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Table 1 Ranked research priorities

From: Priorities for rheumatic and musculoskeletal disease research in Ireland

Rank

Question

Score

1

How can we best prevent or reduce the progression/worsening of disease in people living with arthritis and rheumatic diseases?

1352

2

Can we improve early diagnosis of arthritis and rheumatic diseases? What impact would earlier diagnosis have on quality of life?

1207

3

How can pain be better managed for those living with arthritis and rheumatic diseases? What factors influence access to adequate pain relief and pain management?

1199

4

Can we develop or improve medications to treat rheumatic diseases?

945

5

What impact does exercise have on the risk, prevention or management of arthritis and rheumatic diseases?

881

6

Can we improve our knowledge of the biology of rheumatic diseases to make better treatments or treatment choices?

866

7

What impact does diet have in the management of rheumatic diseases?

866

8

How can we improve the diagnosis of arthritis and rheumatic diseases?

865

9

What impact does arthritis and rheumatic disease have on mental health? How can this best be treated, managed or improved?

864

10

What role does genetics play in the risk of having a rheumatic disease? Can genetics help to guide treatment or management strategies?

785

11

What influences speed of diagnosis, access to consultants and treatment decisions in Ireland? Does it vary by geography, socioeconomic factors or hospital group?

709

12

What role does non-pharmaceutical interventions, such as lifestyle changes, have in disease management?

681

13

Can we improve self-management and disease monitoring? Does improved disease monitoring or investment in self-management strategies lead to improved outcomes and quality of life for people living with rheumatic diseases?

676

14

Would electronic health records improve delivery of healthcare and disease management? Would patient access to their own electronic health records improve informed choice and doctor-patient partnerships in disease management?

650

15

Do patients receive clear communication in relation to the treatment and or management of disease? How might this be improved?

618

16

Is there a relationship between rheumatic disease and female sex hormones, fertility, menstruation or pregnancy?

603

17

Does surgery or joint replacement lead to improved patient outcomes and quality of life?

586

18

What is the financial burden associated with rheumatic disease and self-management in Ireland?

586

19

What is the impact of arthritis and rheumatic diseases on employment, careers and schooling in Ireland?

584

20

Can national government policy improve outcomes and quality of life for people living with rheumatic diseases in Ireland? What can Irish policy makers learn from other countries to improve policy in Ireland?

536

21

What environmental factors have a role to play in arthritis and rheumatic diseases? Can we use this knowledge to create a healthier community or environment to live in?

518

22

Does access to health services and community support depend on where you live? If so, what is the impact of this?

508

23

What role do lifestyle factors play in the risk of developing a rheumatic disease?

506

24

What is the impact of comorbidities (other co-occurring medical conditions) in rheumatic diseases? Do different treatment strategies affect the risk of comorbidities?

503

25

Is there adequate access to relevant, reliable information, help and support for people living with a rheumatic disease?

492

26

What impact does involving people living with rheumatic diseases in healthcare policy, decisions and research have?

487

27

How does Ireland compare to other EU countries in terms of treatment, outcomes and quality of life for people living with arthritis and rheumatic disease? Can we use this knowledge to improve quality of life for people living with rheumatic diseases in Ireland?

468

28

What factors influence patient-access to medications and non-pharmaceutical treatments?

456

29

Would better public awareness of rheumatic diseases improve early diagnosis or disease prevention?

439

30

How does Ireland compare to other EU countries in the management and treatment of arthritis and rheumatic diseases? How does Irish policy, healthcare spending, resources and staffing related to arthritis and rheumatic diseases compare to other European countries?

436

31

How can arthritis and rheumatic disease be better classified? Does better classification improve disease outcome and or prognosis?

422

32

How common is arthritis and rheumatic diseases in Ireland? Is there any association between where you live and risk of being diagnosed with a rheumatic disease?

393

33

Are there adequate supports for treatment and self-management of arthritis and rheumatic diseases in those with intellectual disabilities?

374

34

What is the impact of education on disease management?

367

35

Does sex or gender have an impact on the choice of effective treatment strategies? Is there a difference in disease response between the sexes?

325

36

How does Covid-19 impact arthritis and rheumatic disease management in Ireland? Are these impacts similar to that of other European countries?

321

37

What is the socioeconomic impact of rheumatic diseases in Ireland?

266

38

Does familial support lead to improved disease outcomes and quality of life?

207