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Rheumatology Advance Access originally published online on July 13, 2006
Rheumatology 2006 45(9):1055-1057; doi:10.1093/rheumatology/kel187
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© The Author 2006. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

EDITORIAL

The measurement of outcome and the rheumatoid arthritis core set to lift the prejudice of the ‘thaumaturgus cliché’

L. Bertinotti, F. Nacci and M. Matucci-Cerinic

Division of Medicine I & Rheumatology, AOUC, University of Florence, Italy

Correspondence to: M. Matucci-Cerinic, MD, PhD, Viale Pieraccini 18, 50139 Firenze (Italy). E-mail: cerinic@unifi.it

The first 150 words of the full text of this article appear below.

For many decades in the past century, the lack of drugs specifically designed to treat rheumatic diseases kept rheumatology in a long ‘lethargy’, where the doctor felt more like a ‘thaumaturgus’ — miracle worker — with limited therapeutic possibilities.

One of the most ancient needs for the physician has always been the ability to measure the efficacy of the therapy he prescribes. However, this primary necessity cannot be separated by the patient's main need ‘to feel better, to feel good’. Nevertheless, patient's and physician's point of view sometimes do not completely match: physicians give great value to activity indices of the disease, while patients do not consider fundamental the metric parameters that doctors use, and their only leitmotif is to improve their state of health. In modern terms, the problem is how to unify the efficacy/outcome together with patient's need and, in particular, his ‘quality of life’.

Moreover, quantitative measurements . . . [Full Text of this Article]


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