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[Intra-articular administration of glucocorticoids in rheumatoid arthritis from the doctor and patient's viewpoint].

Based on the opinions of 20 expert rheumatologists from two rheumatological hospitals a number of important assumptions are provided relative to the intraarticular administration of glucocorticoids in patients suffering from rheumatoid arthritis. The viewpoints appeared to be many and varied even within the frameworks of the same hospital. The ranging of some rehabilitation factors in certain parameters (efficacy, danger, availability, and so forth) demonstrated that the technique of intraarticular punctures is an effective and popular enough method for the treatment of patients suffering from rheumatoid arthritis. The doctors' assessments of the method were on the whole higher as compared to the patients' assessment (66 patients with rheumatoid arthritis). There were appreciable differences in the correlation ratios among the doctors as regards the assessments "effective--ineffective" and "I know it very well based on my own experience"--I know it poorly". These differences (from 0.10 to 0.89) evidence the existence of both authoritative doctors and doctors who rely on the generally accepted opinions rather than on their own experience, accounting for controversies in subjective estimates.