title: Efforts to increase public awareness may result in more timely diagnosis of rheumatoid arthritis.
abstract: BACKGROUND
  Patients with rheumatoid arthritis (RA) in the United Arab Emirates (UAE) have previously been found to have a long delay to diagnosis and low utilization of disease-modifying antirheumatic drugs (DMARDs). Over the past 5 years, support groups, awareness programs, and public campaigns have been instituted in the region.
  
  
  OBJECTIVE
  This study aimed to assess whether such initiatives have affected the lag to diagnosis previously observed.
  
  
  METHODS
  Demographic, disease, and treatment data on the first 100 patients meeting American College of Rheumatology (1987) criteria for RA, presenting to our practice for the first time, were compared with similar data from 2006 on patients presenting to a different musculoskeletal clinic.
  
  
  RESULTS
  Subjects had a mean age of 40.2 (±11.0) years (42.2 [±12.3] years in the previous study; Student t test, P > 0.05). Rheumatoid factor was positive in 62% of subjects, whereas 73% were titer positive in the previous study (χ(2) test, P > 0.05). There was a mean reduction in lag time from symptom onset to diagnosis by 45.8%, from 14.4 (±15.6) to 7.8 (±12.1) months (Student t test, P = 0.001) between data sets. The lag to initial DMARD was also reduced by a mean of 34.9%, from 19.2 (±24) to 12.5 (±21.7) months (Student t test, P = 0.04).
  
  
  CONCLUSIONS
  Findings suggest that the lag to diagnosis and initiation of DMARD therapy has reduced significantly among patients with RA in the United Arab Emirates, over the past 5 years. This may be attributed to the inception of patient support groups and increasing public awareness. Larger studies are needed to substantiate this further and to address whether shorter lag times can positively influence rates of disease remission and quality of life for our patients with RA (as this was a region specific study).
authors.affiliation: Al Biraa Arthritis Clinic, Dubai, United Arab Emirates.
authors.forename: Sara
authors.initials: S
authors.lastname: Zafar
authors.forename: Humeira
authors.initials: H
authors.lastname: Badsha
authors.forename: Ayman
authors.initials: A
authors.lastname: Mofti
authors.forename: Arlene
authors.initials: A
authors.lastname: Delosantos
authors.forename: Janice
authors.initials: J
authors.lastname: Altares
authors.forename: Gerald
authors.initials: G
authors.lastname: Matudio
authors.forename: Kok Ooi
authors.initials: KO
authors.lastname: Kong
mesh_terms: D000328:Adult; D018501:Antirheumatic Agents / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000175:diagnosis* / Q000188:drug therapy; D057210:Delayed Diagnosis / Q000639:trends*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D014479:United Arab Emirates
chemical_list: D018501:Antirheumatic Agents