Shankar A et al
Bannuru RR, Osani MC, Vaysbrot EE, Arden NK, Bennell K, Bierma-Zeinstra SMA, Kraus VB, Lohmander LS, Abbott JH, Bhandari M, Blanco FJ, Espinosa R, Haugen IK, Lin J, Mandl LA, Moilanen E, Nakamura N, Snyder-Mackler L, Trojian T, Underwood M, Mcalindon TE
Use recent records: stale weights or old labs can trigger delays Match the diagnosis to the request: coding and chart wording should point in the same direction Document failed or insufficient response clearly: vague phrases like tried diet dont help much Prepare for renewal early: if ongoing treatment later requires proof of response, your follow-up notes should already capture progress A good file doesnt exaggerate
Sustained Results Most patients reach meaningful milestones within 36 months
Fraternale, A