{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T09:41:43Z","timestamp":1780652503994,"version":"3.54.1"},"reference-count":9,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["RMD Open"],"accepted":{"date-parts":[[2015,6,10]]},"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>The British Society for Rheumatology and British Health Professionals in Rheumatology (BSR-BHPR) guidelines for management of polymyalgia rheumatica (PMR) were published in 2010, aiming to provide guidance for diagnosis, management and disease monitoring. A national study was conducted across multiple rheumatology units throughout the UK in order to study the level of adoption of guidelines in clinical practice.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This study was a retrospective analysis of patient records with a diagnosis of PMR from multiple centres across the UK. The primary objective was to explore the national compliance of PMR management according to BSR guidelines.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We included 81 responses across 10 rheumatology units in the UK. The guideline core inclusion criteria were followed in more than 90% in making the diagnosis of PMR, but limited concordance was observed with respect to excluding PMR-mimics, the initial recommended glucocorticoid dosage (74%), steroid taper (41%), treatment of relapse (76%), bone protection (84%) and patient follow-up (43%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>We observed a wide variation in clinical practice and limited adherence to BSR-BHPR guidelines in the UK. This study highlights the need for robust multilayered and multifaceted implementation strategies involving the providers and the consumers for apposite dissemination of guideline-based practice and consistency of care. We believe that the findings of this study have significant relevance for formulation and dissemination of PMR guidelines in the future.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/rmdopen-2015-000095","type":"journal-article","created":{"date-parts":[[2016,1,22]],"date-time":"2016-01-22T15:51:16Z","timestamp":1453477876000},"page":"e000095","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Balancing on the edge: implications of a UK national audit of the use of BSR-BHPR guidelines for the diagnosis and management of polymyalgia rheumatica"],"prefix":"10.1136","volume":"1","author":[{"given":"Parthajit","family":"Das","sequence":"first","affiliation":[{"name":"Department of Rheumatology, University Hospitals of Leicester NHS Trust, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ash","family":"Samanta","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, University Hospitals of Leicester NHS Trust, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhaskar","family":"Dasgupta","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Southend University Hospital, Southend, UK"},{"name":"Anglia Ruskin, Essex, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,7,28]]},"reference":[{"key":"2025090312223427000_1.1.e000095.1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kep303a"},{"key":"2025090312223427000_1.1.e000095.2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-139-6-200309160-00015"},{"key":"2025090312223427000_1.1.e000095.3","first-page":"1694","article-title":"Trends in the incidence of polymyalgia rheumatica over a 30year period in Olmsted County, Minnesota, USA","volume":"29","author":"Doran","year":"2002","journal-title":"J Rheumatol"},{"key":"2025090312223427000_1.1.e000095.4","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/33.2.152"},{"key":"2025090312223427000_1.1.e000095.5","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/37.11.1215"},{"key":"2025090312223427000_1.1.e000095.6","doi-asserted-by":"publisher","DOI":"10.1007\/s100670070045"},{"key":"2025090312223427000_1.1.e000095.7","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.10-3-270"},{"key":"2025090312223427000_1.1.e000095.8","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1997.00440230030005"},{"key":"2025090312223427000_1.1.e000095.9","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2011-200329"}],"container-title":["RMD Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/rmdopen-2015-000095","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T19:22:43Z","timestamp":1756927363000},"score":1,"resource":{"primary":{"URL":"https:\/\/rmdopen.bmj.com\/lookup\/doi\/10.1136\/rmdopen-2015-000095"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2015,7,28]]},"published-print":{"date-parts":[[2015,7]]}},"alternative-id":["10.1136\/rmdopen-2015-000095"],"URL":"https:\/\/doi.org\/10.1136\/rmdopen-2015-000095","relation":{},"ISSN":["2056-5933"],"issn-type":[{"value":"2056-5933","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7]]}}}