This paper aims to explore the assessment of patients with rheumatologic diseases especially rheumatoid arthritis ra before undergoing orthopedic surgery perioperative assessment ensures an early diagnosis of the patients medical condition overall health medical co morbidities and the . Disease activity severity may not be modifiable but the optimal perioperative management of immunosuppressant therapy around the time of arthroplasty may present an opportunity to mitigate risk 15 19 in this setting clinicians require guidance regarding perioperative management of antirheumatic drug therapy. Pdf this paper aims to explore the assessment of patients with rheumatologic diseases especially rheumatoid arthritis ra before undergoing orthopedic surgery perioperative assessment . Perioperative management of patients with rheumatic disease fills a conspicuous gap in the literature and aims at providing a paved path for rheumatologists who infrequently manage surgical problems and medical consultants who only seldom encounter patients with rheumatic diseases to tread as they care for patients in the perioperative . A systematic review on the optimal management of the use of methotrexate in rheumatoid arthritis patients in the perioperative period to minimize perioperative morbidity and maintain disease control clin exper rheum 2009 275856 862
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