患有早期类风湿性关节炎的女性比男性转诊时间更晚。
Women with early rheumatoid arthritis are referred later than men.
作者信息
Palm Ø, Purinszky E
机构信息
Department of Rheumatology, Østfold Hospital Sarpsborg, Roald Amundsens gate 17, N-1723 Sarpsborg, Norway.
出版信息
Ann Rheum Dis. 2005 Aug;64(8):1227-8. doi: 10.1136/ard.2004.031716.
OBJECTIVE
To evaluate lag times between disease onset and rheumatological encounter in patients with early rheumatoid arthritis (RA).
METHODS
All referred patients with early RA over a 1 year period were prospectively registered. The lag time between disease onset and the first encounter with a physician was recorded as the "patient's delay". The time between this encounter and the referral to our department was recorded as the "physician's delay". The lag time between referral and rheumatological encounter was recorded as the "hospital's delay".
RESULTS
The median total lag time between onset of RA and rheumatological encounter was 16 weeks, with no difference between men and women. Women were referred significantly later than men ("physician's delay" median 10 weeks v 3 weeks). The "patient's delay" and the "hospital's delay" were a median of 4 weeks each.
CONCLUSION
Women with early RA were referred later than men and the total lag time between disease onset and rheumatological encounter was quite long for both sexes.
目的
评估早期类风湿关节炎（RA）患者从疾病发作到风湿科就诊的延迟时间。
方法
前瞻性登记了所有在1年期间转诊的早期RA患者。疾病发作到首次就诊于医生的延迟时间记录为“患者延迟”。此次就诊到转诊至我们科室的时间记录为“医生延迟”。转诊到风湿科就诊的延迟时间记录为“医院延迟”。
结果
RA发作到风湿科就诊的总延迟时间中位数为16周，男性和女性之间无差异。女性被转诊的时间明显晚于男性（“医生延迟”中位数为10周对3周）。“患者延迟”和“医院延迟”各自的中位数均为4周。
结论
早期RA女性患者被转诊的时间晚于男性，并且疾病发作到风湿科就诊的总延迟时间对两性来说都相当长。
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