Social, disease and diagnostic factors associated with diagnostic delays in dermatomyositis: a retrospective cohort study

Author:

Wanberg Lindsey J1,Singhe Nawang1,Rasner Cody J1,McGrath Joseph1,Jiang Ziou2,Baker-James Karen3,Buechler Connor R45,Pearson David R4ORCID

Affiliation:

1. University of Minnesota Medical School , Minneapolis, MN , USA

2. Biostatistical Design and Analysis Center, Clinical and Translational Science Institute, University of Minnesota , Minneapolis, MN , USA

3. Best Practices Integrated Informatics Core, Clinical and Translational Science Institute, University of Minnesota , Minneapolis, MN , USA

4. Department of Dermatology, University of Minnesota , Minneapolis, MN , USA

5. Department of Internal Medicine, University of Minnesota , Minneapolis, MN , USA

Abstract

Adult patients with dermatomyositis from an academic tertiary referral centre experienced a range in durations of diagnostic delay, which were dependent on social, disease and diagnostic factors. About one-quarter of patients experienced a diagnostic delay ≥ 12 months, with a median of 3.5 months. Symptoms at initial presentation, zip code, skin biopsy results and treatment with systemic corticosteroids were associated with diagnostic delay duration.

Publisher

Oxford University Press (OUP)

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