From symptoms to diagnosis : an observational study of the journey of rheumatoid arthritis patients in Saudi Arabia
المؤلفون المشاركون
Husayn, Walid
Nurwali, Abd al-Salam
Janudi, Nahid
Baamer, Maatouqa
Kebbi, Lina
Mansafi, Hanadi
Ibrahim, Ashraf
Jawhari, Shirin
Minguet, Joan
al-Muallim, Hani
المصدر
العدد
المجلد 31، العدد 1 (31 يناير/كانون الثاني 2016)، ص ص. 29-34، 6ص.
الناشر
المجلس العماني للاختصاصات الطبية
تاريخ النشر
2016-01-31
دولة النشر
سلطنة عمان
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Objectives: Rheumatoid arthritis (RA) is often not diagnosed or treated quickly enough to alter outcomes.
We aimed to evaluate the lag times from disease onset to first clinical consultation and diagnosis and to identify factors contributing to delayed diagnosis in Saudi Arabia.
Methods: This retrospective, multicenter study collected data on 250 patients, from six hospitals in Saudi Arabia, who met the 2010 American College of Rheumatology criteria for RA.
Results: The patients mean age was 43.3±12.0 years (mean disease duration: 6.6±5.8 years).
The majority were female (84.8%) and presented with joint pain during RA onset (83.6%).
On average, they consulted 4.3±2.5 physicians from the first symptoms to the final diagnosis.
The mean time from onset to first physician visit (lag 1) was 6.2±5.5 months, whereas the mean time was 30.2±16.0 months between the initial visit and final RA diagnosis (lag 2).
Only 3.2% of patients initially sought consultation from a rheumatologist, while 67.2%, 23.6%, and 6.0% first met with orthopedic surgeons, general practitioners, and non-rheumatologists, respectively.
Nonrheumatologists offered diagnoses in 24.4% of cases while rheumatologists diagnosed 75.6%.
The absence of early hand/wrist involvement and fatigue were associated with delayed RA diagnosis (long lag 2; p<0.010).
Moreover, geographic distribution influenced RA diagnosis, with rural patients experiencing a greater delay than urban patients (p<0.0001).
Conclusions: Failure of patients to be seen by rheumatologists at RA onset delayed diagnosis and treatment.
Thus, RA diagnosis can be accelerated by encouraging early referral to rheumatologists
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Husayn, Walid& Nurwali, Abd al-Salam& Janudi, Nahid& Baamer, Maatouqa& Kebbi, Lina& Mansafi, Hanadi…[et al.]. 2016. From symptoms to diagnosis : an observational study of the journey of rheumatoid arthritis patients in Saudi Arabia. Oman Medical Journal،Vol. 31, no. 1, pp.29-34.
https://search.emarefa.net/detail/BIM-748745
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Husayn, Walid…[et al.]. From symptoms to diagnosis : an observational study of the journey of rheumatoid arthritis patients in Saudi Arabia. Oman Medical Journal Vol. 31, no. 1 (Jan. 2016), pp.29-34.
https://search.emarefa.net/detail/BIM-748745
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Husayn, Walid& Nurwali, Abd al-Salam& Janudi, Nahid& Baamer, Maatouqa& Kebbi, Lina& Mansafi, Hanadi…[et al.]. From symptoms to diagnosis : an observational study of the journey of rheumatoid arthritis patients in Saudi Arabia. Oman Medical Journal. 2016. Vol. 31, no. 1, pp.29-34.
https://search.emarefa.net/detail/BIM-748745
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 33-34
رقم السجل
BIM-748745
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر