Rheumatoid arthritis

Early diagnosis of rheumatoid arthritis: associations between patients’ perceptions of initial symptoms and the timing of seeking help from the general practitioner

Scand J RheumatolPublished Cross-sectional study

Authors' conclusion

People with RA symptoms may delay seeing their GP due to low expectations of treatment effectiveness and significant symptom variability.

Study context

Population
Recently diagnosed individuals with rheumatoid arthritis (RA) identified from the Danish Rheumatology Database, DANBIO404 answered
Participants
1,163 participants
Exposure
Highest vs lowest scores within each Illness Perception Questionnaire - Revised (IPQ-R) subscale
Outcome
Time taken to seek help from a GP (patient delay) by perceptions of initial symptoms (IPQ-R)
Methodological detailsquestionnaire survey, adjusted multivariable linear regression, DANBIO registry
  • Questionnaire survey
  • Adjusted multivariable linear regression
  • DANBIO registry

Main finding

As reported in the abstract

Median time to first GP contact (patient delay), highest vs lowest IPQ-R subscale scores

Adjusted median ratio (MR)

0.54

95% CI 0.29–0.99

High expectations of treatment control vs Low expectations of treatment control · 54% lower median time to first general practitioner (GP) contact

Adjusted MR

1.61

95% CI 0.93–2.78

High perceptions of symptom variability at disease onset vs Low perceptions of symptom variability at disease onset · higher median time to first GP contact

Observational data: associations, not effects.

Further findings

Patient delay by age

Original publication

Early diagnosis of rheumatoid arthritis: associations between patients’ perceptions of initial symptoms and the timing of seeking help from the general practitioner. Scand J Rheumatol. Published 27 February 2025. doi:10.1080/03009742.2025.2464457

Composed by AI from the published abstract and checked against it. How Briefs are made →

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