Evidence map›Paper›PMID 40249450›Full record

ArticleRheumatology international2025

The journey of patients with musculoskeletal complaints in Europe: a cross-sectional European survey.

Magali Wagner, Teresa Otón, Felix Muehlensiepen, Karin Stratingh, Estíbaliz Loza, Rachel Knevel, Loreto Carmona

Abstract read
In one paragraph

Article in Rheumatology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Magali WagnerCenter for Health Services Research, Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Rüdersdorf bei Berlin, Germany. magali.wagner@mhb-fontane.de.ORCID http://orcid.org/0009-0007-4944-5368
Teresa OtónInstituto de Salud Musculoesquelética, Madrid, Spain.ORCID http://orcid.org/0000-0003-3622-7146
Felix MuehlensiepenCenter for Health Services Research, Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Rüdersdorf bei Berlin, Germany.ORCID http://orcid.org/0000-0001-8571-7286
Karin StratinghDutch Arthritis Society, Amsterdam, The Netherlands.ORCID http://orcid.org/0009-0007-8404-165X
Estíbaliz LozaInstituto de Salud Musculoesquelética, Madrid, Spain.ORCID http://orcid.org/0000-0002-4607-9178
Rachel KnevelDepartment of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-7494-3023
Loreto CarmonaInstituto de Salud Musculoesquelética, Madrid, Spain.ORCID http://orcid.org/0000-0002-4401-2551

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatic and musculoskeletal diseases (RMDs) are highly prevalent and place a significant socioeconomic burden on healthcare systems. However, their diagnosis and management remain suboptimal. This study aimed to analyze healthcare-seeking behaviors, key touchpoints, access barriers, and diagnostic pathways for individuals experiencing initial or progressive symptoms of RMDs across European countries. Understanding these differences is crucial for improving early access to specialized care. A cross-sectional online survey was conducted with 141 participants from seven European countries, including 67 rheumatologists and 39 general practitioners (GPs). The survey assessed initial healthcare-seeking behaviors, delays in diagnosis, and perceived barriers to specialized rheumatology care. Descriptive and inferential statistical methods were used for data analysis. The survey indicated that individuals experiencing RMD symptoms primarily seek information through internet research and GP consultations. Despite their role as primary gatekeepers, GPs' knowledge of RMDs was generally perceived as moderate to low. Significant disparities in access to rheumatological diagnostics, time to diagnosis, and treatment, coupled with organizational barriers between primary and specialist care, were reported across most countries. Spanish participants reported the longest diagnostic delays, while Swedish respondents experienced the shortest. Additionally, access to sacroiliac MRI was limited in Hungary and Spain, whereas glucocorticoids were widely available across all countries according to the participants. The study also revealed that early arthritis clinics were most accessible in the UK from the participants' perspectives. Significant variations in healthcare access for patients with RMDs persist across Europe. Strategies to enhance early detection, including GP education and improved specialist accessibility, are essential to optimizing patient outcomes.

Indexed as

Health Services AccessibilityMusculoskeletal DiseasesPatient Acceptance of Health CareRheumatic DiseasesAdultCross-Sectional StudiesDelayed DiagnosisEuropeFemaleGeneral PractitionersHealthcare DisparitiesHealth Care SurveysHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedHealthcare access barriersPatient experiencePatient journeyRheumatic and musculoskeletal diseases, surveys and questionnairesSurveys and questionnaires

Identifiers

PMID40249450
PMCPMC12008060

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.