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Intra-articular therapies: patient preferences and professional practices in European countries

Research output: Contribution to journalJournal articleResearchpeer-review

  • Jenny de la Torre-Aboki
  • Jacqueline Uson
  • Irene Pitsillidou
  • Valentina Vardanyan
  • Elena Nikiphorou
  • Sebastian C Rodriguez-Garcia
  • Raul Castellanos-Moreira
  • Hemant Pandit
  • Terence W O'Neill
  • Michael Doherty
  • Mikael Boesen
  • Ingrid Möller
  • Lene Terslev
  • Maria Antonietta D'Agostino
  • Willm Uwe Kampen
  • Francis Berenbaum
  • Esperanza Naredo
  • Loreto Carmona
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To assess patient perspective and professional practice of intraarticular therapies (IATs) across Europe, an expert international multidisciplinary panel designed two open web-based surveys: one targeting people who had experienced at least two IATs (44 items); and one targeting health care providers (HCPs) (160 items). Surveys were disseminated via patient and professional associations and social media. A descriptive analysis was performed. The surveys were answered by 200 patients and 186 HCPs from 26 countries, showing that IAT is routinely performed by rheumatologists (97%) and orthopaedic surgeons (89%), with specific training being compulsory in a few countries. The most frequent indications for IAT are arthritis (76%), osteoarthritis (74%), crystal arthritis (71%) and bursitis (70%); the most frequently injected joints are knee (78%) and shoulder (70%); and the most used compounds are glucocorticoids. The majority of HCPs report informing patients about side-effects (73%), benefits (72%), and the nature of the procedure (72%), which coincides with 27% of patients reporting that they had not been informed about benefits or potential complications of IATs; 73% of patients had not been asked whether they wanted an anaesthetic. Few HCPs (10%) obtain written consent (56% get oral consent, being mandatory for 32%), a procedure deemed necessary by 41% of the patients. 50% of patients reported a clear benefit of IAT and 20% experienced complications including pain, impaired mobility, rashes, or swelling. In summary, the practice of IAT is variable across Europe, and although patients perceive it as relatively safe and usually effective procedure, some gaps were identified.

Original languageEnglish
JournalRheumatology International
Issue number5
Pages (from-to)869-878
Number of pages10
Publication statusPublished - May 2022

Bibliographical note

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

    Research areas

  • Clinical practice, Glucocorticoids, Infiltrations, Intraarticular therapies, Patient’s experience, Surveys

ID: 70411021