Manal Al mashaleh

• Westmead Hospital

Discordance between physicians and patients in assessing psoriatic arthritis (PsA) activity is common and might impact treatment adherence and decision-making. Cultural and belief systems may influence this discordance. This study aimed to assess the extent of patient-physician discordance in PsA in Arab countries and its association with demograph...

Discordance between physicians and patients in assessing psoriatic arthritis (PsA) activity is common and might impact treatment adherence and decision-making. Cultural and belief systems may influence this discordance. This study aimed to assess the extent of patient-physician discordance in PsA in Arab countries and its association with demograph...

Background Psoriatic arthritis (PsA) is a chronic, inflammatory rheumatic disease. We aim to describe the characteristics of PsA patients and examine factors affecting their psychological and physical well-being. Methods This multicenter, cross-sectional study enrolled consecutive PsA patients from rheumatology clinics over six months. Data was co...

Background Referral delay of patients with chronic inflammatory rheumatic diseases (CIRDs) to rheumatologists is one of the major obstacles to benefiting from the window of opportunity during the early disease phases. Timelines in Arab countries are poorly studied. Yet, differences in the healthcare systems and cultural backgrounds might drive refe...

Background While the acknowledgment of the significance of incorporating sex and gender considerations in health research is growing, the integration and evaluation of these factors remain a challenge. Objectives This study aimed to evaluate phenotypes related to gender within psoriatic arthritis (PsA) patients and to investigate factors associate...

The Psoriatic Arthritis Impact of Disease (PsAID-12) questionnaire, a recommended measure of patient-reported impact for psoriatic arthritis (PsA), was initially developed in Europe and may lack universal validity. Recognizing the need for a culturally appropriate tool for Arab patients, this study aimed to TranslAte, CulTurally adapt, and validate...

The Psoriatic Arthritis Impact of Disease (PsAID-12) questionnaire, a recommended measure of patient-reported impact for psoriatic arthritis (PsA), was initially developed in Europe and may lack universal validity. Recognizing the need for a culturally appropriate tool for Arab patients, this study aimed to TranslAte, CulTurally adapt, and validate...

Burnout is frequent among physicians and seems to be underestimated among rheumatologists. To estimate the frequency of burnout in a sample of rheumatologists practising in the Arab countries and determine its associated factors. This was a descriptive cross-sectional study conducted by the Arab League of Associations for Rheumatology (ArLAR resear...

Background In patients with psoriatic arthritis (PsA), discordance between physicians and patients when assessing disease activity has been described as frequent, mainly in European and North American studies. This discordance may negatively impact treatment adherence and shared decision-making processes. Culture and beliefs influence patients’ per...

Background The demand for rheumatology care is consistently exceeding the workforce worldwide, which negatively impacts the care of patients with rheumatic and musculoskeletal diseases (RMDs). The number of rheumatologists per 100,000 inhabitants varies between 0.94 in Latin America to 3.44 in Spain, with a desirable number of 1-2. However, the est...

Background Burnout is frequent among physicians and has significant implications for the healthcare system. However, it seems to be underestimated so far among rheumatologists, with few studies indicating a prevalence of 51-57%. Objectives To estimate the prevalence and predictors of burnout among rheumatologists practicing in Arab countries. Met...

Background The Psoriatic Arthritis Impact of Disease (PsAID) is a patient-reported questionnaire assessing multiple domains in patients with psoriatic arthritis (PsA), developed under the aegis of EULAR, and recommended by OMERACT and GRAPPA. To be usable in different contexts, translations and cross-cultural validations are necessary. Arabic is th...

Background Managing patients with chronic rheumatic diseases is increasingly relying on the collaboration of a multidisciplinary team, including the rheumatology nurse who can aid assessment of disease activity among other healthcare tasks. However, this practice, although common in Europe and North America, is still poorly implemented in the Middl...

Background Involving the patients with rheumatoid arthritis (RA) in the assessment of their disease may increase their adherence to treatment, improve the disease outcomes and facilitate the application of telehealth. We previously reported an excellent concordance between the Disease Activity Score (DAS-28) performed by physicians and patients at...

To evaluate the perceptions of patients with rheumatoid arthritis (RA) about self-assessment of their disease activity after watching an educational video. Consecutive patients with RA consulting their rheumatologist in six Middle Eastern Countries were invited to watch an educational video developed to teach self-assessment using Disease Activity...

Objectives: The primary objective was to develop an educational video to teach patients with rheu-matoid arthritis (RA) self-assessment of their disease activity. Secondary objectives were to validate the video, identify the challenges in producing it, and the responses to these challenges. Methods: Rheumatologists from 7 Middle Eastern Arab countr...

Objectives: The primary objective was to develop an educational video to teach patients with rheumatoid arthritis (RA) self-assessment of their disease activity. Secondary objectives were to validate the video, identify the challenges in producing it, and the responses to these challenges. Methods: Rheumatologists from 7 Middle Eastern Arab countri...

Background Involving patients with rheumatoid arthritis (RA) in the assessment of their disease may increase adherence to treatment, improve disease outcomes and reduce consultation time. Objectives To evaluate the concordance between physician and patient assessment of disease activity in RA using Disease Activity Score (DAS-28). Methods During...

The video teaches the patients with rheumatoid arthritis how to self-assess their disease activity using DAS-28 https://www.youtube.com/watch?v=op23r8df9dQ&t=309s

The AUTODAS video teaches the patients with rheumatoid arthritis how to assess their disease activity using DAS-28. Available on https://www.youtube.com/watch?v=uBLyBei4uhU&t=215s

EMJ EULAR highlight issue

We investigated the localization pattern of a novel imaging agent, Tc-labelled glucosamine (ECDG), in a variety of rheumatic conditions. Sixteen patients were recruited into the study, with either active rheumatoid arthritis or osteoarthritis. Tc-ECDG was prepared in-house and patients received 400 MBq intravenously; thereafter, static images were...

Objective:To determine the prevalenceventilator associated pneumonia (VAP) and to investigate the most common precipitating factors. Methodology: This is a retrospective study held at intensive care unit (ICU) of King Hussein Medical Center (KHMC) from January 2011 to January 2012. All patients who were on mechanical ventilation for more than 48 ho...

Objectives: To study pregnancy outcome in women with systemic lupus erythematosus (SLE) in regard to preterm delivery, growth restricted babies and the effect of SLE in developing pre-eclampsia.

Cardiac involvement in scleroderma is often subclinical1–3 and occurs early in the disease.4,5 The myocardium, pericardium and conduction system may be affected, resulting in heart failure or arrhythmia.6 Symptomatic pericarditis occurs in 7–20% of patients, whereas histological involvement has been reported to be as high as 70–80% at autopsy.6 We...

Objective: To determine the predictive value of temporal artery biopsy in patients clinically suspected of having temporal arteritis. Conclusion: Temporal arteritis is a rheumatological emergency. The above results indicate that the biopsy yield following rheumatologist suspicion is high with minimal post-operative complications. The histopathologi...