Arthritis, Rheumatoid Clinical Trial
Official title:
The Impact of Rheumatologist-performed Ultrasound on Diagnosis and Management of Inflammatory Arthritis in Routine Clinical Practice
The aim of this research study is to describe the impact of rheumatologist performed ultrasound on the diagnosis and management pathways of patients with rheumatoid arthritis. Primarily, to compare the time from first visit to treatment initiation between patients with and without rheumatologist-performed ultrasound assessment.
There are currently no guidelines for best practice in the use of ultrasound in RA and
interim results from a survey by the British Society of Rheumatology (BSR) in this area have
suggested that practice is variable across the UK. NICE recognize that the earlier
persistent synovitis is identified and treated with disease modifying anti-rheumatic drugs
DMARDs, the better the long term outcome and have welcomed the need to determine the role of
imaging in assisting with this early diagnosis, and whether the added cost is justified by
better disease outcomes.
This is a multi-site prospective observational study which investigates the use of
ultrasound imaging in the context of patients with early arthritis presenting to secondary
care. The time to commencement of DMARD therapy and diagnosis of Rheumatoid arthritis are
therein outcome measures. Patients are followed up for 12 months after their first
presentation and time to diagnosis or DMARD commencement recorded.
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