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Pesquisa : M01.526.485.810.888 [Categoria DeCS]
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[PMID]:28774454
[Au] Autor:Teh J; Østergaard M
[Ad] Endereço:Department of Radiology, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Windmill Road, Oxford OX3 7LD, UK. Electronic address: jamesteh1@gmail.com.
[Ti] Título:What the Rheumatologist Is Looking for and What the Radiologist Should Know in Imaging for Rheumatoid Arthritis.
[So] Source:Radiol Clin North Am;55(5):905-916, 2017 Sep.
[Is] ISSN:1557-8275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article outlines what the rheumatologist is looking for and wants to know in the clinical diagnosis and imaging of rheumatoid arthritis, and what the radiologist should know to facilitate this.
[Mh] Termos MeSH primário: Artrite Reumatoide/diagnóstico por imagem
Diagnóstico por Imagem/métodos
[Mh] Termos MeSH secundário: Artrite Reumatoide/complicações
Edema/complicações
Edema/diagnóstico por imagem
Seres Humanos
Inflamação/complicações
Inflamação/diagnóstico por imagem
Radiologistas
Reumatologistas
Tenossinovite/complicações
Tenossinovite/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170816
[Lr] Data última revisão:
170816
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170805
[St] Status:MEDLINE


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[PMID]:28492372
[Au] Autor:Moghtaderi M; Farjadian S; Aflaki E; Honar N; Alyasin S; Babaei M
[Ad] Endereço:Allergy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. farjadsh@sums.ac.ir.
[Ti] Título:Re: HLA is better than serological screening for celiac diseases in rheumatological arthritis.
[So] Source:Turk J Gastroenterol;28(3):228, 2017 05.
[Is] ISSN:2148-5607
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Mh] Termos MeSH primário: Doença Celíaca
Predisposição Genética para Doença
[Mh] Termos MeSH secundário: Artrite
Seres Humanos
Reumatologistas
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170512
[St] Status:MEDLINE
[do] DOI:10.5152/tjg.2017.2704021


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[PMID]:28364218
[Au] Autor:Zink A; Braun J; Gromnica-Ihle E; Krause D; Lakomek HJ; Mau W; Müller-Ladner U; Rautenstrauch J; Specker C; Schneider M
[Ad] Endereço:Deutsches Rheuma-Forschungszentrum Berlin, Programmbereich Epidemiologie und Klinik mit Schwerpunkt Rheumatologie und Klinische Immunologie, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland. zink@drfz.de.
[Ti] Título:[Memorandum of the German Society for Rheumatology on the quality of treatment in rheumatology - Update 2016].
[Ti] Título:Memorandum der Deutschen Gesellschaft für Rheumatologie zur Versorgungsqualität in der Rheumatologie ­ Update 2016..
[So] Source:Z Rheumatol;76(3):195-207, 2017 Apr.
[Is] ISSN:1435-1250
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:On behalf of the Steering Committee of the German Society for Rheumatology, in 2016 the Interdisciplinary Commission on Healthcare Quality updated the 2008 memorandum on rheumatological healthcare in Germany. The update considers changes in therapeutic strategies, treatment targets as well as current structures in healthcare and the political framework. It concentrates on examination of the need for rheumatologists with a background in internal medicine and determines the gap between needs and supply. The internist rheumatologist is responsible for the care of patients with inflammatory rheumatic diseases and contributes to the care of patients with severe forms of other musculoskeletal diseases. At least 2 internist rheumatologists are needed for the outpatient care of 100,000 adult inhabitants, equivalent to 1350 rheumatologists in Germany. With currently 776 rheumatologists, we have little more than half of what we need. The German Society for Rheumatology calls for specific requirements planning for rheumatologists in outpatient care in order to decrease the deficit. In acute inpatient care we need specialized hospitals and wards that ensure a high quality of treatment for patients with complex diseases. We need up to 50 beds per 1 million inhabitants. At least 2 full-time internist rheumatologists and 3 further physicians are needed per 30 beds. In inpatient and outpatient rehabilitation we need 40 beds or outpatient places per 1 million inhabitants with at least 1 full-time rheumatologist and 1 further physician. In order to reduce the existing deficits and to cover the increasing future need for rheumatologists, more emphasis has to be laid on primary and secondary education. Chairs for internal rheumatology are needed at each medical university and more positions for postgraduate training in rheumatology should be provided. In all segments of healthcare the treatment aims should be jointly defined between patients and physicians. The patients should be treated in an interdisciplinary network, comprising other medical specialties, health professionals as well as patient organizations.
[Mh] Termos MeSH primário: Assistência Ambulatorial/utilização
Número de Leitos em Hospital/estatística & dados numéricos
Determinação de Necessidades de Cuidados de Saúde/estatística & dados numéricos
Doenças Reumáticas/epidemiologia
Doenças Reumáticas/terapia
Reumatologistas/provisão & distribuição
Reumatologia/recursos humanos
[Mh] Termos MeSH secundário: Assistência Ambulatorial/recursos humanos
Alemanha
Seres Humanos
Prevalência
Reumatologistas/utilização
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170402
[St] Status:MEDLINE
[do] DOI:10.1007/s00393-017-0297-1


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[PMID]:28339354
[Au] Autor:Lesuis N; den Broeder N; Boers N; Piek E; Teerenstra S; Hulscher M; van Vollenhoven R; den Broeder AA
[Ad] Endereço:Department of Rheumatology and Laboratory, Sint Maartenskliniek, Nijmegen, the Netherlands. n.lesuis@maartenskliniek.nl.
[Ti] Título:The effects of an educational meeting and subsequent computer reminders on the ordering of laboratory tests by rheumatologists: an interrupted time series analysis.
[So] Source:Clin Exp Rheumatol;35(3):379-383, 2017 May-Jun.
[Is] ISSN:0392-856X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To examine the effects of an educational meeting and subsequent computer reminders on the number of ordered laboratory tests. METHODS: Using interrupted time series analysis we assessed whether trends in the number of laboratory tests ordered by rheumatologists between September 2012 and September 2015 at the Sint Maartenskliniek (the Netherlands) changed following an educational meeting (September 2013) and the introduction of computer reminders into the Computerised Physician Order Entry System (July 2014). The analyses were done for the set of tests on which both interventions had focussed (intervention tests; complement, cryoglobulins, immunoglobins, myeloma protein) and a set of control tests unrelated to the interventions (alanine transferase, anti-cyclic citrullinated peptide, C-reactive protein, creatine, haemoglobin, leukocytes, mean corpuscular volume, rheumatoid factor and thrombocytes). RESULTS: At the start of the study, 101 intervention tests and 7660 control tests were ordered per month by the rheumatologists. After the educational meeting, both the level and trend of ordered intervention and control tests did not change significantly. After implementation of the reminders, the level of ordered intervention tests decreased by 85.0 tests (95%-CI -133.3 to -36.8, p<0.01), the level of control tests did not change following the introduction of reminders. CONCLUSIONS: In summary, an educational meeting alone was not effective in decreasing the number of ordered intervention tests, but the combination with computer reminders did result in a large decrease of those tests. Therefore, we recommend using computer reminders in addition to education if reduction of inappropriate test use is aimed for.
[Mh] Termos MeSH primário: Análise Química do Sangue/utilização
Técnicas de Laboratório Clínico/utilização
Testes Diagnósticos de Rotina/utilização
Educação Médica Continuada/métodos
Capacitação em Serviço/métodos
Sistemas de Registro de Ordens Médicas/utilização
Padrões de Prática Médica
Sistemas de Alerta/utilização
Reumatologistas/educação
[Mh] Termos MeSH secundário: Biomarcadores/sangue
Análise Química do Sangue/tendências
Técnicas de Laboratório Clínico/tendências
Testes Diagnósticos de Rotina/tendências
Seres Humanos
Análise de Séries Temporais Interrompida
Sistemas de Registro de Ordens Médicas/tendências
Países Baixos
Padrões de Prática Médica/tendências
Valor Preditivo dos Testes
Sistemas de Alerta/tendências
Reumatologistas/tendências
Fatores de Tempo
Procedimentos Desnecessários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170824
[Lr] Data última revisão:
170824
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170325
[St] Status:MEDLINE


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[PMID]:28294947
[Au] Autor:Rahmoune H; Boutrid N; Amrane M; Bioud B
[Ad] Endereço:University Hospital of Setif, Setif 1 University, Pediatrics Setif, Setif, DZ, Algeria. rahmounehakim@gmail.com.
[Ti] Título:Human leukocyte antigen is better than serological screening for celiac diseases in rheumatological arthritis.
[So] Source:Turk J Gastroenterol;28(3):227-228, 2017 05.
[Is] ISSN:2148-5607
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Mh] Termos MeSH primário: Doença Celíaca
Antígenos HLA
[Mh] Termos MeSH secundário: Artrite
Autoanticorpos/imunologia
Seres Humanos
Reumatologistas
[Pt] Tipo de publicação:LETTER; COMMENT
[Nm] Nome de substância:
0 (Autoantibodies); 0 (HLA Antigens)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170316
[St] Status:MEDLINE
[do] DOI:10.5152/tjg.2017.16681


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[PMID]:28229820
[Au] Autor:Da Silva JAP; Jacobs JWG; Branco JC; Canaipa R; Gaspar MF; Griep EN; van Helmond T; Oliveira PJ; Zijlstra TJ; Geenen R
[Ad] Endereço:Department of Rheumatology, University of Coimbra, Portugal.
[Ti] Título:Can health care providers recognise a fibromyalgia personality?
[So] Source:Clin Exp Rheumatol;35 Suppl 105(3):43-49, 2017 May-Jun.
[Is] ISSN:0392-856X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To determine if experienced health care providers (HCPs) can recognise patients with fibromyalgia (FM) based on a limited set of personality items, exploring the existence of a FM personality. METHODS: From the 240-item NEO-PI-R personality questionnaire, 8 HCPs from two different countries each selected 20 items they considered most discriminative of FM personality. Then, evaluating the scores on these items of 129 female patients with FM and 127 female controls, each HCP rated the probability of FM for each individual on a 0-10 scale. Personality characteristics (domains and facets) of selected items were determined. Scores of patients with FM and controls on the eight 20-item sets, and HCPs' estimates of each individual's probability of FM were analysed for their discriminative value. RESULTS: The eight 20-item sets discriminated for FM, with areas under the receiver operating characteristic curve ranging from 0.71-0.81. The estimated probabilities for FM showed, in general, percentages of correct classifications above 50%, with rising correct percentages for higher estimated probabilities. The most often chosen and discriminatory items were predominantly of the domain neuroticism (all with higher scores in FM), followed by some items of the facet trust (lower scores in FM). CONCLUSIONS: HCPs can, based on a limited set of items from a personality questionnaire, distinguish patients with FM from controls with a statistically significant probability. The HCPs' expectation that personality in FM patients is associated with higher levels for aspects of neuroticism (proneness to psychological distress) and lower scores for aspects of trust, proved to be correct.
[Mh] Termos MeSH primário: Fibromialgia/psicologia
Personalidade
Psicologia
Reumatologistas
[Mh] Termos MeSH secundário: Adulto
Estudos de Casos e Controles
Feminino
Pessoal de Saúde
Seres Humanos
Meia-Idade
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170224
[St] Status:MEDLINE


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[PMID]:28153440
[Au] Autor:Braslow RA; Shiloach M; Macsai MS
[Ad] Endereço:Division of Ophthalmology, NorthShore University Health System, Glenbrook Hospital, Glenview, Illinois; University of Chicago, Chicago, Illinois. Electronic address: rbraslow@northshore.org.
[Ti] Título:Adherence to Hydroxychloroquine Dosing Guidelines by Rheumatologists: An Electronic Medical Record-Based Study in an Integrated Health Care System.
[So] Source:Ophthalmology;124(5):604-608, 2017 May.
[Is] ISSN:1549-4713
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To study the adherence of rheumatologists to the hydroxychloroquine (HCQ) dosing guidelines established by the American Academy of Ophthalmology in 2011 and 2016. DESIGN: Retrospective review of electronic medical records (EMRs) in an integrated health care system. PARTICIPANTS: All rheumatology patients started on HCQ who were seen by a NorthShore ophthalmologist between the years 2009 and 2016. METHODS: Data on patient weights, height, gender, and HCQ dosage were extracted from the EMR. The recommended maximum starting dose was determined using 2 formulas based on ideal or actual body weight. MAIN OUTCOME MEASURES: The percentage of patients whose dose exceeded the recommended maximum. RESULTS: A total of 554 patients on HCQ were identified. Some 50% of the patients had been placed on excess initial doses according to the 2011 guidelines, and 47% of the patients had been placed on excess initial doses according to the 2016 guidelines. The introduction of the guidelines had no appreciable effect on HCQ dosing. A separate analysis of all patients currently receiving maintenance HCQ therapy demonstrated excess dosing in 297 of 527 (56%), according to the 2016 guidelines. CONCLUSIONS: Approximately one half of all patients started on HCQ by NorthShore rheumatologists received doses in excess of the recommended maximum, and slightly more than one-half of all patients currently on treatment continue to receive excess doses. Our data suggest that the publication of the consensus guidelines in 2011 had no appreciable effect on HCQ dosing and that transitioning to the 2016 dosing modification is unlikely to change this outcome unless additional steps are taken to improve adherence.
[Mh] Termos MeSH primário: Prestação Integrada de Cuidados de Saúde/métodos
Registros Eletrônicos de Saúde
Fidelidade a Diretrizes
Hidroxicloroquina/administração & dosagem
Guias de Prática Clínica como Assunto
Doenças Reumáticas/tratamento farmacológico
Reumatologistas
[Mh] Termos MeSH secundário: Antirreumáticos/administração & dosagem
Antirreumáticos/efeitos adversos
Relação Dose-Resposta a Droga
Seres Humanos
Hidroxicloroquina/efeitos adversos
Doenças Retinianas/induzido quimicamente
Doenças Retinianas/prevenção & controle
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antirheumatic Agents); 4QWG6N8QKH (Hydroxychloroquine)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170204
[St] Status:MEDLINE


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[PMID]:28134086
[Au] Autor:Nikiphorou E; Galloway J; van Riel P; Yazici Y; Haugeberg G; Ostor A; Gogus F; Kauppi M; Sokka T; QUEST-RA
[Ad] Endereço:Department of Rheumatology, Whittington Hospital, London, UK; and Jyväskylä Central Hospital, Rheumatology Unit, Jyväskylä, Finland.
[Ti] Título:The spectrum of early rheumatoid arthritis practice across the globe: results from a multinational cross sectional survey.
[So] Source:Clin Exp Rheumatol;35(3):477-483, 2017 May-Jun.
[Is] ISSN:0392-856X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To explore patterns of real-world early RA (ERA) care across countries. METHODS: An online survey was disseminated to practising rheumatologists across Europe and the US, also made accessible on social media between April and May 2015. Survey questions (n=38) assessed the structure and setting of ERA clinics, times to diagnosis and treatment, patient monitoring, guideline use and data recording. RESULTS: A total of 212 rheumatologists from 39 countries (76% European) completed the survey. 62% had an ERA clinic based at a university hospital. Patient referral to rheumatology was mainly (78%) via primary care; 44% had an agreed ERA local referral pathway, 15% a national pathway. Only 16% had dedicated ERA clinics, the majority being practitioners in Northern Europe with access to a local or national referral pathway. Data for research were collected by 42%. Treatment guidelines were followed by the majority, especially rheumatologists practising in Europe. Variations existed in the use of initial DMARDs with treatment decisions reported to be influenced by international/national guidelines in 71%/61%. No significant relationship between country gross national income and the availability of ERA clinics was seen. CONCLUSIONS: This study provides comparative benchmark information regarding the global provision of ERA care. Substantial variations exist in referral and early assessment pathways with guidelines having a most apparent impact in Northern Europe. Provision of an ERA service does not appear to be constrained by cost, with conceptual factors, e.g. clinician engagement, perhaps playing a role. These initial insights could potentially help harmonise ERA management across countries.
[Mh] Termos MeSH primário: Antirreumáticos/uso terapêutico
Artrite Reumatoide/tratamento farmacológico
Prestação Integrada de Cuidados de Saúde/tendências
Disparidades em Assistência à Saúde/tendências
Padrões de Prática Médica/tendências
Reumatologistas/tendências
[Mh] Termos MeSH secundário: Corticosteroides/uso terapêutico
Artrite Reumatoide/diagnóstico
Artrite Reumatoide/epidemiologia
Produtos Biológicos/uso terapêutico
Procedimentos Clínicos/tendências
Estudos Transversais
Europa (Continente)/epidemiologia
Fidelidade a Diretrizes
Pesquisas sobre Serviços de Saúde
Seres Humanos
Guias de Prática Clínica como Assunto
Encaminhamento e Consulta/tendências
Fatores de Tempo
Resultado do Tratamento
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones); 0 (Antirheumatic Agents); 0 (Biological Products)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170824
[Lr] Data última revisão:
170824
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170131
[St] Status:MEDLINE


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[PMID]:28094757
[Au] Autor:Aydin SZ; Pay S; Inanc N; Kamali S; Karadag O; Emery P; D'Agostino MA; Targeted Ultrasound Initiative (TUI) Steering Committee
[Ad] Endereço:Rheumatology Division, University of Ottawa, Ontario, Canada. drsibelaydin@gmail.com.
[Ti] Título:Which joints and why do rheumatologists scan in rheumatoid arthritis by ultrasonography? A real life experience.
[So] Source:Clin Exp Rheumatol;35(3):508-511, 2017 May-Jun.
[Is] ISSN:0392-856X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Ultrasonography (US) has been demonstrated to improve assessment of synovitis and disease activity in rheumatoid arthritis (RA). However, the utility and feasibility of US in RA in clinical practice in real life is not known. We aimed to investigate: i) the indications for performing US in RA in daily practice; and ii) whether the number of scanned joints varies according to the purpose. METHODS: Consecutive patients who had a US scan either for diagnosis or follow-up for RA from 5 centres were recruited. The sonographers were asked to mark the joints that had a US scan and grade their findings. Descriptive analysis was applied to find out the sites and the number of joints scanned and compared according to the indications of US. RESULTS: Two hundred consecutive patients were recruited. The most common indication was assessing disease activity (48.5%) followed by diagnosis (45.5 %). Wrists (66%) and MCPs (63.5) were the most frequently scanned joints followed by knees (26%), PIPs (20%). The number of joints scanned by US was significantly higher when performed for diagnostic purposes as compared to assessing disease activity and guidance for injections (p=0.001). CONCLUSIONS: The current data highlight differences between the numbers of joints for which that the clinician feels necessary to perform US in real life. This observation may be a guide when providing recommendations regarding which joints need to be scanned according to the indication.
[Mh] Termos MeSH primário: Artrite Reumatoide/diagnóstico por imagem
Articulações/diagnóstico por imagem
Padrões de Prática Médica
Reumatologistas
Ultrassonografia Doppler
[Mh] Termos MeSH secundário: Adulto
Antirreumáticos/administração & dosagem
Artrite Reumatoide/tratamento farmacológico
Europa (Continente)
Feminino
Disparidades em Assistência à Saúde
Seres Humanos
Masculino
Auditoria Médica
Meia-Idade
Valor Preditivo dos Testes
Índice de Gravidade de Doença
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Nm] Nome de substância:
0 (Antirheumatic Agents)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170824
[Lr] Data última revisão:
170824
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170118
[St] Status:MEDLINE


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[PMID]:28061896
[Au] Autor:Puchner R; Hochreiter R; Pieringer H; Vavrovsky A
[Ad] Endereço:Rheumatologist in Private Practice, Wels, Austria. rudolf.puchner@cc-net.at.
[Ti] Título:Improving patient flow of people with rheumatoid arthritis has the potential to simultaneously improve health outcomes and reduce direct costs.
[So] Source:BMC Musculoskelet Disord;18(1):7, 2017 Jan 07.
[Is] ISSN:1471-2474
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In our current economic climate of scarce resources there is a lot of debate around the best - and most efficient - way of delivering care, which points patients towards the right physician at the earliest opportunity. The aim of the study was to assess whether an improvement in the interdisciplinary management of rheumatoid arthritis (RA) has the potential to simultaneously improve health outcomes and reduce costs. METHODS: In a first step, we modelled the ways which lead patients with RA to the correct diagnosis, and the relevant specialist, respectively. On average, a patient experiences 3 GP visits before referral to a specialist. We compared this situation against a reconfiguration of current practice towards a more proactive identification and referral method with initiation of care by a rheumatologist early in the disease. We evaluated the impact of this reconfiguration on the number of RA patients diagnosed and the costs associated with the diagnostic process. RESULT: Using data on epidemiology and Austrian practice patterns, we estimate a total of 5294 people with undifferentiated arthritis per year, of which 1765 suffer from RA. Modelling for diagnostic accuracy, we found that 1200 of these patients are initially misdiagnosed in a primary care setting and 95 at a rheumatologist. Our model found that a reconfiguration of current practice towards an approach of more integrated care has the potential to be not only cost-effective, but cost-saving: EUR 100,188 could be saved annually by exclusively adopting the new approach. CONCLUSIONS: Our results show that by better directing the flow of people with RA, simultaneous clinical and economic benefits may be reaped:.
[Mh] Termos MeSH primário: Artrite Reumatoide/economia
Custos de Cuidados de Saúde
Padrões de Prática Médica/economia
Atenção Primária à Saúde/economia
Encaminhamento e Consulta/economia
[Mh] Termos MeSH secundário: Artrite Reumatoide/diagnóstico
Artrite Reumatoide/epidemiologia
Artrite Reumatoide/terapia
Áustria/epidemiologia
Análise Custo-Benefício
Seres Humanos
Guias de Prática Clínica como Assunto
Padrões de Prática Médica/normas
Atenção Primária à Saúde/normas
Encaminhamento e Consulta/normas
Reumatologistas/economia
Reumatologistas/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170108
[St] Status:MEDLINE
[do] DOI:10.1186/s12891-016-1362-7



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