Vasculitis & polymyalgia rheumatica

Early referral of patients with suspected polymyalgia rheumatica – A systematic review

Semin Arthritis RheumPublished Systematic review

Authors' conclusion

This review emphasizes the sparse evidence of early management and referral strategies for patients with suspected PMR.

Study context

Population
Cohorts of patients with suspected polymyalgia rheumatica (PMR)14 studies
Methodological detailsindependent dual literature search, data extraction and risk of bias assessment, Embase, MEDLINE (PubMed) and Cochrane searched; 2,437 records excluding duplicates screened
  • Independent dual literature search, data extraction and risk of bias assessment
  • Embase, MEDLINE (PubMed) and Cochrane searched; 2,437 records excluding duplicates screened

Pooled result

As reported in the abstract

  • Diagnostic accuracy of various diagnostic strategies, mostly clinical approaches (10 studies): none showed consistently high performance
  • Shared care and fast-track clinics (4 studies): promising results, including reduced hospitalization rates, lower starting GC doses and faster PMR diagnosis

Original publication

Early referral of patients with suspected polymyalgia rheumatica – A systematic review. Semin Arthritis Rheum. Published 22 August 2023. doi:10.1016/j.semarthrit.2023.152260

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