Research

Advancing knowledge.
Improving care.

Our research programme is built on a simple conviction: that every discovery made in our laboratories and clinics should translate into better outcomes for patients living with rheumatic and musculoskeletal diseases across South Africa and beyond.

Where we direct our inquiry

The Division of Rheumatology at UCT pursues research that is globally relevant yet firmly grounded in the clinical realities of the African continent. Our work spans immunopathology, epidemiology, clinical outcomes, and health systems research — always in service of the patients who need us most.

Inflammatory Arthritis

Rheumatoid arthritis, spondyloarthropathies, and psoriatic arthritis in South African populations — from early diagnosis to long-term outcomes and treatment response in under-resourced settings.

Autoimmune & Connective Tissue Disease

Systemic lupus erythematosus (SLE), systemic sclerosis, and myositis — with a particular focus on the unique disease expression and burden observed in South African and mixed-ancestry populations.

Musculoskeletal Health in Africa

Epidemiology of musculoskeletal diseases, health disparities, disability burden, and the challenges of accessing specialist care — generating evidence that informs policy and practice across the continent.

Clinical Outcomes & Quality of Care

Measuring disease activity, treatment response, and functional outcomes in real-world clinical cohorts. Identifying gaps in care delivery and building the evidence base for improved patient management.

Evidence-Based Guidelines

Development, adaptation, and local validation of clinical guidelines for the South African context — bridging international best practice with the realities of frontline care in a resource-constrained environment.

Health Workforce Capacity

Investigating gaps in rheumatology knowledge and skills among primary care providers, and evaluating the impact of our educational interventions on clinical practice and patient outcomes.

Research conducted at the margins of the global system often addresses questions the centre hasn't thought to ask. That is our advantage — and our responsibility.
Division of Rheumatology — University of Cape Town

Current & recent research

Our division maintains an active programme of clinical and translational research. Below is a selection of current and recently completed studies. Full details and collaboration enquiries are welcomed through our contact page.

Active

SLE Outcomes in South African Populations

A longitudinal cohort study examining disease activity, damage accrual, and mortality in patients with systemic lupus erythematosus attending Groote Schuur Hospital — with a focus on factors specific to South African and mixed-ancestry patients.

Principal Investigator: Division of Rheumatology, UCT
Active

Rheumatoid Arthritis Access & Treatment Delays

Assessing the pathway from symptom onset to specialist diagnosis for patients with early inflammatory arthritis in South Africa, identifying modifiable barriers to timely treatment initiation.

Principal Investigator: Division of Rheumatology, UCT
Active

Musculoskeletal Burden in Primary Care

A cross-sectional study quantifying the prevalence and management of musculoskeletal complaints presenting to primary healthcare facilities across the Western Cape, and evaluating current levels of HCW preparedness.

Principal Investigator: Division of Rheumatology, UCT
Completed

Knowledge & Attitudes Survey — Primary Care HCWs

A national survey of GPs and primary care nurses assessing knowledge of common rheumatic diseases, confidence in diagnosis, and familiarity with referral pathways — directly informing our educational resources programme.

Principal Investigator: Division of Rheumatology, UCT
Planned

Online Learning Intervention Trial

A planned randomised evaluation of the effectiveness of structured online CME modules on rheumatology knowledge and clinical decision-making among frontline healthcare workers in South Africa.

Principal Investigator: Division of Rheumatology, UCT
Completed

Spondyloarthropathy Phenotyping in Africa

Characterisation of the clinical and radiographic features of axial and peripheral spondyloarthropathies in Black African patients, addressing a significant gap in global disease phenotyping literature.

Principal Investigator: Division of Rheumatology, UCT

Selected publications

Our faculty publish in leading peer-reviewed journals, contributing to the global body of rheumatology evidence while ensuring that findings are relevant and accessible to clinicians working in African health systems. A full publications list is available on request.

2024
Disease activity trajectories and damage accrual in South African SLE patients: a five-year longitudinal analysis Division of Rheumatology, UCT — authors to be confirmed Lupus — publication details to be supplied by division Full citation and DOI to be provided by the division.
2024
Referral delays and diagnostic gaps in early rheumatoid arthritis: evidence from a South African tertiary centre Division of Rheumatology, UCT — authors to be confirmed Rheumatology International — publication details to be supplied Full citation and DOI to be provided by the division.
2023
Axial spondyloarthropathy in Black African patients: clinical phenotype and HLA-B27 associations Division of Rheumatology, UCT — authors to be confirmed Annals of the Rheumatic Diseases — publication details to be supplied Full citation and DOI to be provided by the division.
2023
Rheumatology knowledge among primary care practitioners in South Africa: a national survey Division of Rheumatology, UCT — authors to be confirmed Clinical Rheumatology — publication details to be supplied Full citation and DOI to be provided by the division.
2022
Adapting international rheumatology guidelines for the South African primary care context: a consensus process Division of Rheumatology, UCT — authors to be confirmed South African Medical Journal — publication details to be supplied Full citation and DOI to be provided by the division.

A complete, up-to-date publications list will be maintained here. For a full list or reprints, please contact the division.

Postgraduate opportunities & partnerships

We are committed to building the next generation of rheumatologists and musculoskeletal researchers — in South Africa and across the continent. We also welcome national and international collaborations that share our commitment to evidence-based, equitable care.

Postgraduate Training

The Division of Rheumatology at UCT offers a rigorous and supportive environment for postgraduate study, with opportunities for both clinical subspecialty training and research degrees.

  • MMed (Medicine) — Clinical Rheumatology subspecialty training
  • PhD and Master's by research in rheumatic and musculoskeletal diseases
  • Short research attachments and observerships for international trainees
  • Supervised research projects for UCT medical students
  • Mentored clinical research training for fellows

Research Collaboration

We actively seek meaningful partnerships with individuals and institutions who share our research priorities. We have established collaborative relationships with institutions across Africa, Europe, and North America.

  • Co-investigator roles in multi-site African studies
  • Data sharing and harmonisation with international cohort studies
  • Joint grant applications with regional and global partners
  • Visiting researcher and faculty exchange programmes
  • Guideline development working groups
Affiliations & memberships
University of Cape Town Groote Schuur Hospital EULAR ILAR AFLAR South African Rheumatism & Arthritis Association NRF Ratings — to be confirmed