{"id":"https://openalex.org/W4394740786","doi":"https://doi.org/10.63032/zuzz7662","title":"10-year experience of early arthritis clinic at a tertiary rheumatology center: achievements and challenges","display_name":"10-year experience of early arthritis clinic at a tertiary rheumatology center: achievements and challenges","publication_year":2024,"publication_date":"2024-03-01","ids":{"openalex":"https://openalex.org/W4394740786","doi":"https://doi.org/10.63032/zuzz7662","pmid":"https://pubmed.ncbi.nlm.nih.gov/38320200"},"language":"en","primary_location":{"id":"doi:10.63032/zuzz7662","doi":"https://doi.org/10.63032/zuzz7662","is_oa":true,"landing_page_url":"https://doi.org/10.63032/zuzz7662","pdf_url":null,"source":{"id":"https://openalex.org/S4393919626","display_name":"ARP Rheumatology","issn_l":"0303-464X","issn":["0303-464X","2795-4552"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-c","doyens","jufo-1","ki-jl-1","latindex","medline","norway-1","oarl","poland-20","russia-white-list-4"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"ARP Rheumatology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.63032/zuzz7662","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"A Maduro","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802025818","display_name":"Unidade Local de Sa\u00fade de Coimbra","ror":"https://ror.org/04032fz76","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I2802025818"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"A Maduro","raw_affiliation_strings":["Centro Hospitalar e Universit\u00e1rio de Coimbra","Rheumatology Department, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar e Universit\u00e1rio de Coimbra","institution_ids":["https://openalex.org/I2802025818"]},{"raw_affiliation_string":"Rheumatology Department, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal;","institution_ids":["https://openalex.org/I2802025818"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101769496","display_name":"Andr\u00e9 Pinto Saraiva","orcid":"https://orcid.org/0000-0003-1347-6721","observed_orcids":["https://orcid.org/0000-0003-1347-6721"]},"institutions":[{"id":"https://openalex.org/I2802025818","display_name":"Unidade Local de Sa\u00fade de Coimbra","ror":"https://ror.org/04032fz76","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I2802025818"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"A Pinto Saraiva","raw_affiliation_strings":["Centro Hospitalar e Universit\u00e1rio de Coimbra","Rheumatology Department, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar e Universit\u00e1rio de Coimbra","institution_ids":["https://openalex.org/I2802025818"]},{"raw_affiliation_string":"Rheumatology Department, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal;","institution_ids":["https://openalex.org/I2802025818"]}]},{"author_position":"middle","author":{"id":null,"display_name":"B Mendes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802025818","display_name":"Unidade Local de Sa\u00fade de Coimbra","ror":"https://ror.org/04032fz76","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I2802025818"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"B Mendes","raw_affiliation_strings":["Centro Hospitalar e Universit\u00e1rio de Coimbra"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar e Universit\u00e1rio de Coimbra","institution_ids":["https://openalex.org/I2802025818"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088484927","display_name":"Adriana Carones","orcid":"https://orcid.org/0000-0001-6853-7670","observed_orcids":["https://orcid.org/0000-0001-6853-7670"]},"institutions":[{"id":"https://openalex.org/I2802025818","display_name":"Unidade Local de Sa\u00fade de Coimbra","ror":"https://ror.org/04032fz76","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I2802025818"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"A Carones","raw_affiliation_strings":["Centro Hospitalar e Universit\u00e1rio de Coimbra"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar e Universit\u00e1rio de Coimbra","institution_ids":["https://openalex.org/I2802025818"]}]},{"author_position":"middle","author":{"id":null,"display_name":"M Luis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802025818","display_name":"Unidade Local de Sa\u00fade de Coimbra","ror":"https://ror.org/04032fz76","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I2802025818"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"M Luis","raw_affiliation_strings":["Centro Hospitalar e Universit\u00e1rio de Coimbra","Rheumatology Department, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar e Universit\u00e1rio de Coimbra","institution_ids":["https://openalex.org/I2802025818"]},{"raw_affiliation_string":"Rheumatology Department, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal;","institution_ids":["https://openalex.org/I2802025818"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079461373","display_name":"T\u00e2nia Santiago","orcid":"https://orcid.org/0000-0002-1562-4022","observed_orcids":["https://orcid.org/0000-0002-1562-4022"]},"institutions":[{"id":"https://openalex.org/I2802025818","display_name":"Unidade Local de Sa\u00fade de Coimbra","ror":"https://ror.org/04032fz76","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I2802025818"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"T Santiago","raw_affiliation_strings":["Centro Hospitalar e Universit\u00e1rio de Coimbra","Rheumatology Department, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar e Universit\u00e1rio de Coimbra","institution_ids":["https://openalex.org/I2802025818"]},{"raw_affiliation_string":"Rheumatology Department, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal;","institution_ids":["https://openalex.org/I2802025818"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5105505084","display_name":"JA Pereira da Silva","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802025818","display_name":"Unidade Local de Sa\u00fade de Coimbra","ror":"https://ror.org/04032fz76","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I2802025818"]},{"id":"https://openalex.org/I76903346","display_name":"University of Coimbra","ror":"https://ror.org/04z8k9a98","country_code":"PT","type":"education","lineage":["https://openalex.org/I76903346"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"JA Pereira da Silva","raw_affiliation_strings":["Faculty of Medicine, University of Coimbra, Coimbra, Portugal","Rheumatology Department, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Medicine, University of Coimbra, Coimbra, Portugal","institution_ids":["https://openalex.org/I76903346"]},{"raw_affiliation_string":"Rheumatology Department, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal;","institution_ids":["https://openalex.org/I2802025818"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5073744944","display_name":"C\u00e1tia C. M. Duarte","orcid":"https://orcid.org/0000-0001-9327-6935","observed_orcids":["https://orcid.org/0000-0001-9327-6935"]},"institutions":[{"id":"https://openalex.org/I2802025818","display_name":"Unidade Local de Sa\u00fade de Coimbra","ror":"https://ror.org/04032fz76","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I2802025818"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"C Duarte","raw_affiliation_strings":["Centro Hospitalar e Universit\u00e1rio de Coimbra"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar e Universit\u00e1rio de Coimbra","institution_ids":["https://openalex.org/I2802025818"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.8105,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.70522808,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":95},"biblio":{"volume":"3","issue":"1","first_page":"4","last_page":"10"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10200","display_name":"Rheumatoid Arthritis Research and Therapies","score":0.7562999725341797,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10200","display_name":"Rheumatoid Arthritis Research and Therapies","score":0.7562999725341797,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.08709999918937683,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13946","display_name":"Musculoskeletal Disorders and Rehabilitation","score":0.023800000548362732,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/early-arthritis","display_name":"early arthritis","score":0.8840000033378601},{"id":"https://openalex.org/keywords/delayed-diagnosis","display_name":"delayed diagnosis","score":0.7900000214576721},{"id":"https://openalex.org/keywords/referral-criteria","display_name":"referral criteria","score":0.5699999928474426},{"id":"https://openalex.org/keywords/early-arthritis-clinic","display_name":"early arthritis clinic","score":0.6740000247955322},{"id":"https://openalex.org/keywords/inflammatory-rheumatic-diseases","display_name":"inflammatory rheumatic diseases","score":0.8479999899864197},{"id":"https://openalex.org/keywords/primary-care-referral","display_name":"primary care referral","score":0.8159999847412109},{"id":"https://openalex.org/keywords/barriers-to-referral","display_name":"referral barriers","score":0.5830000042915344}],"concepts":[{"id":"https://openalex.org/C2779463800","wikidata":"https://www.wikidata.org/wiki/Q5062222","display_name":"Center (category theory)","level":2,"score":0.721326470375061},{"id":"https://openalex.org/C198451711","wikidata":"https://www.wikidata.org/wiki/Q327657","display_name":"Rheumatology","level":2,"score":0.6689393520355225},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6473308801651001},{"id":"https://openalex.org/C2991842025","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Tertiary care","level":2,"score":0.6099961400032043},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5000514984130859},{"id":"https://openalex.org/C2777077863","wikidata":"https://www.wikidata.org/wiki/Q170990","display_name":"Arthritis","level":2,"score":0.44390761852264404},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.3885999321937561},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.35258179903030396},{"id":"https://openalex.org/C161191863","wikidata":"https://www.wikidata.org/wiki/Q199655","display_name":"Library science","level":1,"score":0.34669530391693115},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.06857150793075562},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.03745394945144653},{"id":"https://openalex.org/C8010536","wikidata":"https://www.wikidata.org/wiki/Q160398","display_name":"Crystallography","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000072140","descriptor_name":"Rheumatologists","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001168","descriptor_name":"Arthritis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012219","descriptor_name":"Rheumatology","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057210","descriptor_name":"Delayed Diagnosis","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.63032/zuzz7662","doi":"https://doi.org/10.63032/zuzz7662","is_oa":true,"landing_page_url":"https://doi.org/10.63032/zuzz7662","pdf_url":null,"source":{"id":"https://openalex.org/S4393919626","display_name":"ARP Rheumatology","issn_l":"0303-464X","issn":["0303-464X","2795-4552"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-c","doyens","jufo-1","ki-jl-1","latindex","medline","norway-1","oarl","poland-20","russia-white-list-4"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"ARP Rheumatology","raw_type":"journal-article"},{"id":"pmid:38320200","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38320200","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"ARP rheumatology","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.63032/zuzz7662","doi":"https://doi.org/10.63032/zuzz7662","is_oa":true,"landing_page_url":"https://doi.org/10.63032/zuzz7662","pdf_url":null,"source":{"id":"https://openalex.org/S4393919626","display_name":"ARP Rheumatology","issn_l":"0303-464X","issn":["0303-464X","2795-4552"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-c","doyens","jufo-1","ki-jl-1","latindex","medline","norway-1","oarl","poland-20","russia-white-list-4"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"ARP Rheumatology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":30,"referenced_works":["https://openalex.org/W1978091951","https://openalex.org/W2001898271","https://openalex.org/W2029604091","https://openalex.org/W2050579519","https://openalex.org/W2058241068","https://openalex.org/W2068789409","https://openalex.org/W2081487015","https://openalex.org/W2089462540","https://openalex.org/W2116604146","https://openalex.org/W2118893715","https://openalex.org/W2128322940","https://openalex.org/W2130364929","https://openalex.org/W2156335014","https://openalex.org/W2156529591","https://openalex.org/W2157494519","https://openalex.org/W2158686058","https://openalex.org/W2165814934","https://openalex.org/W2170961028","https://openalex.org/W2177042972","https://openalex.org/W2338136000","https://openalex.org/W2375111042","https://openalex.org/W2549510815","https://openalex.org/W2740904711","https://openalex.org/W2795541553","https://openalex.org/W2915396222","https://openalex.org/W2920299577","https://openalex.org/W2932474592","https://openalex.org/W3067171751","https://openalex.org/W4294214983","https://openalex.org/W4318203582"],"related_works":["https://openalex.org/W2414965200","https://openalex.org/W3034431442","https://openalex.org/W2323190386","https://openalex.org/W2130215544","https://openalex.org/W2312492997","https://openalex.org/W2120655306","https://openalex.org/W2304096864","https://openalex.org/W4416224873","https://openalex.org/W2554743575","https://openalex.org/W2800910503"],"abstract_inverted_index":{"OBJECTIVES:":[0],"To":[1],"characterize":[2],"patients":[3,48,84,117,243,283],"evaluated":[4,108],"in":[5,11,137,242],"our":[6],"Early":[7],"Arthritis":[8],"Clinic":[9],"(EAC)":[10],"the":[12,27,32,36,39,74,83,86,98,104,140,164,170,179,215,219,249,258,275,279],"first":[13,171,187],"ten":[14],"years;":[15],"to":[16,25,65,155,169,186,223,225,230,232,255,286,289],"assess":[17],"diagnostic":[18],"delay":[19,67,238],"and":[20,24,35,53,62,73,85,101,178,218,228,266],"its":[21],"underlying":[22],"causes;":[23],"evaluate":[26],"level":[28,211],"of":[29,41,77,82,115,122,139,153,184,212,253,282],"agreement":[30,96,213,263],"between":[31,51,97,214,264],"referring":[33,99,216],"physician":[34,100,217],"rheumatologist":[37,102,220],"regarding":[38,103],"presence":[40],"referral":[42,60,105,156,168,256,265,281],"criteria.":[43,234],"METHODS:":[44],"Cross-sectional":[45],"study":[46],"including":[47],"attending":[49],"EAC":[50,158,172,188],"2012":[52],"2021.":[54],"Demographic":[55],"data,":[56],"provenience,":[57],"final":[58],"diagnosis,":[59],"criteria":[61,106,227],"time":[63,87,150,166,181,250],"related":[64],"diagnosis":[66],"were":[68,89,125,199],"retrieved":[69],"from":[70,128,151,167,182,251],"clinical":[71,226],"files":[72],"Portuguese":[75],"Registry":[76],"Rheumatic":[78,133],"Patients":[79],"(reuma.pt).":[80],"Characteristics":[81],"variables":[88],"analysed":[90],"with":[91,142,244],"descriptive":[92],"statistical":[93],"analysis.":[94],"The":[95,148,210],"was":[107,135,159,173,189,221],"using":[109],"Cohen's":[110],"Kappa.":[111],"RESULTS:":[112],"A":[113,236,261],"total":[114],"440":[116],"(68.9%":[118],"females,":[119],"mean":[120],"age":[121],"54\u00b116.7":[123],"years)":[124],"referred,":[126],"mostly":[127],"primary":[129],"care":[130],"(71.6%).":[131],"Inflammatory":[132],"Disease":[134],"diagnosed":[136],"65.7%":[138],"patients,":[141],"58.9%":[143],"classified":[144],"as":[145],"early":[146,245],"arthritis.":[147],"median":[149,165,180],"onset":[152,183,252],"symptoms":[154,185,254],"for":[157],"76":[160],"days":[161,193],"(IQR":[162,175,191],"33.5-144.0);":[163],"34":[174],"19.0-46.0)":[176],"days,":[177],"114.5":[190],"66.8-190.3)":[192],"(16.3":[194],"weeks).":[195],"Only":[196],"about":[197],"10%":[198],"observed":[200,241],"by":[201],"a":[202],"Rheumatologist":[203],"before":[204],"six":[205],"weeks":[206],"after":[207],"symptom":[208],"onset.":[209],"slight":[222],"fair":[224],"moderate":[229],"substantial":[231],"laboratory":[233],"CONCLUSIONS:":[235],"significant":[237],"still":[239],"is":[240,257,272,284],"arthritis":[246],"suspicion,":[247],"being":[248],"most":[259],"relevant.":[260],"low":[262],"Rheumatologists":[267],"suggests":[268],"that":[269,277],"non-rheumatologists":[270],"education/training":[271],"needed.":[273],"Identifying":[274],"barriers":[276],"prevent":[278],"adequate":[280],"necessary":[285],"define":[287],"strategies":[288],"improve":[290],"it.":[291]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2024-04-13T00:00:00"}