Symptoms associated with inflammatory arthritis are common and persistent in the primary care population: results from the Joint Symptoms Survey

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Symptoms associated with inflammatory arthritis are common and persistent in the primary care population : results from the Joint Symptoms Survey. / Hider, Samantha; Muller, Sara; Helliwell, Toby; Prior, James A; Scott, Ian ; Lawton, Sarah A; Zwierska, Irena; van Schaardenburg, Dirkjan; van der Helm-van Mil, Annette; Raza, Karim; Mallen, Christian D.

In: Rheumatology, Vol. 58, No. 11, 11.2019, p. 2009–2014.

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Hider, S, Muller, S, Helliwell, T, Prior, JA, Scott, I, Lawton, SA, Zwierska, I, van Schaardenburg, D, van der Helm-van Mil, A, Raza, K & Mallen, CD 2019, 'Symptoms associated with inflammatory arthritis are common and persistent in the primary care population: results from the Joint Symptoms Survey', Rheumatology, vol. 58, no. 11, pp. 2009–2014. https://doi.org/10.1093/rheumatology/kez184

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Hider, Samantha ; Muller, Sara ; Helliwell, Toby ; Prior, James A ; Scott, Ian ; Lawton, Sarah A ; Zwierska, Irena ; van Schaardenburg, Dirkjan ; van der Helm-van Mil, Annette ; Raza, Karim ; Mallen, Christian D. / Symptoms associated with inflammatory arthritis are common and persistent in the primary care population : results from the Joint Symptoms Survey. In: Rheumatology. 2019 ; Vol. 58, No. 11. pp. 2009–2014.

Bibtex

@article{51abab8dfcd34081a21f238e87011b83,
title = "Symptoms associated with inflammatory arthritis are common and persistent in the primary care population: results from the Joint Symptoms Survey",
abstract = "Objectives: To describe the prevalence of self-reported inflammatory joint symptoms, such as joint pain, stiffness and swelling, in UK primary care patients consulting for both musculoskeletal (MSK) and non-musculoskeletal (non-MSK) complaints. Methods: A joint symptoms questionnaire survey was sent to 10 161 individuals, of whom 5050 had consulted for MSK problems. These were matched by age, gender and general practice to non-MSK consulters. Participants provided data on relevant symptoms such as joint pain, stiffness and swelling. The prevalence of these symptoms, their severity and impact were compared between MSK and non-MSK consulters. Results: A total of 4549 adults responded to the survey (adjusted response 45.8{\%}) of whom 52.3{\%} consulted for a MSK problem. The mean (s.d.) age was 61.6 (14.8) years and 58.9{\%} were female. Persistent (on at least half of the days in the last month) inflammatory symptoms were common even in non-MSK consulters, with 42{\%} reporting joint pain, 36{\%} reporting joint stiffness and 18{\%} reporting joint swelling. This is in comparison with 62{\%} reporting joint pain, 50{\%} stiffness and 24{\%} swelling among MSK consulters. Conclusions: Although symptoms such as persistent joint pain, swelling and stiffness are predictive of inflammatory arthritis, large numbers of people consulting primary care for non-MSK reasons report these symptoms when asked by questionnaire. This compounds the challenges of diagnosing inflammatory arthritis in a non-specialist setting where new approaches are needed to ensure accurate, early diagnosis, facilitating a treat-to-target approach.",
keywords = "inflammatory arthritis, joint pain, joint swelling, primary care",
author = "Samantha Hider and Sara Muller and Toby Helliwell and Prior, {James A} and Ian Scott and Lawton, {Sarah A} and Irena Zwierska and {van Schaardenburg}, Dirkjan and {van der Helm-van Mil}, Annette and Karim Raza and Mallen, {Christian D.}",
year = "2019",
month = "11",
doi = "10.1093/rheumatology/kez184",
language = "English",
volume = "58",
pages = "2009–2014",
journal = "Rheumatology",
issn = "1462-0324",
publisher = "Oxford University Press",
number = "11",

}

RIS

TY - JOUR

T1 - Symptoms associated with inflammatory arthritis are common and persistent in the primary care population

T2 - results from the Joint Symptoms Survey

AU - Hider, Samantha

AU - Muller, Sara

AU - Helliwell, Toby

AU - Prior, James A

AU - Scott, Ian

AU - Lawton, Sarah A

AU - Zwierska, Irena

AU - van Schaardenburg, Dirkjan

AU - van der Helm-van Mil, Annette

AU - Raza, Karim

AU - Mallen, Christian D.

PY - 2019/11

Y1 - 2019/11

N2 - Objectives: To describe the prevalence of self-reported inflammatory joint symptoms, such as joint pain, stiffness and swelling, in UK primary care patients consulting for both musculoskeletal (MSK) and non-musculoskeletal (non-MSK) complaints. Methods: A joint symptoms questionnaire survey was sent to 10 161 individuals, of whom 5050 had consulted for MSK problems. These were matched by age, gender and general practice to non-MSK consulters. Participants provided data on relevant symptoms such as joint pain, stiffness and swelling. The prevalence of these symptoms, their severity and impact were compared between MSK and non-MSK consulters. Results: A total of 4549 adults responded to the survey (adjusted response 45.8%) of whom 52.3% consulted for a MSK problem. The mean (s.d.) age was 61.6 (14.8) years and 58.9% were female. Persistent (on at least half of the days in the last month) inflammatory symptoms were common even in non-MSK consulters, with 42% reporting joint pain, 36% reporting joint stiffness and 18% reporting joint swelling. This is in comparison with 62% reporting joint pain, 50% stiffness and 24% swelling among MSK consulters. Conclusions: Although symptoms such as persistent joint pain, swelling and stiffness are predictive of inflammatory arthritis, large numbers of people consulting primary care for non-MSK reasons report these symptoms when asked by questionnaire. This compounds the challenges of diagnosing inflammatory arthritis in a non-specialist setting where new approaches are needed to ensure accurate, early diagnosis, facilitating a treat-to-target approach.

AB - Objectives: To describe the prevalence of self-reported inflammatory joint symptoms, such as joint pain, stiffness and swelling, in UK primary care patients consulting for both musculoskeletal (MSK) and non-musculoskeletal (non-MSK) complaints. Methods: A joint symptoms questionnaire survey was sent to 10 161 individuals, of whom 5050 had consulted for MSK problems. These were matched by age, gender and general practice to non-MSK consulters. Participants provided data on relevant symptoms such as joint pain, stiffness and swelling. The prevalence of these symptoms, their severity and impact were compared between MSK and non-MSK consulters. Results: A total of 4549 adults responded to the survey (adjusted response 45.8%) of whom 52.3% consulted for a MSK problem. The mean (s.d.) age was 61.6 (14.8) years and 58.9% were female. Persistent (on at least half of the days in the last month) inflammatory symptoms were common even in non-MSK consulters, with 42% reporting joint pain, 36% reporting joint stiffness and 18% reporting joint swelling. This is in comparison with 62% reporting joint pain, 50% stiffness and 24% swelling among MSK consulters. Conclusions: Although symptoms such as persistent joint pain, swelling and stiffness are predictive of inflammatory arthritis, large numbers of people consulting primary care for non-MSK reasons report these symptoms when asked by questionnaire. This compounds the challenges of diagnosing inflammatory arthritis in a non-specialist setting where new approaches are needed to ensure accurate, early diagnosis, facilitating a treat-to-target approach.

KW - inflammatory arthritis

KW - joint pain

KW - joint swelling

KW - primary care

UR - http://www.scopus.com/inward/record.url?scp=85074118137&partnerID=8YFLogxK

U2 - 10.1093/rheumatology/kez184

DO - 10.1093/rheumatology/kez184

M3 - Article

VL - 58

SP - 2009

EP - 2014

JO - Rheumatology

JF - Rheumatology

SN - 1462-0324

IS - 11

ER -