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Reasons for medical help-seeking behaviour of patients with recent-onset arthralgia
  1. Jessica A B van Nies1,
  2. Elisabeth Brouwer2,
  3. Diederik P C de Rooy1,
  4. Floris A van Gaalen1,
  5. Tom W J Huizinga1,
  6. Marcel D Posthumus2,
  7. Annette H M van der Helm-van Mil1
  1. 1Department of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands
  2. 2Department of Rheumatology and Clinical Immunology, University of Groningen, University Medical Center, Groningen, The Netherlands
  1. Correspondence to Jessica A B van Nies, Department of Rheumatology, Leiden University Medical Center, P.O. Box 9600, 2300 RC Leiden, The Netherlands; j.a.b.van_nies{at}lumc.nl

Abstract

Objective Patient delay in seeking medical help may cause suboptimal use of the therapeutic window in rheumatoid arthritis. We aimed to assess the motivations and the urgency with which patients with arthralgia seek medical help.

Methods 612 patients with arthralgia—visiting two Dutch Early Arthritis Recognition Clinics—were studied. Patients filled out a questionnaire with questions on their symptoms and their reasons for seeking medical help. Comparisons were made for patients with short or prolonged patient delay, patients with and without arthritis, age and gender.

Results The median symptom duration was 4 weeks. A prolonged delay in seeking help was associated with a gradual onset of symptoms (78%) and the perception that symptoms would not be serious or would go away (16% and 48%, respectively). Arthralgia patients who promptly sought medical help more often had an acute onset of symptoms and more frequently reported impairments at work or in daily functioning than patients who postponed seeking help (all p<0.005). Patients with and without arthritis generally had similar reasons for seeking help. The proportion of patients who had a prolonged patient delay was comparable between male and female subjects and between age categories. Particularly younger patients postponed seeking help because they thought their symptoms would disappear spontaneously.

Conclusions This large-scale study observed several reasons and symptom characteristics influencing the help-seeking behaviour of persons with arthralgia. These data can be helpful to define strategies aiming at early identification of arthritis.

  • Epidemiology
  • Early Rheumatoid Arthritis
  • Patient perspective

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