Vnitr Lek 2024, 70(6):352-356 | DOI: 10.36290/vnl.2024.071
Early diagnosis of rheumatoid arthritis: The key to successful therapy
- II. interní klinika FN u sv. Anny v Brně
Early diagnosis of rheumatoid arthritis (RA) is a key factor for successful treatment and improving patient prognosis. This article provides an overview of the diagnostic approach for RA. It also discusses the challenges associated with early diagnosis. Furthermore, it focuses on the benefits of early treatment initiation, including reducing disease progression and improving patients' quality of life. In conclusion, recommendations for clinical practice are provided, emphasizing the importance of timely recognition and intervention in patients with RA. This article highlights the necessity of a proactive approach by physicians to early RA diagnosis and supports further research in the diagnosis and treatment of this condition. Understanding diagnostic procedures and the benefits of early RA treatment can contribute to improving clinical practice and outcomes for patients with this disease.
Keywords: rheumatoid arthritis, early diagnosis, initiation of RA treatment, "window of opportunity", early arthritis clinic.
Accepted: September 19, 2024; Published: October 3, 2024 Show citation
References
- Pavelka K, Vencovský J, Horák P, et al. Revmatologie. 2. aktualizované a rozšířené vydání. Jessenius. Praha: Maxdorf. [2018]. ISBN 978-80-7345-583-5.
- Myasoedova E, Crowson CS, Kremers HM, Therneau TM, Gabriel SE. Is the incidence of rheumatoid arthritis rising?: results from Olmsted County, Minnesota, 1955-2007. Arthritis Rheum. 2010 Jun;62(6):1576-82. doi: 10.1002/art.27425. PMID: 20191579; PMCID: PMC2929692.
Go to original source...
Go to PubMed...
- Wegner N, Wait R, Sroka A, et al. Peptidylarginine deiminase from Porphyromonas gingivalis citrullinates human fibrinogen and α-enolase: implications for autoimmunity in rheumatoid arthritis. Arthritis Rheum. 2010;62(9):2662-2672. https://doi.org/10.1002/art.27552.
Go to original source...
Go to PubMed...
- Nielen MM, van Schaardenburg D, Reesink HW, et al. Specific autoantibodies precede the symptoms of rheumatoid arthritis: a study of serial measurements in blood donors. Arthritis Rheum. 2004;50(2):380-386.
Go to original source...
Go to PubMed...
- Němec P. Revmatologie pro praxi. 2., přepracované a doplněné vydání. Praha: Grada Publishing, 2021. ISBN 978-80-271-3284-3.
- Aletaha D, Smolen JS. Diagnosis and Management of Rheumatoid Arthritis: A Review. JAMA. 2018;320(13):1360-1372. doi:10.1001/jama.2018.13103.
Go to original source...
Go to PubMed...
- Burgers LE, Raza K, van der Helm-van Mil AH. Window of opportunity in rheumatoid arthritis - definitions and supporting evidence: from old to new perspectives. RMD Open. 2019 Apr 3;5(1):e000870. doi: 10.1136/rmdopen-2018-000870. PMID: 31168406; PMCID: PMC6525606.
Go to original source...
Go to PubMed...
- Combe B, Landewe R, Daien CI, et al. 2016 update of the EULAR recommendations for the management of early arthritis. Ann Rheum Dis. 2017;76:948-959.
Go to original source...
Go to PubMed...
- Aletaha D, Neogi T, Silman A, et al. 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Ann Rheum Dis. 2010;69:1580-1588.
Go to original source...
Go to PubMed...
- Genetic and environmental risk factors for rheumatoid arthritis. Best Pract Res Clin Rheumatol. 2017;31(1):3-18. https://doi.org/10.1016/j.berh.2017. 08. 003.
Go to original source...
- Šenolt L. Doporučené postupy České revmatologické společnosti pro farmakologickou léčbu revmatoidní artritidy - aktualizace. Česká Revmatologie. 2024;32(1):7-24.
- Emery P, Gough A. Why early arthritis clinics? Br J Rheumatol. 1991 Aug;30(4):241-2. doi: 10.1093/rheumatology/30. 4. 241. PMID: 1863817.
Go to original source...
- van Nies JA, et al. Evaluating relationships between symptom duration and persistence of rheumatoid arthritis: does a window of opportunity exist? Results on the Leiden early arthritis clinic and ESPOIR cohorts. Ann Rheum Dis. 2015;74(5):806-812. doi:10.1136/annrheumdis-2014-206047.
Go to original source...
Go to PubMed...
- van der Linden MP, le Cessie S, Raza K, van der Woude D, Knevel R, Huizinga TW, van der Helm-van Mil AH. Long-term impact of delay in assessment of patients with early arthritis. Arthritis Rheum. 2010 Dec;62(12):3537-46. doi: 10.1002/art.27692. PMID: 20722031.
Go to original source...
Go to PubMed...
- Stack RJ, Nightingale P, Jinks C, Shaw K, Herron-Marx S, Horne R, et al. Delays between the onset of symptoms and first rheumatology consultation in patients with rheumatoid arthritis in the UK: an observational study. BMJ Open. 2019;9(3):e024361.
Go to original source...
Go to PubMed...
- Villeneuve E, Nam JL, Bell MJ, et al. Republished: A systematic literature review of strategies promoting early referral and reducing delays in the diagnosis and management of inflammatory arthritis. Postgrad Med J. 2013 Apr;89(1050):231-240. https://doi.org/10.1136/postgradmedj-2011-201063rep.
Go to original source...
Go to PubMed...
- Deane KD, Holers VM. Rheumatoid Arthritis Pathogenesis, Prediction, and Prevention: An Emerging Paradigm Shift. Arthritis Rheumatol. 2021 Feb;73(2):181-193. doi: 10.1002/art.41417. PMID: 32602263; PMCID: PMC7772259.
Go to original source...
Go to PubMed...
- Zaccardelli A, Friedlander HM, Ford JA, Sparks JA. Potential of Lifestyle Changes for Reducing the Risk of Developing Rheumatoid Arthritis: Is an Ounce of Prevention Worth a Pound of Cure? Clin Ther. 2019;41(7):1323-1345.
Go to original source...
Go to PubMed...
- Mankia K, Cheng Z, Do T, Hunt L, Meade J, Kang J, et al. Prevalence of Periodontal Disease and Periodontopathic Bacteria in Anti-Cyclic Citrullinated Protein Antibody-Positive At-Risk Adults Without Arthritis. JAMA Netw Open. 2019;2(6):e195394.
Go to original source...
Go to PubMed...
- Aletaha D, Smolen J. The Simplified Disease Activity Index (SDAI) and the Clinical Disease Activity Index (CDAI): a review of their usefulness and validity in rheumatoid arthritis. Clin Exp Rheumatol. 2005;23(5 Suppl 39):S100-S108.
- van Steenbergen HW, Aletaha D, et al. EULAR definition of arthralgia suspicious for progression to rheumatoid arthritis. Ann Rheum Dis. 2017 Mar 1;76(3):491-496.
Go to original source...
Go to PubMed...