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[荷兰全科医生学院的实践指南《类风湿关节炎》（首次修订版）：来自风湿病学视角的回应]

[The practice guideline 'Rheumatoid arthritis' (first revision) from the Dutch College of General Practitioners: a response from the perspective of rheumatology].

作者信息

Bijlsma J W, Jacobs J W

机构信息

Universitair Medisch Centrum Utrecht, afd. Reumatologie en Klinische Immunologie, F02.127, Postbus 85.500, 3508 GA Utrecht.

出版信息

Ned Tijdschr Geneeskd. 2004 Mar 20;148(12):557-8.

PMID:15074176
Abstract

The guideline from the Dutch College of General Practitioners regarding the early diagnosis and treatment of rheumatoid arthritis is in agreement with present concepts in rheumatology that emphasise a small window of opportunity for the effective treatment of (early) rheumatoid arthritis. Aggressive treatment of early rheumatoid arthritis is indicated, including early referral from the general practitioner to the rheumatologist.

摘要

荷兰全科医生学院关于类风湿性关节炎早期诊断和治疗的指南与风湿病学的当前概念一致，这些概念强调了有效治疗（早期）类风湿性关节炎的机会之窗很小。建议对早期类风湿性关节炎进行积极治疗，包括从全科医生处尽早转诊至风湿病专科医生处。

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引用本文的文献

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Window of opportunity in rheumatoid arthritis - definitions and supporting evidence: from old to new perspectives.类风湿关节炎的治疗窗口——定义与支持证据：从旧到新的观点。
RMD Open. 2019 Apr 3;5(1):e000870. doi: 10.1136/rmdopen-2018-000870. eCollection 2019.