[Analysis of referral diagnoses to the rheumatology department].

Zeitschrift für Rheumatologie
T HoffmannA Pfeil

Abstract

The initial presentation of patients with symptoms indicative of a rheumatic disease is in most cases not directly to a rheumatologist. This study evaluated the following questions: I. Which medical specialists refer patients to a department of rheumatology? II. Evaluation of the accordance of the presumptive referral diagnosis and the final diagnosis by a rheumatologist. A total of 947 patients (279 men and 668 women) who initially presented to a university hospital for rheumatological diagnostics were included in the study. The referring medical specialist fields were identified. Furthermore, a kappa analysis was performed to evaluate the accordance of the presumptive referral diagnosis and the final diagnosis generated after a rheumatological evaluation of the patients. Of the referrals 73% were initiated by general practitioners or internists functioning as general practitioners. The other referrers were 5% specialists in internal medicine (excluding rheumatology), 4% orthopedic/trauma surgeons, 1% other surgeons and 4% other specialist fields. A rheumatological diagnosis was made in 58% of the patients and rheumatological inflammatory joint diseases (26%), collagenosis (14%) and vasculitides (5%) were the most frequently d...Continue Reading

References

Mar 2, 2011·Arthritis and Rheumatism·Cynthia S CrowsonSherine E Gabriel
Mar 23, 2011·The Milbank Quarterly·Ateev MehrotraCaroline Y Lin
Mar 25, 2014·Zeitschrift für Rheumatologie·J Kekow
Aug 7, 2014·Zeitschrift für Rheumatologie·E Edelmann
Aug 27, 2014·Arthritis Care & Research·Lisa L CumminsLynden J Roberts
Jan 28, 2016·Arthritis Care & Research·Glen S HazlewoodLiam Martin
Apr 26, 2016·Arthritis Care & Research·Jessica WiddifieldSasha Bernatsky
May 5, 2016·Zeitschrift für Rheumatologie·A Zink, K Albrecht

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