Table 2.

Management of referrals and treatment strategy for rheumatologists

Geographical region
Income
All participantsEurope and Central AsiaNorth AmericaLatin AmericaEast Asia and PacificSouth AsiaMiddle East and AfricaHigh- income countriesLow- and middle- income countries
Management of referrals
GPs can discuss patients prior to referral, n (%)579 (64)260 (81)61 (79)67 (46)45 (78)32 (57)114 (47)359 (78)220 (50)
Referred patients seen by rheumatologist (%), median (IQR)100 (80–100)100 (90–100)100 (100–100)100 (90–100)100 (100–100)100 (80–100)90 (10–100)100 (95–100)100 (20–100)
Evaluation of suspected new PMR patients >2 weeks after referral, n (%)348 (39)127 (40)57 (75)86 (59)30 (53)3 (6)43 (18)234 (51)117 (27)
Evaluation of suspected new PMR patients >4 weeks after referral, n (%)166 (19)63 (20)18 (24)48 (33)14 (24)1 (2)24 (10)106 (23)61 (14)
Referred patients with established PMR diagnosis (%), median (IQR)20 (3–50)30 (10–50)37 (10–55)10 (1–50)50 (15–70)10 (0–25)5 (0–25)30 (10–50)5 (0-33)
Diagnosis changed upon evaluation of patients with established PMR diagnosis (%), median (IQR)15 (5–30)15 (10–30)20 (10–45)10 (0–50)20 (15–40)20 (0–50)10 (0–30)20 (10–30)10 (0–30)
Prednisolone
Started prior to evaluation (%), median (IQR)50 (15–75)50 (30–80)60 (50–80)50 (10–60)55 (30–90)50 (10–60)25 (5–50)50 (30–80)30 (5–50)
Initial dose (mg), median (IQR)20 (15–20)16 (15–20)20 (15–20)20 (15–30)15 (15–15)20 (15–30)20 (15–30)15 (15–20)20 (15–30)
Initial dose > 25 mg, n (%)216 (23)34 (10)5 (6)47 (31)0 (0)20 (35)110 (41)4 (8)178 (38)
Duration of treatment (months), median (IQR)12 (6–18)12 (12–18)12 (10–18)10 (6–12)15 (12–18)11 (6–12)6 (3–18)12 (12–18)6 (3–12)
Duration of treatment <6 month, n (%)133 (14)13 (4)2 (3)35 (23)4 (7)6 (11)72 (27)14 (3)118 (25)
Geographical region
Income
All participantsEurope and Central AsiaNorth AmericaLatin AmericaEast Asia and PacificSouth AsiaMiddle East and AfricaHigh- income countriesLow- and middle- income countries
Management of referrals
GPs can discuss patients prior to referral, n (%)579 (64)260 (81)61 (79)67 (46)45 (78)32 (57)114 (47)359 (78)220 (50)
Referred patients seen by rheumatologist (%), median (IQR)100 (80–100)100 (90–100)100 (100–100)100 (90–100)100 (100–100)100 (80–100)90 (10–100)100 (95–100)100 (20–100)
Evaluation of suspected new PMR patients >2 weeks after referral, n (%)348 (39)127 (40)57 (75)86 (59)30 (53)3 (6)43 (18)234 (51)117 (27)
Evaluation of suspected new PMR patients >4 weeks after referral, n (%)166 (19)63 (20)18 (24)48 (33)14 (24)1 (2)24 (10)106 (23)61 (14)
Referred patients with established PMR diagnosis (%), median (IQR)20 (3–50)30 (10–50)37 (10–55)10 (1–50)50 (15–70)10 (0–25)5 (0–25)30 (10–50)5 (0-33)
Diagnosis changed upon evaluation of patients with established PMR diagnosis (%), median (IQR)15 (5–30)15 (10–30)20 (10–45)10 (0–50)20 (15–40)20 (0–50)10 (0–30)20 (10–30)10 (0–30)
Prednisolone
Started prior to evaluation (%), median (IQR)50 (15–75)50 (30–80)60 (50–80)50 (10–60)55 (30–90)50 (10–60)25 (5–50)50 (30–80)30 (5–50)
Initial dose (mg), median (IQR)20 (15–20)16 (15–20)20 (15–20)20 (15–30)15 (15–15)20 (15–30)20 (15–30)15 (15–20)20 (15–30)
Initial dose > 25 mg, n (%)216 (23)34 (10)5 (6)47 (31)0 (0)20 (35)110 (41)4 (8)178 (38)
Duration of treatment (months), median (IQR)12 (6–18)12 (12–18)12 (10–18)10 (6–12)15 (12–18)11 (6–12)6 (3–18)12 (12–18)6 (3–12)
Duration of treatment <6 month, n (%)133 (14)13 (4)2 (3)35 (23)4 (7)6 (11)72 (27)14 (3)118 (25)

IQR: interquartile range; GP: general practitioner.

Table 2.

Management of referrals and treatment strategy for rheumatologists

Geographical region
Income
All participantsEurope and Central AsiaNorth AmericaLatin AmericaEast Asia and PacificSouth AsiaMiddle East and AfricaHigh- income countriesLow- and middle- income countries
Management of referrals
GPs can discuss patients prior to referral, n (%)579 (64)260 (81)61 (79)67 (46)45 (78)32 (57)114 (47)359 (78)220 (50)
Referred patients seen by rheumatologist (%), median (IQR)100 (80–100)100 (90–100)100 (100–100)100 (90–100)100 (100–100)100 (80–100)90 (10–100)100 (95–100)100 (20–100)
Evaluation of suspected new PMR patients >2 weeks after referral, n (%)348 (39)127 (40)57 (75)86 (59)30 (53)3 (6)43 (18)234 (51)117 (27)
Evaluation of suspected new PMR patients >4 weeks after referral, n (%)166 (19)63 (20)18 (24)48 (33)14 (24)1 (2)24 (10)106 (23)61 (14)
Referred patients with established PMR diagnosis (%), median (IQR)20 (3–50)30 (10–50)37 (10–55)10 (1–50)50 (15–70)10 (0–25)5 (0–25)30 (10–50)5 (0-33)
Diagnosis changed upon evaluation of patients with established PMR diagnosis (%), median (IQR)15 (5–30)15 (10–30)20 (10–45)10 (0–50)20 (15–40)20 (0–50)10 (0–30)20 (10–30)10 (0–30)
Prednisolone
Started prior to evaluation (%), median (IQR)50 (15–75)50 (30–80)60 (50–80)50 (10–60)55 (30–90)50 (10–60)25 (5–50)50 (30–80)30 (5–50)
Initial dose (mg), median (IQR)20 (15–20)16 (15–20)20 (15–20)20 (15–30)15 (15–15)20 (15–30)20 (15–30)15 (15–20)20 (15–30)
Initial dose > 25 mg, n (%)216 (23)34 (10)5 (6)47 (31)0 (0)20 (35)110 (41)4 (8)178 (38)
Duration of treatment (months), median (IQR)12 (6–18)12 (12–18)12 (10–18)10 (6–12)15 (12–18)11 (6–12)6 (3–18)12 (12–18)6 (3–12)
Duration of treatment <6 month, n (%)133 (14)13 (4)2 (3)35 (23)4 (7)6 (11)72 (27)14 (3)118 (25)
Geographical region
Income
All participantsEurope and Central AsiaNorth AmericaLatin AmericaEast Asia and PacificSouth AsiaMiddle East and AfricaHigh- income countriesLow- and middle- income countries
Management of referrals
GPs can discuss patients prior to referral, n (%)579 (64)260 (81)61 (79)67 (46)45 (78)32 (57)114 (47)359 (78)220 (50)
Referred patients seen by rheumatologist (%), median (IQR)100 (80–100)100 (90–100)100 (100–100)100 (90–100)100 (100–100)100 (80–100)90 (10–100)100 (95–100)100 (20–100)
Evaluation of suspected new PMR patients >2 weeks after referral, n (%)348 (39)127 (40)57 (75)86 (59)30 (53)3 (6)43 (18)234 (51)117 (27)
Evaluation of suspected new PMR patients >4 weeks after referral, n (%)166 (19)63 (20)18 (24)48 (33)14 (24)1 (2)24 (10)106 (23)61 (14)
Referred patients with established PMR diagnosis (%), median (IQR)20 (3–50)30 (10–50)37 (10–55)10 (1–50)50 (15–70)10 (0–25)5 (0–25)30 (10–50)5 (0-33)
Diagnosis changed upon evaluation of patients with established PMR diagnosis (%), median (IQR)15 (5–30)15 (10–30)20 (10–45)10 (0–50)20 (15–40)20 (0–50)10 (0–30)20 (10–30)10 (0–30)
Prednisolone
Started prior to evaluation (%), median (IQR)50 (15–75)50 (30–80)60 (50–80)50 (10–60)55 (30–90)50 (10–60)25 (5–50)50 (30–80)30 (5–50)
Initial dose (mg), median (IQR)20 (15–20)16 (15–20)20 (15–20)20 (15–30)15 (15–15)20 (15–30)20 (15–30)15 (15–20)20 (15–30)
Initial dose > 25 mg, n (%)216 (23)34 (10)5 (6)47 (31)0 (0)20 (35)110 (41)4 (8)178 (38)
Duration of treatment (months), median (IQR)12 (6–18)12 (12–18)12 (10–18)10 (6–12)15 (12–18)11 (6–12)6 (3–18)12 (12–18)6 (3–12)
Duration of treatment <6 month, n (%)133 (14)13 (4)2 (3)35 (23)4 (7)6 (11)72 (27)14 (3)118 (25)

IQR: interquartile range; GP: general practitioner.

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