Joint surgery in the Utrecht Rheumatoid Arthritis Cohort: the effect of treatment strategy

Verstappen, Suzanne M M; Hoes, Jos N.; Borg, E. J. Ter; Bijlsma, J. W. J.; Blaauw, A. A. M.; Albada‐Kuipers, G. A. Van; Booma-Frankfort, C van; Jacobs, J. W. G.

doi:10.1136/ard.2005.049957

Cited by 44 publications

(31 citation statements)

References 26 publications

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“…In particular, patients who fail to respond to pharmaceutical therapies require surgical intervention to prevent further loss of function [1,2,17]. Orthopedic procedures can substantially improve the overall function and quality of life in such patients.…”

Section: Discussionmentioning

confidence: 99%

Comparison of characteristics and therapeutic efficacy in rheumatoid arthritis patients treated by rheumatologists and those treated by orthopedic surgeons under a team medicine approach at the same institute

et al. 2011

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The treatment of rheumatoid arthritis (RA) has improved dramatically with the advent of the latest generation of disease-modifying antirheumatic drugs. Despite these advances, in some patients inflammation is not diminished sufficiently to prevent irreversible musculoskeletal damage, thereby necessitating surgical intervention to reduce pain and improve function. For RA treatment, Japanese orthopedic surgeons also prescribe medication. In this study, we examined whether this Japanese system is effective for RA treatment. We analyzed the clinical condition of RA patients treated by rheumatologists and those treated by orthopedists in a linked registry study using information from a large observational cohort of RA patients followed every half year from 2000 to 2010 (the IORRA cohort). Two groups of patients were compared: patients treated by rheumatologists (rheumatologic group) and patients treated by orthopedists (orthopedic group). The results revealed that patients in the orthopedic group were older, more likely to be female, and had a longer disease duration than patients in the rheumatologic group. The proportion of patients with a history of joint surgery was also much higher in the orthopedic group than in the rheumatologic group. The average scores on the Japanese version of the Health Assessment Questionnaire, and the remission ratio determined using a Boolean-based definition gradually increased from 2000 until 2010, and these findings were consistently better in the rheumatologic group than in the orthopedic group. These data suggest that patients treated primarily by orthopedists are more likely to have long-standing RA compared to patients treated by rheumatologists. Therefore, it is critical for rheumatologists and orthopedists to complement each other medically in the treatment of RA patients.

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Section: Discussionmentioning

confidence: 99%

Comparison of characteristics and therapeutic efficacy in rheumatoid arthritis patients treated by rheumatologists and those treated by orthopedic surgeons under a team medicine approach at the same institute

et al. 2011

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“…По данным литературы, в среднем 2,6% населения мира страдает коксартрозом на фоне ЮРА различной степени выраженности, что делает данную проблему актуальной [6].…”

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“…Несмотря на то, что эндопротезирование крупных суставов при ревматоидном артрите у взрослых пациен-тов является широко применяемым методом оперативно-го лечения [6,7], до сих пор операции на крупных суставах при наличии активного ревматоидного артрита пред-ставляют сложную задачу как для ортопедов-хирургов, так и для ревматологов, осуществляющих дальнейшее ведение этих больных. Тотальное эндопротезирование тазобедренного сустава у подростков является редко используемым методом лечения [8].…”

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Complex Treatment of Coxarthrosis in Adolescents With Juvenile Rheumatoid Arthritis

Алексеевич¹,

Алексеева²,

Морев³

et al. 2012

Vopr. sovr. pediatr.

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“…Несмотря на то что эндопротезирование крупных су-ставов при РА явилось величайшей вехой в ревмоортопе-дии [8][9][10][11][12][13][14][15], до сих пор операции на крупных суставах при наличии активного РА представляют сложную задачу как для ортопедов-хирургов, так и для ревматологов, осущест-вляющих дальнейшее ведение этих больных.…”

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Does endoprosthetic replacement of large joints improve quality of life in patients with rheumatoid arthritis?

Savenkova¹,

Амирджанова²,

Макаров³

et al. 2011

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Joint surgery in the Utrecht Rheumatoid Arthritis Cohort: the effect of treatment strategy

Abstract: Treatment with disease-modifying antirheumatic drugs immediately after diagnosis results in less joint surgery when compared with a delayed start. Furthermore, joint surgery is carried out more often in patients who do not respond to treatment.

Cited by 44 publications

References 26 publications

Comparison of characteristics and therapeutic efficacy in rheumatoid arthritis patients treated by rheumatologists and those treated by orthopedic surgeons under a team medicine approach at the same institute

Comparison of characteristics and therapeutic efficacy in rheumatoid arthritis patients treated by rheumatologists and those treated by orthopedic surgeons under a team medicine approach at the same institute

Complex Treatment of Coxarthrosis in Adolescents With Juvenile Rheumatoid Arthritis

Does endoprosthetic replacement of large joints improve quality of life in patients with rheumatoid arthritis?

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