Rheumatoid Arthritis: A Primary Care Approach
Identifieur interne : 002330 ( Main/Exploration ); précédent : 002329; suivant : 002331Rheumatoid Arthritis: A Primary Care Approach
Auteurs : Mary Ann Browning [États-Unis]Source :
- Journal of the American Academy of Nurse Practitioners [ 1041-2972 ] ; 2001-09.
English descriptors
- Teeft :
- Adverse effects, American academy, American college, American journal, American rheumatism association, Ankylosing spondylitis, Arnett, Arthritis, Autoimmune disease, Biundo, Blood loss, Chronic disease, Clinical criteria, Clinical examination, Clinical manifestations, Clinical symptoms, Clinical usefulness, Connective tissue disorders, Constitutional symptoms, Daily activities, Differential diagnosis, Disease duration, Disease process, Dmard, Dmard therapy, Early diagnosis, Early referral, Early treatment, Frequent laboratory evaluations, Genetic predisposition, Gouty tophi, Immune, Immune complexes, Immune system, Inflammation, Inflammatory, Inflammatory activity, Inflammatory response, Joint damage, Joint disease, Joint involvement, Laboratory tests, Liver function tests, Many patients, Many rheumatologists, Matsumoto, Methotrexate, More joints, Morning stiffness, Nodule, Nsaid, Nurse practitioners table, Nursing clinics, Occupational therapy, Other conditions, Other diseases, Other joints, Practitioner, Predictive value, Primary care physicians, Primary care provider, Primary care providers, Provider, Rest therapy, Retrospective study, Rheumatic, Rheumatic disease, Rheumatic diseases, Rheumatoid, Rheumatoid arthritis, Rheumatoid arthritis rehabilitation, Rheumatoid factor, Rheumatoid nodules, Rheumatologist, Rheumatology, Septic arthritis, Sereno, Side effects, Stiffness, Symptom, Synovial, Synovial joints, True onset, Tumor necrosis factor, Weight loss, Wigley.
Abstract
Purpose: To provide primary care providers with guidelines on the evaluation, diagnosis and management of patients with rheumatoid arthritis (RA). Data sources: Research‐based articles in the medical literature, review articles, and clinical practice guidelines. Conclusion: Rheumatoid arthritis is a chronic inflammatory disease that affects mainly synovial joints. Diagnosis is based primarily on clinical examination. Clinical criteria developed by the American Rheumatism Association can help the primary care provider recognize this potentially devastating disease and facilitate early referral to a rheumatologist for treatment. Implications for Practice:: Patients with RA should be treated early and aggressively. Laboratory tests are not essential to confirm the diagnosis of RA. The clinical usefulness of the rheumatoid factor could be increased by restricting the test to patients who have a high probability of RA based on clinical symptoms.
Url:
DOI: 10.1111/j.1745-7599.2001.tb00058.x
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Purpose: To provide primary care providers with guidelines on the evaluation, diagnosis and management of patients with rheumatoid arthritis (RA). Data sources: Research‐based articles in the medical literature, review articles, and clinical practice guidelines. Conclusion: Rheumatoid arthritis is a chronic inflammatory disease that affects mainly synovial joints. Diagnosis is based primarily on clinical examination. Clinical criteria developed by the American Rheumatism Association can help the primary care provider recognize this potentially devastating disease and facilitate early referral to a rheumatologist for treatment. Implications for Practice:: Patients with RA should be treated early and aggressively. Laboratory tests are not essential to confirm the diagnosis of RA. The clinical usefulness of the rheumatoid factor could be increased by restricting the test to patients who have a high probability of RA based on clinical symptoms.</div>
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