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[Arthrocentesis in rheumatology practice].

H Hartmann1

  • 1Revmatologisk avdeling, Innherred sykehus, Levanger.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|May 12, 2000
PubMed
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Norwegian rheumatologists frequently use intraarticular steroid injections, viewing them as highly effective. Most reported side effects were minor, with no cases of septic arthritis observed in this survey.

Area of Science:

  • Rheumatology
  • Pharmacology

Context:

  • Intraarticular steroid injections are a common treatment modality in rheumatology.
  • A survey was conducted among members of the Norwegian Society of Rheumatology to assess their practices.
  • This is the first study to investigate the use of these injections in Norway.

Purpose:

  • To evaluate the utilization patterns of intraarticular steroid injections by Norwegian rheumatologists.
  • To assess the perceived efficacy and safety of these injections in clinical practice.
  • To identify the frequency and types of adverse events associated with intraarticular steroid injections.

Summary:

  • A high response rate (79%) was achieved among Norwegian rheumatologists (n=108).
  • A significant proportion (69%) reported using intraarticular steroid injections in the past week, totaling 637 administrations.

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  • The majority of rheumatologists consider these injections very effective, with only 9% reporting side effects (n=51) in the last 12 months.
  • Common side effects included post-injection pain and subcutaneous atrophy; no cases of septic arthritis were reported, and most adverse events were deemed non-serious.

    • Impact:

    • Provides baseline data on intraarticular steroid injection practices in Norway.
    • Highlights the perceived effectiveness and generally favorable safety profile of these injections among Norwegian rheumatologists.
    • Informs clinical practice guidelines and patient counseling regarding the use of intraarticular steroid injections.