Audit on the management of early rheumatoid arthritis in Nairobi

GO O, EK G, S N. "Audit on the management of early rheumatoid arthritis in Nairobi." Afr J Rheumatol. 2020;8(1):22-25.


: Clinical audit for rheumatoid arthritis on patients over
the age of 18 years in Nairobi, Kenya within the first three months of referral to a specialist. Objective: The audit gives detailed
information on the following; access to care, quality of treatment and
care received by patients from their rheumatology team in these first 3 months and the early impact of arthritis on the patient’s life.
Design: This was a cross-sectional
survey. Results
: The audit included 100 patients referred to the Nairobi Arthritis
Clinic between January and April 2018. A majority (54%) had symptoms for
more than 6 months before being referred to a rheumatologist. Most of
the patients (83%) were seen within 3 weeks of referral. Disease Modifiying
Antirheumatic Drugs (DMARDs) were commenced in 90% within 6 weeks of
being seen at the clinic. Treatment to target was done in 98% of the patients
with a further 60% able to access the clinic within a day of flare of symptoms. Conclusion: The audit revealed the
need to improve on referral time to the rheumatologist. It was encouraging
to note that once they saw the rheumatologists the patients were
commenced on the proper treatment with the treat to target strategy. An area
that needs improvement is the time to access the rheumatologist in case of
side effect from the treatment or flare of the disease

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