Letters Rheumatoid arthritis debate

Author’s reply to Scott and colleagues and Gough and Foo

BMJ 2011; 343 doi: http://dx.doi.org/10.1136/bmj.d7052 (Published 01 November 2011) Cite this as: BMJ 2011;343:d7052
  1. Des Spence, general practitioner1
  1. 1Glasgow, UK
  1. destwo{at}yahoo.co.uk

No one disputes the importance of early treatment of rheumatoid arthritis.1 2 The central theme is whether the disease is over-diagnosed and over-treated. The epidemiological data are limited, but rates halved from 1955 to the late 1980s.3 Since then it has inexplicably increased but only in women.3 The terrible complications of rheumatoid …

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