Early Recognition and Treatment Heralds Optimal Outcomes: the Benefits of Combined Rheumatology-Dermatology Clinics and Integrative Care of Psoriasis and Psoriatic Arthritis Patients

被引:38
作者
Soleymani, Teo [1 ]
Reddy, Soumya M. [2 ]
Cohen, Jeffrey M. [3 ]
Neimann, Andrea L. [3 ]
机构
[1] Stanford Univ, Sch Med, Dept Dermatol, 450 Broadway St,Pavil C,2nd Floor, Redwood City, CA 94063 USA
[2] NYU, Sch Med, Psoriat Arthrit Program, Dept Med,Div Rheumatol, 333 E 38th St,4th Floor, New York, NY 10016 USA
[3] NYU, Sch Med, Langone Med Ctr, Ronald O Perelman Dept Dermatol, 240 E 38th St,11th Floor, New York, NY 10016 USA
关键词
Psoriasis; Psoriatic arthritis; PsA; Methotrexate; Biologics; Rheumatology; Dermatology; FACTOR INHIBITOR THERAPY; TO-SEVERE PSORIASIS; HIGH PREVALENCE; MYOCARDIAL-INFARCTION; EPIDEMIOLOGY; ADHERENCE; RISK; MANAGEMENT; DISEASE; EXPERIENCE;
D O I
10.1007/s11926-017-0706-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of Review Diagnosis and treatment of psoriatic arthritis (PsA) can be challenging and require a multidisciplinary approach. This review provides an overview of combined dermatology-rheumatology clinics. Recent Findings Combined dermatology-rheumatology clinics have emerged to optimize integrated care for patients with psoriasis and PsA. There are over 20 such clinics across the USA. These clinics facilitate multidisciplinary care for patients with psoriasis and PsA and have been found to improve outcomes and enhance both patient and physician satisfaction and knowledge. Challenges presented by these clinics include appropriate scheduling for both dermatologists and rheumatologists and proving the benefits of the clinics to obtain institutional support. Summary Combined dermatology-rheumatology clinics are a novel model of care for patients with psoriasis and PsA. They improve outcomes, patient and physician satisfaction, and efficiency. As more of these clinics are established, we must further understand their impact on outcomes and care processes.
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页数:8
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