{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T15:17:49Z","timestamp":1790349469381,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T00:00:00Z","timestamp":1604620800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate whether physical therapists (PTs) can correctly identify new\u2010onset inflammatory arthritis; to assess whether PTs are aware that cases of new\u2010onset inflammatory arthritis should be referred to a rheumatologist; to explore the comfort level of PTs to refer to medical specialists; and to determine factors associated with correctly identifying inflammatory arthritis and referring to a rheumatologist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We sent a questionnaire to PTs in 2 Canadian provinces describing 4 case scenarios (new\u2010onset rheumatoid arthritis [RA], knee osteoarthritis [OA], new\u2010onset ankylosing spondylitis [AS], and low back pain [LBP]). Participants were asked to identify probable medical diagnoses and indicate their plan of action. We described the frequencies of our outcomes and used logistic regression to explore associated factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 352 PTs responded. The proportions who correctly identified each of the 4 cases were 90%, 83%, 77%, and 100%, respectively, for RA, OA, AS, and LBP. Among those, 77%, 30%, 73%, and 3%, respectively, indicated that it was \u201cvery important\u201d or \u201cextremely important\u201d to refer to a rheumatologist. Approximately two\u2010thirds felt \u201cextremely comfortable\u201d or \u201cquite comfortable\u201d to refer to a specialist. PTs working in rural areas were less likely to refer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Most PTs correctly identified the clinical cases and were aware of the importance of prompt referral to a rheumatologist for inflammatory disease. Most indicated that it was not very important to refer those with OA and LBP. This implies that many PTs can distinguish between inflammatory and noninflammatory conditions and appropriately refer patients with suspected inflammatory arthritis to a rheumatologist.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.24081","type":"journal-article","created":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T10:25:18Z","timestamp":1569579918000},"page":"1747-1754","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Physical Therapists\u2019 Ability to Distinguish Between Inflammatory and Noninflammatory Arthritis and to Appropriately Refer Patients to a Rheumatologist"],"prefix":"10.1002","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6635-4384","authenticated-orcid":false,"given":"Debbie","family":"Ehrmann Feldman","sequence":"first","affiliation":[{"name":"Universit\u00e9 de Montr\u00e9al  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasha","family":"Bernatsky","sequence":"additional","affiliation":[{"name":"Research Institute of the McGill University Health Centre  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Orozco","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Montr\u00e9al  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"El\u2010Khoury","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Sherbrooke  Sherbrooke Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Desmeules","sequence":"additional","affiliation":[{"name":"Maisonneuve\u2010Rosemont Hospital  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maude","family":"Lalibert\u00e9","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Montr\u00e9al  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kadija","family":"Perreault","sequence":"additional","affiliation":[{"name":"Center for Interdisciplinary Research in Rehabilitation and Social Integration and Universit\u00e9 Laval  Quebec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Grad","sequence":"additional","affiliation":[{"name":"Jewish General Hospital  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Zummer","sequence":"additional","affiliation":[{"name":"CH Maisonneuve\u2010Rosemont  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Woodhouse","sequence":"additional","affiliation":[{"name":"University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kes231"},{"issue":"31","key":"e_1_2_7_3_1","first-page":"S154","article-title":"Window of opportunity in early rheumatoid arthritis: possibility of altering the disease process with early intervention","volume":"21","author":"Quinn MA","year":"2003","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.61.4.290"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2003.014928"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/berh.2000.0131"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/41.8.953"},{"key":"e_1_2_7_8_1","unstructured":"American College of Rheumatology.Simple tasks. 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