported outcome measures of those who saw a rheumatologist early in their disease course with those who were diagnosed later. All psoriatic arthritis (PsA) patients, fulfilling CASPAR criteria, with an average disease duration of >10 years were invited for detailed clinical evaluation. The total lag time from symptom onset to their first rheumatological encounter was studied. The data were extracted from the referral letters and medical records. Patients were classified as early consulters or late consulters depending on whether they were seen by a rheumatologist within or beyond 6 months of symptom onset. 283 PsA patients were studied. Median lag time from the disease onset to the first rheumatological assessment of the cohort was 1.00 years (IQR 0.5-2). 30% (n=86), 53% (n=149) and 71% (n=202) of the cohort were seen by a rheumatologist within 6 months, 1 and 2 years of symptom onset, respectively. PsA patients with low education status (OR 2.09, p=0.02) and Body Mass Index (OR 0.92, p=0.01) were significantly more likely to have a diagnostic delay of >2 years. On multiple stepwise regression analysis, the model predicted significant association of late consulters with the development of peripheral joint erosions (OR 4.25, p=0.001) and worse Health Assessment Questionnaire scores (OR 2.2, p=0.004). Even a 6-month delay from symptom onset to the first visit with a rheumatologist contributes to the development of peripheral joint erosions and worse long-term physical function. |
| Author | Gallagher, Phil FitzGerald, Oliver Haroon, Muhammad |
| Author_xml | – sequence: 1 givenname: Muhammad surname: Haroon fullname: Haroon, Muhammad – sequence: 2 givenname: Phil surname: Gallagher fullname: Gallagher, Phil – sequence: 3 givenname: Oliver surname: FitzGerald fullname: FitzGerald, Oliver |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24525911$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1007/s00296-009-1297-5 10.1093/rheumatology/keg384 10.1136/annrheumdis-2012-201706 10.1002/art.27692 10.1136/ard.2011.150938 10.1111/1756-185X.12079 10.2105/AJPH.82.6.816 10.1136/bmj.39381.597454.AE 10.3899/jrheum.100535 10.1136/annrheumdis-2012-202608 10.1001/jama.294.22.2879 10.2105/AJPH.91.9.1403 10.1093/rheumatology/kem130 10.1093/rheumatology/keq011 10.1016/j.berh.2006.05.005 |
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| Keywords | Psoriatic Arthritis Outcomes Research Treatment |
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| References | Qian (10.1136/annrheumdis-2013-204858_bib8) 2010; 30 Braveman (10.1136/annrheumdis-2013-204858_bib15) 2005; 294 Velpula (10.1136/annrheumdis-2013-204858_bib17) 2011; 38 Fukuda (10.1136/annrheumdis-2013-204858_bib18) 2013; 16 Kumar (10.1136/annrheumdis-2013-204858_bib20) 2010; 49 Rodriguez (10.1136/annrheumdis-2013-204858_bib16) 2001; 91 Kane (10.1136/annrheumdis-2013-204858_bib1) 2003; 42 Gladman (10.1136/annrheumdis-2013-204858_bib2) 1987; 62 Lard (10.1136/annrheumdis-2013-204858_bib7) 2001; 28 Raza (10.1136/annrheumdis-2013-204858_bib4) 2006; 20 Gladman (10.1136/annrheumdis-2013-204858_bib12) 2011; 70 Kumar (10.1136/annrheumdis-2013-204858_bib19) 2007; 46 van der Linden (10.1136/annrheumdis-2013-204858_bib9) 2010; 62 Haroon (10.1136/annrheumdis-2013-204858_bib3) 2013; 72 Gladman (10.1136/annrheumdis-2013-204858_bib13) 2004; 31 10.1136/annrheumdis-2013-204858_bib10 Tillett (10.1136/annrheumdis-2013-204858_bib11) 2013; 72 Winkleby (10.1136/annrheumdis-2013-204858_bib14) 1992; 82 10.1136/annrheumdis-2013-204858_bib6 Hyrich (10.1136/annrheumdis-2013-204858_bib5) 2008; 336 28382394 - Orthopade. 2017 Apr;46(4):370-372. doi: 10.1007/s00132-017-3400-z. |
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| Title | Diagnostic delay of more than 6 months contributes to poor radiographic and functional outcome in psoriatic arthritis |
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