Analytical Assessment of Out-Patient Treatment of Patients With Rheumatoid Arthritis

Abstract

Objective: to carry out the analytical assessment of outpatient management of patients with rheumatoid arthritis in real clinical practice and study the structure of comorbid pathology. Material and methods. The medical records of 88 patients have been analyzed at 6 outpatient clinics of Gomel. The Charlson comorbidity index was applied for the quantitative assessment of the comorbid status. Results. The most common provoking factors of the development of rheumatoid arthritis were acute respiratory viral infections and exacerbation of chronic diseases; and the background disease was thyroid pathology. The most frequent complications of rheumatoid arthritis were osteoarthritis, anemia of chronic inflammation, osteoporosis, coronary heart disease. Comorbid pathology occured in 97.7 % of the patients with rheumatoid arthritis. Conclusion. At present, the problems of management of patients with rheumatoid arthritis are late diagnostics; discrepancy of real treatment to the modern recommendations of EULAR; insufficient use of disease-modifying antirheumatic drugs; absence of individual approach aimed at early detection of comorbid pathology and its adequate treatment.