Comprehensive management of patients with rheumatoid arthritis some results of the regional arthritis control program in michigan


  • Ivan F. Duff MD,

    Corresponding author
    1. Professor of Internal Medicine and Physician-in-Charge, Arthritis Division, Ann Arbor, Michigan
    • Department of Internal Medicine, Arthritis Division, Building 8, Room 830, University of Michigan Medical Center, Ann Arbor, Michigan 48104
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  • James O. Carpenter PhD,

    1. Assistant Professor of Public Health Administration, Department of Community Health Services and Associate Director of the Program in Health Gerontology, School of Public Health, Ann Arbor, Michigan
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  • Jan E. Neukom BA

    1. Medical Technologist, Arthritis Division, Ann Arbor, Michigan
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The present investigation reports on the effects of a program of comprehensive care for patients with rheumatoid arthritis. Five dependent variables representing indices of disease activity were employed in assessing the merit of comprehensive, continuing management when compared with conventional management, often episodic, provided in arthritis clinics. Over the short duration of the project, this controlled study suggests greater benefits for patients in the comprehensive program. Greater insight into the relative benefits of different management modalities may be provided for future projects of this type in which a longer period of observation is possible.