Inflammatory Arthritis
Conditions
Keywords
Psoriatic arthritis, Ankylosing spondylitis, Rheumatoid arthritis, Seronegative
Brief summary
There is accumulating evidence that early treatment leads to better outcomes for patients with inflammatory arthritis (IA). Triage, which is the process of identifying the urgency of a patient's disease state efficiently and correctly, may facilitate early referral to a rheumatologist. Several studies have suggested that placing allied health professionals (occupational therapists, physical therapists, nurses, etc.) in a triage roll may reduce wait time for patients with suspected IA. The goal of this investigation will be to demonstrate the system-level impact of an Arthritis Society extended role occupational therapist (OT) or physical therapist (PT) working in a triage role in improving access to rheumatologists for people with IA. In this study two groups will be observed: intervention and usual care as determined by historical chart review. Wait times will be compared between both groups.
Interventions
An extended role occupational or physical therapist will triage each subject in the study to determine the urgency of their case and how soon they need to see the rheumatologist.
Sponsors
Study design
Eligibility
Inclusion criteria
* New referrals from a GP * Adults with possible IA (determined by rheumatologist through paper triage)
Exclusion criteria
* Currently on a disease-modifying antirheumatic drug (DMARD) * Previously seen by a rheumatologist. * FM, non-IA OA; soft tissue rheumatism; mechanical LBP
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to first visit with the rheumatologist (wait time) | 3 months |
Secondary
| Measure | Time frame |
|---|---|
| Time to diagnosis | 3 months |
| Time to treatment (disease-modifying antirheumatic drug) | 3 months |