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Arthritis
patients who have access to a rheumatologist may get better care
and an earlier start of treatment than patients not seeing a specialist,
according to research presented at the American College of Rheumatology
Annual Scientific Meeting in New Orleans.
Canadian researchers
tracked the treatment of 29,297 patients with rheumatoid arthritis
over a five-year period to see how many were given disease-modifying
antirheumatic drugs (DMARDs), and whether patients seen by a rheumatologist
(arthritis specialist) were more likely to receive these drugs
than patients not seen by a specialist.
DMARDs are
considered to be the first line of treatment for newly-diagnosed
arthritis patients. Studies have shown that patients given DMARDs
have less joint damage, better function, and longer life expectancy
than patients who are not given the drugs.
Researchers
found that 9,412 (32 percent) patients were seen by a rheumatologist
and 80 percent of them had used a DMARD. The rest of the patients
were seen by either an internist or a family practitioner. A total
of 53 percent of patients seen by an internist and 14 percent
of patients seen by a family practitioner were given DMARDs.
"It is
important for people with rheumatoid arthritis, one of the most
disabling types of arthritis, to be treated with DMARDs,"
said Dr. Diane Lacaille, Assistant Professor, University of British
Columbia and lead investigator of the study. "We know from
this study that it is more likely to happen if they are followed
by a rheumatologist."
Other
sources: American College of Rheumatology
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