Are Routine X-Rays of Hands and Feet Worthwhile in Patients with Suspected Rheumatoid Arthritis?
1 May 2024 • Primary care clinicians and rheumatologists often obtain x-rays of hands and feet in patients with suspected rheumatoid arthritis (RA). In a large study, the yield of this practice was extremely low.
Among 724 patients undergoing evaluation for suspected rheumatoid arthritis (RA), Dutch researchers found that only 4% of the cohort exhibited erosions typical for RA on initial presentation, despite eventual RA diagnosis in 41% of patients. Presence of erosions was not associated with patient-reported duration of symptoms.
These findings question the utility of routine x-rays of hands and feet in suspected RA cases and emphasize the need for reevaluation of diagnostic practices.
Source: NEJM J-Watch| Read full story