Delayed referral of female patients with rheumatoid arthritis

J Rheumatol. 2001 Oct;28(10):2190-2.

Abstract

Objective: To analyze whether sex differences in referral exist in patients with rheumatoid arthritis (RA).

Methods: At the Department of Rheumatology of the Leiden University Medical Center, a special early arthritis clinic (EAC) was established. General practitioners (GPs) were encouraged to refer patients with joint complaints to the EAC. Subsequently, the diagnosis RA was made by a rheumatologist.

Results: In this report, 142 women and 82 men were included. The delays in patient's first encounter with a GP for both sexes were comparable. However, a significant difference in the GP's delay in referring female patients with RA to the EAC in comparison with male patients was observed (median of 93 days vs 58 days; p = 0.008).

Conclusion: This report determined GP referral delay of female patients to a rheumatologist. GPs should be made aware that early detection and early referral of patients with RA are crucial for early treatment.

Publication types

  • Comparative Study

MeSH terms

  • Academic Medical Centers / statistics & numerical data
  • Adult
  • Aged
  • Aged, 80 and over
  • Arthritis, Rheumatoid / therapy*
  • Family Practice / statistics & numerical data
  • Female
  • Humans
  • Male
  • Middle Aged
  • Outpatient Clinics, Hospital / statistics & numerical data*
  • Referral and Consultation / statistics & numerical data*
  • Rheumatology / statistics & numerical data*
  • Sex Factors
  • Women's Health*