There has been a paradigm
shift in the approach to Rheumatoid arthritis (RA) treatment, with current
guidelines recommending early, aggressive and consistent use of diseasemodifying anti-rheumatic drugs (DMARDs), with remission as the new target.
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| Rheumatoid Arthritis |
The delivery of care for
RA has been shown to be suboptimal. In British Columbia (BC), we found low
rates of DMARD use and referral to rheumatologists. Similar findings were
observed in Quebec, Ontario and United States. Other researchers have found
long delays in receiving care. This highlights the importance of addressing the
gaps in RA care by informing family physicians (FPs) about recent changes in RA
management. Previous studies revealed that many FPs lacked confidence to
undertake early diagnoses of RA, and prescription of DMARDs, as well as the
need for a shift in approaching RA care.
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