Rheumatologists' knowledge, attitude and current management of fatigue in patients with rheumatoid arthritis (RA)

Clin Rheumatol. 2008 Dec;27(12):1549-55. doi: 10.1007/s10067-008-0967-0. Epub 2008 Jul 12.

Abstract

To describe rheumatologists' knowledge, attitude and current management of fatigue in patients with rheumatoid arthritis (RA), a postal questionnaire was sent to all rheumatologists (N = 204) and trainees (N = 49), members of the Dutch Society of Rheumatology. The overall response rate was 44% (N = 110). In general, rheumatologists' knowledge about RA-related fatigue was in accordance with the literature but they perceive a lack of their own knowledge about aetiology and evidence-based interventions to prevent and treat fatigue. The majority of the rheumatologists believe that fatigue is a multi-disciplinary diagnosis and is preferably managed by the nurse specialist (34%). Assuming that the patient will raise the issue, most of the rheumatologists pay attention to fatigue during the first consultation and less often during follow-up consultations. There is a need for knowledge about causes and treatments for RA-related fatigue to ensure that patient outcomes are improved.

MeSH terms

  • Adult
  • Aged
  • Arthritis, Rheumatoid / complications*
  • Attitude of Health Personnel*
  • Clinical Competence*
  • Cross-Sectional Studies
  • Data Collection
  • Fatigue / complications*
  • Fatigue / diagnosis*
  • Female
  • Humans
  • Internship and Residency
  • Male
  • Middle Aged
  • Netherlands
  • Physician-Patient Relations
  • Physicians
  • Rheumatology