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Arthritis, Rheumatoid


Related Terms


  • Chronic Inflammatory Arthritis
  • Proliferative Arthritis
  • RA
  • Systemic Arthritis

Specialists


  • Emergency Medicine Physician
  • Infectious Disease Internist
  • Internal Medicine Internist
  • Occupational Therapist
  • Orthopedic (Orthopaedic) Surgeon
  • Physiatrist
  • Physical Therapist
  • Rheumatologist

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Factors Influencing Duration


Although some individuals have mild symptoms that resolve, most people experience progressive disease over the course of their lifetime. The individual's age, the rate of disease progression, the severity of the disease, which joints and how many joints are involved, organ system involvement, the response to treatment, and the pattern of remissions and exacerbations all affect the length of disability.

New onset cases with today's disease modifying treatment will usually be able to stay at work, while cases with onsets greater than 10 years ago may have enough destructive arthritis to be permanently unable to do heavy work.

Duration Trends from Reference Data


DURATION TRENDS
 ICD-9-CM: 714.0  
CasesMeanMinMaxNo Lost TimeOver 6 Months
9178304340.5%13.3%
 
  
 
Percentile:5th25thMedian75th95th
Days:82963112199
 
  
 

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes


ICD-9-CM:
710.2 - Diffuse Diseases of Connective Tissue, Sicca Syndrome; Sjögrens Disease; Keratoconjunctivitis Sicca (Sicca Syndrome)
714 - Rheumatoid Arthritis and Other Inflammatory Polyarthropathies
714.0 - Rheumatoid Arthritis; Arthritis or Polyarthritis: Atrophic, Rheumatic (Chronic)
714.1 - Feltys Syndrome; Rheumatoid Arthritis with Splenoadenomegaly and Leukopenia
714.2 - Other Rheumatoid Arthritis with Visceral or Systemic Involvement; Rheumatoid Carditis
714.8 - Other Specified Inflammatory Polyarthropathies
714.81 - Rheumatoid Lung; Caplans Syndrome; Diffuse Interstitial Rheumatoid Disease of Lung; Fibrosing Alveolitis, Rheumatoid
714.89 - Other Specified Inflammatory Polyarthropathies, Other
714.9 - Unspecified Inflammatory Polyarthropathy

Cited References


Beers, Mark H., and Robert Berkow, eds. "Rheumatoid Arthritis." The Merck Manual of Diagnosis and Therapy. 17th ed. Whitehouse Station, NJ: Merck and Company, Inc., 1999. Merck. Merck & Co., Inc. 29 Oct. 2004 <http://www.merck.com/mrkshared/mmanual/section5/chapter50/50a.jsp>.

"Comparative Effectiveness of Drug Therapy for Rheumatoid Arthritis and Psoriatic Arthritis in Adults." Agency for Healtcare Research and Qualtiy. 19 Nov. 2007. U.S. Department of Health and Human Services. 29 Dec. 2008 <http://effectivehealthcare.ahrq.gov/healthInfo.cfm?infotype=rr&DocID=70&ProcessID=14>.

Egan, M., et al. "Splints/Orthoses in the Treatment of Rheumatoid Arthritis." Cochrane Database System Review 1 (2003): CD004018. National Center for Biotechnology Information. National Library of Medicine. 18 Jul. 2008 <PMID: 12535502>.

Firestein, G. S. "Etiology and Pathogenesis of Rheumatoid Arthritis." Kelley's Textbook of Rheumatology. Eds. Edward Harris, et al. 7th ed. Philadelphia: Elsevier, Inc., 2005.

King, Randall W., and Richard Worthington. "Arthritis, Rheumatoid." eMedicine. Eds. Edward Bessman, et al. 13 Jul. 2006. Medscape. 24 Nov. 2008 <http://emedicine.com/emerg/topic48.htm>.

Klippel, John, ed. Primer on the Rheumatic Diseases. 13th ed. New York: Springer, 2008.

Mercier, L. R. "Arthritis, Rheumatoid." Ferri's Clinical Advisor: Instant Diagnosis and Treatment. Ed. Fred Ferri. 2004 ed. St. Louis: Mosby, Inc., 2004. 98-100.

Oh, T. H., et al. "Rehabilitation of Orthopedic and Rheumatologic Disorders. 2. Connective Tissue Disease." Archives of Physical and Medical Rehabilitation 81 2 Suppl 1 (2000): S60-S66. National Center for Biotechnology Information. National Library of Medicine. 18 Jul. 2008 <PMID: 10721762>.

Oliver, Alyce M., and William St. Clair. "Rheumatoid Arthritis: Treatment and Assessment." Primer on the Rheumatic Diseases. Ed. John Klippel. 13th ed. New York: Springer, 2008. 133-141.

Riemsma, R. P., et al. "Patient Education for Adults with Rheumatoid Arthritis." Cochrane Database System Review 2 (2003): CD003688. National Center for Biotechnology Information. National Library of Medicine. 3 Dec. 2004 <PMID: 12804484>.

Robinson, V., et al. "Thermotherapy for Treating Rheumatoid Arthritis." Cochrane Database System Review 1 (2002): CD002826. National Center for Biotechnology Information. National Library of Medicine. 3 Dec. 2004 <PMID: 12076454>.

Smith, Howard R. "Rheumatoid Arthritis." eMedicine. Eds. Kristine M. Lohr, et al. 24 May. 2006. Medscape. 24 Nov. 2008 <http://emedicine.com/med/topic2024.htm>.

Steultjens, E. M., et al. "Occupational Therapy for Rheumatoid Arthritis." Cochrane Database System Review 1 (2004): CD003114. National Center for Biotechnology Information. National Library of Medicine. 3 Dec. 2004 <PMID: 14974005>.

Tehlirian, Christopher V., and Joan M. Bathon. "Rheumatoid Arthritis: Clinical and Laboratory Manifestations." Primer on the Rheumatic Diseases. Ed. John Klippel. 13th ed. New York: Springer, 2008. 114-121.

Vliet Vlieland, T. P. "Rehabilitation of People with Rheumatoid Arthritis." Best Practice & Research Clinical Rheumatology 17 5 (2003): 847-861. National Center for Biotechnology Information. National Library of Medicine. 3 Dec. 2004 <PMID: 12915161>.

Source: Medical Disability Advisor






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