| Relationships between knowledge and experience in the use of disease-modifying antirheumatic agents. A study of primary care practitioners. | |
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MedLine Citation:
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PMID: 2810605 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The timely dissemination of new medical information is a complex and often faulty process. We surveyed primary care physicians to determine their knowledge and use of disease-modifying antirheumatic agents for the treatment of rheumatoid arthritis. Only 26.2% of patients hospitalized for rheumatoid arthritis had been treated with disease-modifying antirheumatic agents in the past, and 13.9% were presently receiving them. When responding to a clinical vignette on rheumatoid arthritis, only 12% (10/84) of practitioners would implement therapy with disease-modifying antirheumatic agents, while the majority would refer the patient to a rheumatologist. Experience with similar patients was clearly the factor that led to initiation of therapy. While 73% of practitioners were aware of the value of disease-modifying antirheumatic agents, only 14% prescribed them in the last year. These findings suggest that dissemination of information concerning disease-modifying antirheumatic agents has been successful, but the problems inherent in their use result in referral rather than initiation of therapy. |
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Authors:
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J K Stross |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: JAMA : the journal of the American Medical Association Volume: 262 ISSN: 0098-7484 ISO Abbreviation: JAMA Publication Date: 1989 Nov |
Date Detail:
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Created Date: 1989-12-01 Completed Date: 1989-12-01 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 7501160 Medline TA: JAMA Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 2721-3 Citation Subset: AIM; IM |
Affiliation:
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Department of Internal Medicine, University of Michigan Medical School, Ann Arbor. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Anti-Inflammatory Agents / therapeutic use* Arthritis, Rheumatoid / drug therapy* Clinical Competence Education, Medical, Continuing* Female Humans Male Middle Aged Physicians, Family / education* Questionnaires |
| Grant Support | |
ID/Acronym/Agency:
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2P604M20557//PHS HHS; R01 HL 30566/HL/NHLBI NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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