A preliminary survey of rheumatologists on the management of late-onset rheumatoid arthritis in Japan
Objectives We investigated the current perspectives regarding the management of late-onset rheumatoid arthritis (LORA) among rheumatologists in clinical practice. Methods This study was performed in October 2021, and included 65 rheumatologists certified by the Japan College of Rheumatology, who wer...
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| Veröffentlicht in: | Internal Medicine 2024, pp.3288-23 |
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| creator | Takanashi, Satoshi Kaneko, Yuko Kawahito, Yutaka Kida, Takashi Sugihara, Takahiko Kojima, Toshihisa Harada, Ryozo Ishitoku, Michinori Hirata, Shintaro Hashimoto, Motomu Hidaka, Toshihiko Abe, Asami Ishikawa, Hajime Ito, Hiromu Kishimoto, Mitsumasa Matsui, Kazuo Matsui, Toshihiro Matsushita, Isao Onishi, Akira Morinobu, Akio Nishida, Keiichiro Asai, Shuji Tanaka, Eiichi Harigai, Masayoshi Kojima, Masayo |
| description | Objectives We investigated the current perspectives regarding the management of late-onset rheumatoid arthritis (LORA) among rheumatologists in clinical practice. Methods This study was performed in October 2021, and included 65 rheumatologists certified by the Japan College of Rheumatology, who were administered questionnaires (including multiple choice and descriptive formulae) regarding the management of LORA. We aggregated and analyzed the responses. Results All 65 rheumatologists responded to the survey; 47 (72%) answered that >50% of newly diagnosed patients were aged ≥65 years, 42 (65%) answered that achievement of remission or low disease activity was the treatment goal, and 40 (62%) considered patient safety to be the highest priority. Most rheumatologists are concerned about the management of conditions other than RA, such as comorbidities, financial constraints, and life circumstances that interfere with standard or recommended treatment implementation. Conclusion This preliminary survey highlighted various rheumatologists' perspectives regarding the management of LORA. |
| doi_str_mv | 10.2169/internalmedicine.3288-23 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_3050176287</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3050176287</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5322-8b51f90ca4915a627050b6e9c51d024e4b05585ba4278df23e1f12870161f2943</originalsourceid><addsrcrecordid>eNplkctu1DAUhi1ERaeFV0CW2LBJ8SVOnBWqqgJFldi03VqOczLxKLEH2xmpb4-jmUZQNrZ1_J3_XH6EMCVXjFbNF-sSBKfHCTprrIMrzqQsGH-DNpSXTVEzLt6iDWlojubjHF3EuCOEy7ph79A5l1WT42KD4BrvA4x2sk6HZxzncIBn7HscBpgnnfzotzamiL3DaQA8aae3MIFLCzTqBIV3EdLK2w7rkIZgk43YOvxT77V7j856PUb4cLov0eO324ebH8X9r-93N9f3hRGcsUK2gvYNMbrMvemK1USQtoLGCNoRVkLZEiGkaHXJatn1jAPtKZM1oRXtWVPyS_T1qLuf27wbk9sMelT7YKc8nfLaqn9_nB3U1h8UpXXeRyWzwueTQvC_Z4hJTTYaGEftwM9R8dwSratcNKOfXqE7Py-uZIoKIRgh5ULJI2WCjzFAv3ZDiVrMVK_NVIuZivGc-vHvadbEF_cy8HQEdjFlV1YgG2DNCP8r6-6QtRR5eZwqrQlm0EGB438AOUTCpA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3155520047</pqid></control><display><type>article</type><title>A preliminary survey of rheumatologists on the management of late-onset rheumatoid arthritis in Japan</title><source>J-STAGE Free</source><source>MEDLINE</source><source>PubMed Central Open Access</source><source>PubMed Central</source><creator>Takanashi, Satoshi ; Kaneko, Yuko ; Kawahito, Yutaka ; Kida, Takashi ; Sugihara, Takahiko ; Kojima, Toshihisa ; Harada, Ryozo ; Ishitoku, Michinori ; Hirata, Shintaro ; Hashimoto, Motomu ; Hidaka, Toshihiko ; Abe, Asami ; Ishikawa, Hajime ; Ito, Hiromu ; Kishimoto, Mitsumasa ; Matsui, Kazuo ; Matsui, Toshihiro ; Matsushita, Isao ; Onishi, Akira ; Morinobu, Akio ; Nishida, Keiichiro ; Asai, Shuji ; Tanaka, Eiichi ; Harigai, Masayoshi ; Kojima, Masayo</creator><creatorcontrib>Takanashi, Satoshi ; Kaneko, Yuko ; Kawahito, Yutaka ; Kida, Takashi ; Sugihara, Takahiko ; Kojima, Toshihisa ; Harada, Ryozo ; Ishitoku, Michinori ; Hirata, Shintaro ; Hashimoto, Motomu ; Hidaka, Toshihiko ; Abe, Asami ; Ishikawa, Hajime ; Ito, Hiromu ; Kishimoto, Mitsumasa ; Matsui, Kazuo ; Matsui, Toshihiro ; Matsushita, Isao ; Onishi, Akira ; Morinobu, Akio ; Nishida, Keiichiro ; Asai, Shuji ; Tanaka, Eiichi ; Harigai, Masayoshi ; Kojima, Masayo</creatorcontrib><description>Objectives We investigated the current perspectives regarding the management of late-onset rheumatoid arthritis (LORA) among rheumatologists in clinical practice. Methods This study was performed in October 2021, and included 65 rheumatologists certified by the Japan College of Rheumatology, who were administered questionnaires (including multiple choice and descriptive formulae) regarding the management of LORA. We aggregated and analyzed the responses. Results All 65 rheumatologists responded to the survey; 47 (72%) answered that >50% of newly diagnosed patients were aged ≥65 years, 42 (65%) answered that achievement of remission or low disease activity was the treatment goal, and 40 (62%) considered patient safety to be the highest priority. Most rheumatologists are concerned about the management of conditions other than RA, such as comorbidities, financial constraints, and life circumstances that interfere with standard or recommended treatment implementation. Conclusion This preliminary survey highlighted various rheumatologists' perspectives regarding the management of LORA.</description><identifier>ISSN: 0918-2918</identifier><identifier>ISSN: 1349-7235</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.3288-23</identifier><identifier>PMID: 38692915</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Age of Onset ; Aged ; ageing society ; Antirheumatic Agents - therapeutic use ; Arthritis, Rheumatoid - diagnosis ; Arthritis, Rheumatoid - drug therapy ; Comorbidity ; Female ; Humans ; Japan - epidemiology ; late-onset rheumatoid arthritis ; Male ; Management ; Middle Aged ; Original ; Patients ; Practice Patterns, Physicians' - statistics & numerical data ; questionnaire ; Remission ; Remission Induction ; Rheumatoid arthritis ; Rheumatologists ; Rheumatology ; Surveys ; Surveys and Questionnaires</subject><ispartof>Internal Medicine, 2024, pp.3288-23</ispartof><rights>2024 by The Japanese Society of Internal Medicine</rights><rights>2024. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2024 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5322-8b51f90ca4915a627050b6e9c51d024e4b05585ba4278df23e1f12870161f2943</citedby><cites>FETCH-LOGICAL-c5322-8b51f90ca4915a627050b6e9c51d024e4b05585ba4278df23e1f12870161f2943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729168/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729168/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,1877,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38692915$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takanashi, Satoshi</creatorcontrib><creatorcontrib>Kaneko, Yuko</creatorcontrib><creatorcontrib>Kawahito, Yutaka</creatorcontrib><creatorcontrib>Kida, Takashi</creatorcontrib><creatorcontrib>Sugihara, Takahiko</creatorcontrib><creatorcontrib>Kojima, Toshihisa</creatorcontrib><creatorcontrib>Harada, Ryozo</creatorcontrib><creatorcontrib>Ishitoku, Michinori</creatorcontrib><creatorcontrib>Hirata, Shintaro</creatorcontrib><creatorcontrib>Hashimoto, Motomu</creatorcontrib><creatorcontrib>Hidaka, Toshihiko</creatorcontrib><creatorcontrib>Abe, Asami</creatorcontrib><creatorcontrib>Ishikawa, Hajime</creatorcontrib><creatorcontrib>Ito, Hiromu</creatorcontrib><creatorcontrib>Kishimoto, Mitsumasa</creatorcontrib><creatorcontrib>Matsui, Kazuo</creatorcontrib><creatorcontrib>Matsui, Toshihiro</creatorcontrib><creatorcontrib>Matsushita, Isao</creatorcontrib><creatorcontrib>Onishi, Akira</creatorcontrib><creatorcontrib>Morinobu, Akio</creatorcontrib><creatorcontrib>Nishida, Keiichiro</creatorcontrib><creatorcontrib>Asai, Shuji</creatorcontrib><creatorcontrib>Tanaka, Eiichi</creatorcontrib><creatorcontrib>Harigai, Masayoshi</creatorcontrib><creatorcontrib>Kojima, Masayo</creatorcontrib><title>A preliminary survey of rheumatologists on the management of late-onset rheumatoid arthritis in Japan</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>Objectives We investigated the current perspectives regarding the management of late-onset rheumatoid arthritis (LORA) among rheumatologists in clinical practice. Methods This study was performed in October 2021, and included 65 rheumatologists certified by the Japan College of Rheumatology, who were administered questionnaires (including multiple choice and descriptive formulae) regarding the management of LORA. We aggregated and analyzed the responses. Results All 65 rheumatologists responded to the survey; 47 (72%) answered that >50% of newly diagnosed patients were aged ≥65 years, 42 (65%) answered that achievement of remission or low disease activity was the treatment goal, and 40 (62%) considered patient safety to be the highest priority. Most rheumatologists are concerned about the management of conditions other than RA, such as comorbidities, financial constraints, and life circumstances that interfere with standard or recommended treatment implementation. Conclusion This preliminary survey highlighted various rheumatologists' perspectives regarding the management of LORA.</description><subject>Age of Onset</subject><subject>Aged</subject><subject>ageing society</subject><subject>Antirheumatic Agents - therapeutic use</subject><subject>Arthritis, Rheumatoid - diagnosis</subject><subject>Arthritis, Rheumatoid - drug therapy</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Humans</subject><subject>Japan - epidemiology</subject><subject>late-onset rheumatoid arthritis</subject><subject>Male</subject><subject>Management</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Patients</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>questionnaire</subject><subject>Remission</subject><subject>Remission Induction</subject><subject>Rheumatoid arthritis</subject><subject>Rheumatologists</subject><subject>Rheumatology</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><issn>0918-2918</issn><issn>1349-7235</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkctu1DAUhi1ERaeFV0CW2LBJ8SVOnBWqqgJFldi03VqOczLxKLEH2xmpb4-jmUZQNrZ1_J3_XH6EMCVXjFbNF-sSBKfHCTprrIMrzqQsGH-DNpSXTVEzLt6iDWlojubjHF3EuCOEy7ph79A5l1WT42KD4BrvA4x2sk6HZxzncIBn7HscBpgnnfzotzamiL3DaQA8aae3MIFLCzTqBIV3EdLK2w7rkIZgk43YOvxT77V7j856PUb4cLov0eO324ebH8X9r-93N9f3hRGcsUK2gvYNMbrMvemK1USQtoLGCNoRVkLZEiGkaHXJatn1jAPtKZM1oRXtWVPyS_T1qLuf27wbk9sMelT7YKc8nfLaqn9_nB3U1h8UpXXeRyWzwueTQvC_Z4hJTTYaGEftwM9R8dwSratcNKOfXqE7Py-uZIoKIRgh5ULJI2WCjzFAv3ZDiVrMVK_NVIuZivGc-vHvadbEF_cy8HQEdjFlV1YgG2DNCP8r6-6QtRR5eZwqrQlm0EGB438AOUTCpA</recordid><startdate>20241215</startdate><enddate>20241215</enddate><creator>Takanashi, Satoshi</creator><creator>Kaneko, Yuko</creator><creator>Kawahito, Yutaka</creator><creator>Kida, Takashi</creator><creator>Sugihara, Takahiko</creator><creator>Kojima, Toshihisa</creator><creator>Harada, Ryozo</creator><creator>Ishitoku, Michinori</creator><creator>Hirata, Shintaro</creator><creator>Hashimoto, Motomu</creator><creator>Hidaka, Toshihiko</creator><creator>Abe, Asami</creator><creator>Ishikawa, Hajime</creator><creator>Ito, Hiromu</creator><creator>Kishimoto, Mitsumasa</creator><creator>Matsui, Kazuo</creator><creator>Matsui, Toshihiro</creator><creator>Matsushita, Isao</creator><creator>Onishi, Akira</creator><creator>Morinobu, Akio</creator><creator>Nishida, Keiichiro</creator><creator>Asai, Shuji</creator><creator>Tanaka, Eiichi</creator><creator>Harigai, Masayoshi</creator><creator>Kojima, Masayo</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20241215</creationdate><title>A preliminary survey of rheumatologists on the management of late-onset rheumatoid arthritis in Japan</title><author>Takanashi, Satoshi ; Kaneko, Yuko ; Kawahito, Yutaka ; Kida, Takashi ; Sugihara, Takahiko ; Kojima, Toshihisa ; Harada, Ryozo ; Ishitoku, Michinori ; Hirata, Shintaro ; Hashimoto, Motomu ; Hidaka, Toshihiko ; Abe, Asami ; Ishikawa, Hajime ; Ito, Hiromu ; Kishimoto, Mitsumasa ; Matsui, Kazuo ; Matsui, Toshihiro ; Matsushita, Isao ; Onishi, Akira ; Morinobu, Akio ; Nishida, Keiichiro ; Asai, Shuji ; Tanaka, Eiichi ; Harigai, Masayoshi ; Kojima, Masayo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5322-8b51f90ca4915a627050b6e9c51d024e4b05585ba4278df23e1f12870161f2943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Age of Onset</topic><topic>Aged</topic><topic>ageing society</topic><topic>Antirheumatic Agents - therapeutic use</topic><topic>Arthritis, Rheumatoid - diagnosis</topic><topic>Arthritis, Rheumatoid - drug therapy</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Humans</topic><topic>Japan - epidemiology</topic><topic>late-onset rheumatoid arthritis</topic><topic>Male</topic><topic>Management</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Patients</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>questionnaire</topic><topic>Remission</topic><topic>Remission Induction</topic><topic>Rheumatoid arthritis</topic><topic>Rheumatologists</topic><topic>Rheumatology</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takanashi, Satoshi</creatorcontrib><creatorcontrib>Kaneko, Yuko</creatorcontrib><creatorcontrib>Kawahito, Yutaka</creatorcontrib><creatorcontrib>Kida, Takashi</creatorcontrib><creatorcontrib>Sugihara, Takahiko</creatorcontrib><creatorcontrib>Kojima, Toshihisa</creatorcontrib><creatorcontrib>Harada, Ryozo</creatorcontrib><creatorcontrib>Ishitoku, Michinori</creatorcontrib><creatorcontrib>Hirata, Shintaro</creatorcontrib><creatorcontrib>Hashimoto, Motomu</creatorcontrib><creatorcontrib>Hidaka, Toshihiko</creatorcontrib><creatorcontrib>Abe, Asami</creatorcontrib><creatorcontrib>Ishikawa, Hajime</creatorcontrib><creatorcontrib>Ito, Hiromu</creatorcontrib><creatorcontrib>Kishimoto, Mitsumasa</creatorcontrib><creatorcontrib>Matsui, Kazuo</creatorcontrib><creatorcontrib>Matsui, Toshihiro</creatorcontrib><creatorcontrib>Matsushita, Isao</creatorcontrib><creatorcontrib>Onishi, Akira</creatorcontrib><creatorcontrib>Morinobu, Akio</creatorcontrib><creatorcontrib>Nishida, Keiichiro</creatorcontrib><creatorcontrib>Asai, Shuji</creatorcontrib><creatorcontrib>Tanaka, Eiichi</creatorcontrib><creatorcontrib>Harigai, Masayoshi</creatorcontrib><creatorcontrib>Kojima, Masayo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takanashi, Satoshi</au><au>Kaneko, Yuko</au><au>Kawahito, Yutaka</au><au>Kida, Takashi</au><au>Sugihara, Takahiko</au><au>Kojima, Toshihisa</au><au>Harada, Ryozo</au><au>Ishitoku, Michinori</au><au>Hirata, Shintaro</au><au>Hashimoto, Motomu</au><au>Hidaka, Toshihiko</au><au>Abe, Asami</au><au>Ishikawa, Hajime</au><au>Ito, Hiromu</au><au>Kishimoto, Mitsumasa</au><au>Matsui, Kazuo</au><au>Matsui, Toshihiro</au><au>Matsushita, Isao</au><au>Onishi, Akira</au><au>Morinobu, Akio</au><au>Nishida, Keiichiro</au><au>Asai, Shuji</au><au>Tanaka, Eiichi</au><au>Harigai, Masayoshi</au><au>Kojima, Masayo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A preliminary survey of rheumatologists on the management of late-onset rheumatoid arthritis in Japan</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2024-12-15</date><risdate>2024</risdate><volume>63</volume><issue>24</issue><spage>3288-23</spage><epage>3306</epage><pages>3288-23-3306</pages><artnum>3288-23</artnum><issn>0918-2918</issn><issn>1349-7235</issn><eissn>1349-7235</eissn><abstract>Objectives We investigated the current perspectives regarding the management of late-onset rheumatoid arthritis (LORA) among rheumatologists in clinical practice. Methods This study was performed in October 2021, and included 65 rheumatologists certified by the Japan College of Rheumatology, who were administered questionnaires (including multiple choice and descriptive formulae) regarding the management of LORA. We aggregated and analyzed the responses. Results All 65 rheumatologists responded to the survey; 47 (72%) answered that >50% of newly diagnosed patients were aged ≥65 years, 42 (65%) answered that achievement of remission or low disease activity was the treatment goal, and 40 (62%) considered patient safety to be the highest priority. Most rheumatologists are concerned about the management of conditions other than RA, such as comorbidities, financial constraints, and life circumstances that interfere with standard or recommended treatment implementation. Conclusion This preliminary survey highlighted various rheumatologists' perspectives regarding the management of LORA.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>38692915</pmid><doi>10.2169/internalmedicine.3288-23</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Age of Onset Aged ageing society Antirheumatic Agents - therapeutic use Arthritis, Rheumatoid - diagnosis Arthritis, Rheumatoid - drug therapy Comorbidity Female Humans Japan - epidemiology late-onset rheumatoid arthritis Male Management Middle Aged Original Patients Practice Patterns, Physicians' - statistics & numerical data questionnaire Remission Remission Induction Rheumatoid arthritis Rheumatologists Rheumatology Surveys Surveys and Questionnaires |
| title | A preliminary survey of rheumatologists on the management of late-onset rheumatoid arthritis in Japan |
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