Polymyalgia rheumatica: strategies for efficient practice and quality assurance

Rheumatol Int. 2015 Nov;35(11):1781-9. doi: 10.1007/s00296-015-3297-y. Epub 2015 Jun 2.

Abstract

Polymyalgia rheumatica (PMR) is the most common inflammatory rheumatic disease in persons over the age of 50 years. There are many diseases which mimic PMR, for which reason a careful diagnostic approach is required. While it is thought to be exquisitely responsive to glucocorticosteroid therapy, many patients respond incompletely and/or develop serious side effects over the protracted disease course. Improved methods for classification and disease assessment together with standardized treatment approaches and outcome assessments can serve to improve the care of patients with this disease.

Keywords: Classification criteria; Diagnosis; Outcome; Polymyalgia rheumatica; Quality measures; Treatment.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Critical Pathways / standards
  • Decision Support Techniques
  • Glucocorticoids / adverse effects
  • Glucocorticoids / therapeutic use*
  • Health Services Research
  • Humans
  • Polymyalgia Rheumatica / classification
  • Polymyalgia Rheumatica / diagnosis
  • Polymyalgia Rheumatica / drug therapy*
  • Polymyalgia Rheumatica / epidemiology
  • Predictive Value of Tests
  • Quality Assurance, Health Care / standards*
  • Quality Improvement / standards*
  • Quality Indicators, Health Care / standards*
  • Rheumatology / standards*
  • Risk Factors
  • Treatment Outcome

Substances

  • Glucocorticoids