Nine hundred patients evaluated within a median of one day from referral in a very early arthritis clinic in France
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ID: 315198
2026
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Abstract
Abstract Objective In order to fit with NICE guidelines on arthritis, we established a “very early arthritis clinic” (v-EAC) to evaluate patients within 48 h of a medical referral for any suspected arthritis of less than one month’s duration. We describe the characteristics of patients referred to the v-EAC from October 2, 2023, to October 1, 2024. Methods Delay of referral was record. A systematic and standardized clinical, biological and ultrasound evaluation of all consecutive patients was conducted. Patients and disease characteristics are described. Results 900 patients were evaluated; within a median delay of 1 day after referral: 51% women, median age: 55 years (IQR: 42–67). Among these patients, 37% were referred by emergency departments, 28% by rheumatologists, 18% by general practitioners and 17% by others specialists. For 46% of patients, it was the first episode of swollen joint, with a median symptom duration of 14 days (IQR 5–44), a mean number of 1.3 ± 1.9 swollen joints. Inflammatory arthritis was confirmed in 63% of cases, and diagnoses were: flare of immune-mediated inflammatory diseases (IMIDs) - related arthritis in 35% of cases (half of which represented the first manifestation of an IMIDs-related arthritis), crystal-related arthritis in 27% (mostly gout), infectious disease in 8.0% (including 34 bursitis and 13 septic arthritis). Joint aspiration was performed in 414 patients (46%). Corticosteroid derivative injections were administered to 31% of patients, and hospitalization was required in 10% of cases (median stay: 6 days [4–8]). Conclusion A dedicated care pathway can make the NICE guidelines about management of arthritis reachable.
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| Authors | Esther Ebstein, Pierre‐Antoine Juge, Marine Forien, Leslie Benattar, Marie Péan de Ponfilly, Madeleine Franc, Bastien Léger, Anne Dupont, Manon Lemée, Chloé Jessen, Margaux Moret, Léa Bastard, Laurinda Carré, Sirine Mahjoub, Monika Klimek, Anna Molto, Marie-Christine Gallais, Mylène Dousset, Sébastien Ottaviani, P Dieudé |
| Journal | Rheumatology Advances in Practice |
| Year | 2026 |
| DOI |
10.1093/rap/rkag055
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| URL | |
| Keywords | Keywords not found |
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