The incidence of rheumatoid arthritis in Spain: results from a nationwide primary care registry

Carbonell, Jordi; Cobo, T.; Balsa, Alejandro; Descalzo, M.Á.; Carmona, Loreto

doi:10.1093/rheumatology/ken205

Cited by 103 publications

(57 citation statements)

References 34 publications

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“…Furthermore, the SERAP cohort consists of many EAUs spread all over the country with very different settings and background policies, which underscores the benefit of any form of EAU with a given protocol for referral and management. The widespread establishment of EA clinics (12)(13)(14) has been based on studies of the efficacy of partial strategies mainly related to early aggressive treatment (35) or a strategy of intensive outpatient management that has already shown a substantial improvement (36), whereas our results are a reflection of an intervention in daily clinical practice.…”

Section: Discussionmentioning

confidence: 99%

“…The SERAP registry has been described in detail elsewhere (12). In brief, the registry was set in 36 reference hospitals with rheumatology departments.…”

Section: Methodsmentioning

confidence: 99%

“…Acknowledging this gap between primary and specialized care, many countries (UK, The Netherlands, Austria, Norway, France, Italy, Germany, Finland, US), including Spain, started early arthritis (EA) clinics specifically designed to facilitate referral from primary care in order to evaluate and to treat arthritis promptly (12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of a clinical practice intervention in early rheumatoid arthritis

Descalzo¹,

Carbonell²,

González‐Álvaro³

et al. 2012

Arthritis Care & Research

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Objective. To compare the outcome of early rheumatoid arthritis (RA) patients in a country where early clinics were established versus the outcome of patients in nonprotocolized clinics. Methods. We compared 2 multicenter cohorts: an RA cohort derived from an early arthritis registry set in 36 reference hospitals in which a specific intervention was established (Evaluation of a Model for Arthritis Care in Spain [SERAP]), and a historical control cohort of patients with early RA attending 34 rheumatology departments (Prognosis in Rheumatoid Arthritis [PROAR] cohort). Effectiveness was tested by comparing the change in the Disease Activity Score in 28 joints (DAS28), the change in the Health Assessment Questionnaire (HAQ), and the change in the Sharp/van der Heijde radiologic score using marginal structural models. Results. A total of 161 early RA patients were recruited in the PROAR cohort and 447 in the SERAP cohort. Being a SERAP patient was inversely correlated with activity, resulting in a decrease of ؊0.24 (95% confidence interval [95% CI] ؊0.39, ؊0.08) units in the population average of the DAS28 after adjustment was made. Moreover, intervention may be seen as a protective factor of radiologic damage, with a decrease of ؊0.05 (95% CI ؊0.09, ؊0.01) units in the logarithm of the total Sharp/van der Heijde score. On the other hand, a decrease in functional impairment was detected, but intervention was not statistically associated with HAQ changes. Conclusion. Preventing major radiographic progression in a 2-year term inside structured and organized special programs for the management of disease, such as early arthritis clinics, are effective compared to nonprotocolized referrals, treatment, and followup.

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Section: Discussionmentioning

confidence: 99%

“…The SERAP registry has been described in detail elsewhere (12). In brief, the registry was set in 36 reference hospitals with rheumatology departments.…”

Section: Methodsmentioning

confidence: 99%

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Effectiveness of a clinical practice intervention in early rheumatoid arthritis

Descalzo¹,

Carbonell²,

González‐Álvaro³

et al. 2012

Arthritis Care & Research

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“…Genera un grave consumo de recursos socio-sanitarios. Se calcula que un 30 % de las consultas en Atención Primaria son debidas a enfermedades reumáticas 39 . En España son la primera causa de bajas laborales permanentes.…”

Section: Epidemiología De La Artrosis De Rodillaunclassified

Eficacia analgésica de una dosis única de dexametasona perineural en el bloqueo ecoguiado del nervio femoral en cirugía de prótesis total de rodilla

Morales-Muñoz

Sánchez-Ramos

Díaz-Lara

et al. 2017

Revista Española de Anestesiología y Reanimación

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“…Hay 701/1063 pacientes con EA que no cumplen criterios de AR a los 6 meses después de la primera visita al reumatólogo. 5 Una revisión sistemática realizada en 2005 de la prevalencia de la AR encuentra una prevalencia estimada entre el 0,2% y el 1,2%. Con la excepción de algunos estudios africanos, la AR se ha encontrado en todas las áreas del mundo en la que se ha estudiado.…”

Section: Introductionunclassified

Evidencia científica del tratamiento ortopodológico en pie afectado por artritis reumatoide.

Calleja

García

Fernández

2018

Rev. Int. Cienc. Podol.

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Resumen. Antecedentes: La artritis reumatoide afecta más a mujeres. La prevalencia en nuestro país es de 0.5%. Se debe abordar mediante un equipo multidisciplinar. Los signos característicos en el pie son sinovitis de las articulaciones, entesitis, nódulos reumatoides y vasculitis. Las modalidades de tratamiento conservador son: ortesis, calzado, estiramientos, terapia manual e incluso ejercicios terapéuticos mediante Tai-chi. Objetivos: Valorar la evidencia científica sobre el tratamiento conservador del pie reumático mediante ortesis plantares y calzado terapéutico. Conocer los últimos avances y que opción es la más indicada para tratar esta patología que afecta al pie. Material y métodos: Se ha realizado una revisión bibliográfica de los últimos 15 años en Pubmed. Resultados: Se ha encontrado relación entre el dolor de antepié, subluxación metatarsofalángica y erosión del cartílago articular con el aumento de presión a nivel metatarsal plantar lo que justifica la realización de tratamiento ortopodológico encaminado a reducir la misma. El tratamiento conservador está enfocado a la utilización de ortesis y de zapato terapéutico para mejorar el dolor, la marcha y la funcionalidad. Hay evidencia científica para tratar la metatarsalgia con diferentes tipos de ortesis, que no solo ayudan a mejorar el dolor sino que además reducen el nº de articulaciones inflamadas. La combinación con zapato terapéutico con o sin modificaciones externas produce mejores resultados. Conclusión: Existe escasa evidencia científica sobre el uso de tratamiento ortopodológico para el pie reumático pero se han encontrado algunos artículos que avalan su eficacia, por lo que es imprescindible realizar estudios en este campo. Palabras clave: artritis reumatoide; ortesis plantar; zapato terapéutico; antepié.[en] Evidence of orthopodiatric treatment affected by rheumatoid arthritis on foot Abstract. Background: Rheumatoid arthritis affects more women. The prevalence in our country is 0.5%. It should be approached by a multidisciplinary team. Characteristic foot signs` are synovitis of joints, enthesitis, rheumatoid nodules and vasculitis. The conservative treatment modalities are: orthotics, footwear, stretching, manual therapy and therapeutic exercises even by Tai -chi. Objectives: To evaluate the scientific evidence on the conservative treatment of rheumatoid foot with orthotics and therapeutic footwear. Aware of progress and that is the most suitable option for treating this disease that affects the feet. Material and methods: We carried out a literature review of the past 15 years in Pubmed . Results: We found the relationship between pain forefoot metatarsophalangeal subluxation and erosion of articular cartilage with increasing pressure to plantar metatarsal level which justifies conducting orthosis treatment aimed at reducing it. Conservative treatment is aimed at the use of orthoses and shoe therapy to improve pain, gait and functionality. There is scientific evidence for treating metatarsalgia with different types of orthotics that not ...

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The incidence of rheumatoid arthritis in Spain: results from a nationwide primary care registry

Abstract: RA incidence in Spain is in the lower range of published data. The incidence of EA is about three times that of RA.

Cited by 103 publications

References 34 publications

Effectiveness of a clinical practice intervention in early rheumatoid arthritis

Effectiveness of a clinical practice intervention in early rheumatoid arthritis

Eficacia analgésica de una dosis única de dexametasona perineural en el bloqueo ecoguiado del nervio femoral en cirugía de prótesis total de rodilla

Evidencia científica del tratamiento ortopodológico en pie afectado por artritis reumatoide.

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