Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Looking through the 'window of opportunity': is there a new paradigm of podiatry care on the horizon in early rheumatoid arthritis? | Woodburn et al. Journal of Foot and Ankle Research 2010 3 8 http content 3 1 8 JOURNAL OF FOOT AND ANKLE RESEARCH COMMENTARY Open Access Looking through the window of opportunity is there a new paradigm of podiatry care on the horizon in early rheumatoid arthritis James Woodburn 1 Kym Hennessy1 Martijn PM Steultjens1 Iain B Mclnnes2 and Deborah ETurner1 Abstract Over the past decade there have been significant advances in the clinical understanding and care of rheumatoid arthritis RA . Major paradigm changes include earlier disease detection and introduction of therapy and tight control of follow-up driven by regular measurement of disease activity parameters. The advent of tumour necrosis factor TNF inhibitors and other biologic therapies have further revolutionised care. Low disease state and remission with prevention of joint damage and irreversible disability are achievable therapeutic goals. Consequently new opportunities exist for all health professionals to contribute towards these advances. For podiatrists relevant issues range from greater awareness of current concepts including early referral guidelines through to the application of specialist skills to manage localised residual disease activity and associated functional impairments. Here we describe a new paradigm of podiatry care in early RA. This is driven by current evidence that indicates that even in low disease activity states destruction of foot joints may be progressive and associated with accumulating disability. The paradigm parallels the medical model comprising early detection targeted therapy a new concept of tight control of foot arthritis and disease monitoring. Podiatrists are experts on foot disorders both patients and rheumatologists can profit from the involvement of a podiatrist - Korda and Balint 2004 1 . Early RA There is no established definition for early rheumatoid arthritis. Historic criteria for the classification of RA such as the American College of .
