Early recognition and screening consultation: a necessary way to improve early detection and treatment in rheumatology? Overview of the early recognition and screening consultation models for rheumatic and musculoskeletal diseases in Germany

被引：20

作者：

Benesova, K. ^{[1
]}

Lorenz, H. -M. ^{[1
,2
]}

Lion, V. ^{[1
]}

Voigt, A. ^{[3
]}

Krause, A. ^{[3
]}

Sander, O. ^{[4
,5
]}

Schneider, M. ^{[4
,5
]}

Feuchtenberger, M. ^{[6
]}

Nigg, A. ^{[6
]}

Leipe, J. ^{[7
]}

Briem, S. ^{[8
]}

Tiessen, E. ^{[8
]}

Haas, F.

Rihl, M.

Meyer-Olson, D. ^{[9
]}

Baraliakos, X. ^{[10
]}

Braun, J. ^{[10
]}

Schwarting, A. ^{[12
]}

Dreher, M. ^{[11
]}

Witte, T. ^{[13
]}

Assmann, G. ^{[14
]}

Hoeper, K. ^{[15
]}

Schmidt, R. E. ^{[13
]}

Bartz-Bazzanella, P. ^{[16
]}

Gaubitz, M. ^{[17
]}

Specker, C. ^{[18
]}

机构：

[1] Univ Klin Heidelberg, Sekt Rheumatol, Innere Med 5, Heidelberg, Germany

[2] ACURA Rheumazentrum Baden Baden, Baden Baden, Germany

[3] Immanuel Krankenhaus Berlin, Standort Berlin Buch, Abt Rheumatol Klin Immunol & Osteol, Berlin, Germany

[4] UKD Heinrich Heine Univ Dusseldorf, Poliklin & Funkt Bereich Rheumatol, Dusseldorf, Germany

[5] UKD Heinrich Heine Univ Dusseldorf, Hiller Forschungszentrum Rheumatol, Dusseldorf, Germany

[6] MVZ MED BAYERN OST Altotting Burghausen, Burghausen, Germany

[7] Univ Klin Mannheim, Sekt Rheumatol, Med Klin 5, Mannheim, Germany

[8] Alb Donau Klinikum Langenau, Innere Med & Rheumatol, Langenau, Germany

[9] M&i Fachklin Bad Pyrmont & MVZ Weserbergland, Bad Pyrmont, Germany

[10] Ruhr Univ Bochum, Rheumazentrum Ruhrgebiet Herne, Bochum, Germany

[11] Johannes Gutenberg Univ Mainz, Univ Med, Schwerpunkt Rheumatol & Klin Immunol, Mainz, Germany

[12] ACURA Rheumakliniken Rheinland Pfalz GmbH, Bad Kreuznach, Germany

[13] Hannover Med Sch, Klin Immunol & Rheumatol, Hannover, Germany

[14] Univ Klinikum Saarlandes, Rheumatol, Homburg, Germany

[15] Reg Kooperat Rheumazentrum Niedersachsen eV, Hannover, Germany

[16] Rhein Maas Klinikum, Klin Internist Rheumatol, Wurselen, Germany

[17] WWU Munster, Interdisziplinare Diagnost & Therapie Akad Manuel, Munster, Germany

[18] Kliniken Essen Mitte, Evang Krankenhaus Essen Werden, Klin Rheumatol & Klin Immunol, Essen, Germany

来源：

ZEITSCHRIFT FUR RHEUMATOLOGIE | 2019年 / 78卷 / 08期

关键词：

Consultation models; Early treatment; Initial rheumatologic assessment; Capacity constraint; Access routes; ARTHRITIS; QUALITY; OUTPATIENT; ADHERENCE; REFERRALS; UPDATE; DELAY;

D O I：

10.1007/s00393-019-0683-y

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In order to reduce the prognostically relevant time interval between the initial manifestation of a rheumatic and musculoskeletal disease and diagnosis as well as the consecutive initiation of an appropriate treatment, several rheumatological centers in Germany have improved the access to initial rheumatologic evaluation by establishing early recognition/screening clinics at their respective sites. Corresponding models located at Altoetting. Burghausen, Bad Pyrmont, Berlin Buch, Duesseldorf, Heidelberg, Herne, Mannheim as well as supraregional/multicenter initiatives Rheuma Rapid, RhePort and Rheuma-VOR are presented in this overview along with the respective characteristics, potential advantages and disadvantages, but also first evaluation results of several models. The aim of this publication is to promote early detection of rheumatic and musculoskeletal diseases as one of the most important challenges in current rheumatology by encouraging further rheumatologic centers and practices to launch their own early recognition/screening consultation model on the basis of aspects presented herein.

引用

页码：722 / 742

页数：21

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