Management and treatment of early rheumatoid arthritis, process and barriers among rheumatologists in Spain: a Delphi consensus

Background: The early diagnosis of rheumatoid arthritis (RA) is essential in order to start the treatment as soon as possible; this process usually begins in primary care and the diagnosis is subsequently confirmed by a rheumatologist. The objective of this study was to increase the knowledge about...

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Autores: Pérez Venegas, Jose Javier, Bustabad Reyes, Sagrario, Sivera Mascaró, Francisca, Villaverde García, Virginia, Ros Vilamajo, Inmaculada, Calvo Alén, Jaime, Medina Luezas, Julio Antonio, Gómez, Ismael, Valderrama, Mónica, Montoro Álvarez, María
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/26369
Acceso en línea:https://hdl.handle.net/20.500.13003/26369
Access Level:acceso abierto
Palabra clave:Arthritis, Rheumatoid
Consensus
Rheumatology
Artritis Reumatoide
Consenso
Reumatología
Arthritis rheumatoid
Delphi
Management
Treatment
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spelling Management and treatment of early rheumatoid arthritis, process and barriers among rheumatologists in Spain: a Delphi consensusPérez Venegas, Jose JavierBustabad Reyes, SagrarioSivera Mascaró, FranciscaVillaverde García, VirginiaRos Vilamajo, InmaculadaCalvo Alén, JaimeMedina Luezas, Julio AntonioGómez, IsmaelValderrama, MónicaMontoro Álvarez, MaríaArthritis, RheumatoidConsensusRheumatologyArtritis ReumatoideConsensoReumatologíaArthritis rheumatoidConsensusDelphiManagementRheumatologyTreatmentBackground: The early diagnosis of rheumatoid arthritis (RA) is essential in order to start the treatment as soon as possible; this process usually begins in primary care and the diagnosis is subsequently confirmed by a rheumatologist. The objective of this study was to increase the knowledge about the barriers rheumatologists perceive to early diagnosis in patients with RA in Spain. It is necessary to optimize the diagnostic process. Methods: An online, two-round Delphi consensus survey was conducted from 01/07/2022 to 24/10/2022. The survey comprised statements concerning the goals of RA treatment, the role of primary care in early diagnosis and the barriers and obstacles that hinder early diagnosis among others. A consensus was reached when at least 80% of participants agreed with each statement. Results: All participants agreed that patients with RA should be referred to rheumatology as soon as possible, preferably within the first six weeks after the first symptoms. In addition, they mostly thought that the existence of new-onset arthritis units within rheumatology services was important. This could allow a reduction in both time to attention in the consultation and treatment initiation. Moreover, prior visits to orthopedics, rehabilitation or physical medicine specialties seem to be an obstacle for early diagnosis. An agreement was reached in all the statements regarding the strategies of the National Health Systems and the impact of the COVID-19 pandemic. Conclusions: The consensus obtained are in line with the current state-of-the-art knowledge. The heterogeneity among rheumatologist´s practices can explain the reason of the lack of consensus in some areas. Supplementary Information: The online version contains supplementary material available at 10.1186/s41927-025-00591-y.Springer20252025-11-1720252025-11-17research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.13003/26369reponame:Docusalutinstname:Conselleria de Salut i Consum del Govern de les Illes BalearsInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:docusalut.com:20.500.13003/263692026-06-22T12:44:07Z
dc.title.none.fl_str_mv Management and treatment of early rheumatoid arthritis, process and barriers among rheumatologists in Spain: a Delphi consensus
title Management and treatment of early rheumatoid arthritis, process and barriers among rheumatologists in Spain: a Delphi consensus
spellingShingle Management and treatment of early rheumatoid arthritis, process and barriers among rheumatologists in Spain: a Delphi consensus
Pérez Venegas, Jose Javier
Arthritis, Rheumatoid
Consensus
Rheumatology
Artritis Reumatoide
Consenso
Reumatología
Arthritis rheumatoid
Consensus
Delphi
Management
Rheumatology
Treatment
title_short Management and treatment of early rheumatoid arthritis, process and barriers among rheumatologists in Spain: a Delphi consensus
title_full Management and treatment of early rheumatoid arthritis, process and barriers among rheumatologists in Spain: a Delphi consensus
title_fullStr Management and treatment of early rheumatoid arthritis, process and barriers among rheumatologists in Spain: a Delphi consensus
title_full_unstemmed Management and treatment of early rheumatoid arthritis, process and barriers among rheumatologists in Spain: a Delphi consensus
title_sort Management and treatment of early rheumatoid arthritis, process and barriers among rheumatologists in Spain: a Delphi consensus
dc.creator.none.fl_str_mv Pérez Venegas, Jose Javier
Bustabad Reyes, Sagrario
Sivera Mascaró, Francisca
Villaverde García, Virginia
Ros Vilamajo, Inmaculada
Calvo Alén, Jaime
Medina Luezas, Julio Antonio
Gómez, Ismael
Valderrama, Mónica
Montoro Álvarez, María
author Pérez Venegas, Jose Javier
author_facet Pérez Venegas, Jose Javier
Bustabad Reyes, Sagrario
Sivera Mascaró, Francisca
Villaverde García, Virginia
Ros Vilamajo, Inmaculada
Calvo Alén, Jaime
Medina Luezas, Julio Antonio
Gómez, Ismael
Valderrama, Mónica
Montoro Álvarez, María
author_role author
author2 Bustabad Reyes, Sagrario
Sivera Mascaró, Francisca
Villaverde García, Virginia
Ros Vilamajo, Inmaculada
Calvo Alén, Jaime
Medina Luezas, Julio Antonio
Gómez, Ismael
Valderrama, Mónica
Montoro Álvarez, María
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Arthritis, Rheumatoid
Consensus
Rheumatology
Artritis Reumatoide
Consenso
Reumatología
Arthritis rheumatoid
Consensus
Delphi
Management
Rheumatology
Treatment
topic Arthritis, Rheumatoid
Consensus
Rheumatology
Artritis Reumatoide
Consenso
Reumatología
Arthritis rheumatoid
Consensus
Delphi
Management
Rheumatology
Treatment
description Background: The early diagnosis of rheumatoid arthritis (RA) is essential in order to start the treatment as soon as possible; this process usually begins in primary care and the diagnosis is subsequently confirmed by a rheumatologist. The objective of this study was to increase the knowledge about the barriers rheumatologists perceive to early diagnosis in patients with RA in Spain. It is necessary to optimize the diagnostic process. Methods: An online, two-round Delphi consensus survey was conducted from 01/07/2022 to 24/10/2022. The survey comprised statements concerning the goals of RA treatment, the role of primary care in early diagnosis and the barriers and obstacles that hinder early diagnosis among others. A consensus was reached when at least 80% of participants agreed with each statement. Results: All participants agreed that patients with RA should be referred to rheumatology as soon as possible, preferably within the first six weeks after the first symptoms. In addition, they mostly thought that the existence of new-onset arthritis units within rheumatology services was important. This could allow a reduction in both time to attention in the consultation and treatment initiation. Moreover, prior visits to orthopedics, rehabilitation or physical medicine specialties seem to be an obstacle for early diagnosis. An agreement was reached in all the statements regarding the strategies of the National Health Systems and the impact of the COVID-19 pandemic. Conclusions: The consensus obtained are in line with the current state-of-the-art knowledge. The heterogeneity among rheumatologist´s practices can explain the reason of the lack of consensus in some areas. Supplementary Information: The online version contains supplementary material available at 10.1186/s41927-025-00591-y.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025-11-17
2025
2025-11-17
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.13003/26369
url https://hdl.handle.net/20.500.13003/26369
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:Docusalut
instname:Conselleria de Salut i Consum del Govern de les Illes Balears
instname_str Conselleria de Salut i Consum del Govern de les Illes Balears
reponame_str Docusalut
collection Docusalut
repository.name.fl_str_mv
repository.mail.fl_str_mv
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