{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:06:21Z","timestamp":1790863581547,"version":"4.1.0"},"reference-count":19,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006260","name":"Rheumatology Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006260","id-type":"DOI","asserted-by":"publisher"}]},{"name":"NIH","award":["NIA R03AG082983"],"award-info":[{"award-number":["NIA R03AG082983"]}]},{"name":"AHA SFRN","award":["24SFRNPCN1280228"],"award-info":[{"award-number":["24SFRNPCN1280228"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["RMD Open"],"accepted":{"date-parts":[[2026,8,30]]},"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To study the implementation of the 2015 European Alliance of Associations for Rheumatology (EULAR)\/American College of Rheumatology (ACR) management recommendations for polymyalgia rheumatica (PMR) among rheumatologists and general practitioners (GPs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An online survey (Survey Monkey) comprising 28 questions was distributed among members of the EULAR Study Group on PMR and giant cell arteritis (n=375). Each member was asked to invite at least one GP (snowball principle) with experience in PMR to participate. Statistical analysis included descriptive statistics; differences were tested using Fisher\u2019s exact test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 308 respondents from 37 countries including data from 211 rheumatologists and 73 GPs. Adherence to the 2015 EULAR\/ACR recommendations was higher among rheumatologists (83%) than GPs (35%). Rheumatologists (96%) prescribed glucocorticoids more frequently at dosages within the recommended range than GPs (84%). Concerning tapering, a similar proportion of rheumatologists (83%) and GPs (72%) reached the suggested 10\u2009mg prednisone equivalent after 4\u20138 weeks. Almost all rheumatologists used methotrexate as a glucocorticoid-sparing agent (95%) as compared with only 26% of GPs. Similarly, 70% of rheumatologists, but only 2% of GPs, had experience with interleukin-6 receptor inhibitors for PMR. For follow-up, more rheumatologists preferred scheduled (as opposed to on demand) visits than GPs (99% vs 82%), while more GPs than rheumatologists (47% vs 31%) planned a short follow-up interval (4\u20138 weeks) in the first year of disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Implementation of the EULAR\/ACR recommendation for the management of PMR remains incomplete, particularly among GPs. Future updates should incorporate projects to foster diffusion and implementation of the recommendations among all professionals managing this disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/rmdopen-2026-007295","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:41:38Z","timestamp":1790862098000},"page":"e007295","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Study on the implementation of the 2015 EULAR\/ACR recommendations for polymyalgia rheumatica in clinical practice"],"prefix":"10.1136","volume":"12","author":[{"given":"Michele","family":"di Lernia","sequence":"first","affiliation":[{"name":"Department of Rheumatology, Hospital of Bruneck (ASAA-SABES), Teaching Hospital of the Paracelsus Medical University, Brunico, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2527-1402","authenticated-orcid":false,"given":"Konstantin Louis","family":"Thuere","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Hospital of Bruneck (ASAA-SABES), Teaching Hospital of the Paracelsus Medical University, Brunico, Italy"},{"name":"Faculty of Medicine, Saarland University (USAAR), Homburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3945-6828","authenticated-orcid":false,"given":"Sebastian E","family":"Sattui","sequence":"additional","affiliation":[{"name":"Division of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2798-6765","authenticated-orcid":false,"given":"Kornelis S M","family":"van der Geest","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2534-550X","authenticated-orcid":false,"given":"Frank","family":"Buttgereit","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Clinical Immunology, Charit\u00e9 Universit\u00e4tsmedizin Berlin; Deutsches Rheumaforschungszentrum, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0173-0668","authenticated-orcid":false,"given":"Christian","family":"Dejaco","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Hospital of Bruneck (ASAA-SABES), Teaching Hospital of the Paracelsus Medical University, Brunico, Italy"},{"name":"Department of Rheumatology, Medical University of Graz, Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"2026100106151633000_12.4.e007295.1","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1056\/NEJMcp2506817","article-title":"Polymyalgia rheumatica","volume":"394","author":"Dejaco","year":"2026","journal-title":"N Engl J Med"},{"key":"2026100106151633000_12.4.e007295.2","doi-asserted-by":"publisher","DOI":"10.1136\/ard-2023-225134"},{"key":"2026100106151633000_12.4.e007295.3","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keac713"},{"key":"2026100106151633000_12.4.e007295.4","doi-asserted-by":"crossref","first-page":"5818","DOI":"10.1093\/rheumatology\/keaf367","article-title":"Frequency, diagnosis, and management of polymyalgia rheumatica in Germany-database analysis of medical insurance data","volume":"64","author":"Schmidt","year":"2025","journal-title":"Rheumatology (Oxford)"},{"key":"2026100106151633000_12.4.e007295.5","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2015-207492"},{"key":"2026100106151633000_12.4.e007295.6","unstructured":"EULAR . SOPs for EULAR (post-TF) implementation projects. 2026. Available: https:\/\/www.eular.org\/sops-for-eular-post-tf-implementation-projects"},{"key":"2026100106151633000_12.4.e007295.7","unstructured":"EULAR . EULAR study groups. 2026. Available: https:\/\/www.eular.org\/eular-study-groups"},{"key":"2026100106151633000_12.4.e007295.8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2303452"},{"key":"2026100106151633000_12.4.e007295.9","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2015-207578"},{"key":"2026100106151633000_12.4.e007295.10","doi-asserted-by":"crossref","first-page":"e208","DOI":"10.1016\/S2665-9913(23)00032-2","article-title":"1-year results of treatment with rituximab in polymyalgia rheumatica: an extension study of a randomised double-blind placebo-controlled trial","volume":"5","author":"Bolhuis","year":"2023","journal-title":"Lancet Rheumatol"},{"key":"2026100106151633000_12.4.e007295.11","doi-asserted-by":"publisher","DOI":"10.1136\/ard-2022-223429"},{"key":"2026100106151633000_12.4.e007295.12","doi-asserted-by":"crossref","DOI":"10.1093\/rheumatology\/keaf646","article-title":"Recommendations of the German, Austrian and Swiss rheumatology and other medical societies for the management of polymyalgia rheumatica","volume":"65","author":"Buttgereit","year":"2026","journal-title":"Rheumatology (Oxford)"},{"key":"2026100106151633000_12.4.e007295.13","doi-asserted-by":"crossref","first-page":"323","DOI":"10.5114\/reum.2021.110600","article-title":"Feasibility and usefulness of a fast-track clinic for patients suspected of polymyalgia rheumatica: notes for a work schedule through a narrative review of published literature","volume":"59","author":"Hysa","year":"2021","journal-title":"Reumatologia"},{"key":"2026100106151633000_12.4.e007295.14","doi-asserted-by":"publisher","DOI":"10.5114\/reum.2018.76900"},{"key":"2026100106151633000_12.4.e007295.15","doi-asserted-by":"crossref","DOI":"10.1002\/aet2.10906","article-title":"Educator\u2019s blueprint: a how-to guide on survey administration","volume":"7","author":"Ogle","year":"2023","journal-title":"AEM Educ Train"},{"key":"2026100106151633000_12.4.e007295.16","doi-asserted-by":"crossref","first-page":"214","DOI":"10.34172\/jcs.33287","article-title":"Survey fatigue in questionnaire-based research: the issues and solutions","volume":"13","author":"Ghafourifard","year":"2024","journal-title":"J Caring Sci"},{"key":"2026100106151633000_12.4.e007295.17","unstructured":"Mukhtyar CB , Nikiphorou E , Bartoletti A , et al . EULAR recommendations for the management of polymyalgia rheumatica and primary large vessel vasculitis. Ann Rheum Dis 2025."},{"key":"2026100106151633000_12.4.e007295.18","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2019-215672"},{"key":"2026100106151633000_12.4.e007295.19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2023.08.017"}],"container-title":["RMD Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/rmdopen-2026-007295","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:41:42Z","timestamp":1790862102000},"score":1,"resource":{"primary":{"URL":"https:\/\/rmdopen.bmj.com\/lookup\/doi\/10.1136\/rmdopen-2026-007295"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":19,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,10,1]]},"published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1136\/rmdopen-2026-007295"],"URL":"https:\/\/doi.org\/10.1136\/rmdopen-2026-007295","relation":{},"ISSN":["2056-5933"],"issn-type":[{"value":"2056-5933","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]}}}