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Algorithm for identification of undifferentiated peripheral inflammatory arthritis: a multinational collaboration through the 3e Initiative

Citation

Hazlewood, G and Aletaha, D and Carmona, L and Landewe, RBM and van der Heijde, DM and Bijlsma, JWJ and Bykerk, VP and Canhao, H and Catrina, AI and Durez, P and Edwards, CJ and Leeb, BF and Mjaavatten, MD and Martinez-Osuna, P and Montecucco, C and Ostergaard, M and Serra-Bonett, N and Xavier, RM and Zochling, J and Machado, P and Thevissen, K and Vercoutere, W and Bombardier, C, Algorithm for identification of undifferentiated peripheral inflammatory arthritis: a multinational collaboration through the 3e Initiative, Journal of Rheumatology, 38, (87) pp. 54-58. ISSN 0315-162X (2011) [Refereed Article]


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Copyright Statement

The definitive publisher authenticated version is available online at http://www.jrheum.org/content/supplements/87/54

Official URL: http://www.jrheum.com/reprints.html

DOI: doi:10.3899/jrheum.101076

Abstract

Objective. To develop an algorithm for identification of undifferentiated peripheral inflammatory arthritis (UPIA). Methods. An algorithm for identification of UPIA was developed by consensus during a roundtable meeting with an expert panel. It was informed by systematic reviews of the literature used to generate 10 recommendations for the investigation and followup of UPIA through the 3e initiative. The final recommendations from the 3e UPIA Initiative were made available to the panel to guide development of the algorithm. The algorithm drew on the clinical experience of the consensus panel and evidence from the literature where available. Results. In patients presenting with joint swelling a thorough evaluation is required prior to diagnosing UPIA. After excluding trauma, the differential diagnosis should be formulated based on history and physical examination. A minimum set of investigations is suggested for all patients, with additional ones dependent on the most probable differential diagnoses. The diagnosis of UPIA can be made if, following these evaluations, a more specific diagnosis is not reached. Once a diagnosis of UPIA is established, patients should be closely followed as they may progress to a specific diagnosis, remit, or persist as UPIA, and additional investigations may be required over time. Conclusion. Our algorithm presents a diagnostic approach to identifying UPIA in patients presenting with joint swelling, incorporating the dynamic nature of the condition with the potential to evolve over time.

Item Details

Item Type:Refereed Article
Keywords:Algorithm, Undifferentiated Arthritis, Diagnosis, Recommendation, Inflammatory Arthritis
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Rheumatology and Arthritis
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Skeletal System and Disorders (incl. Arthritis)
Author:Zochling, J (Dr Jane Zochling)
ID Code:70231
Year Published:2011
Web of Science® Times Cited:3
Deposited By:Menzies Institute for Medical Research
Deposited On:2011-06-10
Last Modified:2012-11-21
Downloads:0

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