title: The process from symptom onset to rheumatology clinic in polymyalgia rheumatica.
abstract: Polymyalgia rheumatica (PMR) is an inflammatory disease of individuals aged over 50 years. Because of the concomitant malignancy possibility and the high prevalence of constitutional symptoms seen in this condition, patients with classical clinical picture often experience delay in diagnosis and treatment and are exposed to a wide list of laboratory and imaging procedures. In this study, we aimed to explore the adventure these patients experience from symptom onset to rheumatology clinic. A total of 106 PMR patients (84 women, 22 men) mean age 70.1 ± 8 were analyzed retrospectively. The time period from the onset of symptoms and referral to rheumatology specialists was explored. Diagnostic methods applied to these patients, antibiotic use and hospitalization during this period were recorded. The interval between the onset of the symptoms and admission to rheumatology unit was 13 ± 13 months. In this period, abdominal computed tomography (29.2 %), chest computed tomography (21.7 %), cranial magnetic resonance imaging (18.9 %) and whole-body scintigraphy (3.8 %) were applied to the patients. About 30 % of the patients were hospitalized for a mean period of 7 ± 3 days before referral to rheumatology unit, and 30 % of the patients were given antibiotics. In order to reduce the delay in the diagnosis of PMR and prevent unnecessary and expensive diagnostic methods, education of clinicians about the diagnosis of PMR may be beneficial.
authors.affiliation: Division of Rheumatology, Department of Internal Medicine, Uludağ University School of Medicine, Bursa, Turkey.
authors.forename: Ediz
authors.initials: E
authors.lastname: Dalkılıç
authors.forename: Ayşe Nur
authors.initials: AN
authors.lastname: Tufan
authors.forename: Emre
authors.initials: E
authors.lastname: Hafızoğlu
authors.forename: Merve
authors.initials: M
authors.lastname: Hafızoğlu
authors.forename: Fatih
authors.initials: F
authors.lastname: Tufan
authors.forename: Ferhat
authors.initials: F
authors.lastname: Oksuz
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Pehlivan
authors.forename: Mustafa
authors.initials: M
authors.lastname: Yurtkuran
mesh_terms: D000367:Age Factors; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D057210:Delayed Diagnosis; D003952:Diagnostic Imaging / Q000379:methods; D018450:Disease Progression; D005260:Female; D006801:Humans; D007902:Length of Stay; D008137:Longitudinal Studies; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D010343:Patient Admission; D011111:Polymyalgia Rheumatica / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D011237:Predictive Value of Tests; D011379:Prognosis; D012017:Referral and Consultation; D012189:Retrospective Studies; D012219:Rheumatology; D012737:Sex Factors; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D019564:Unnecessary Procedures; D051598:Whole Body Imaging
chemical_list: D000900:Anti-Bacterial Agents