Analysis of the first 5 years of an interdisciplinary Rheumatology-Dermatology clinic.

Clinical and Experimental Dermatology
Y Argobi, G P Smith

Abstract

Multispeciality clinics, such as combined psoriasis-psoriatic arthritis clinics, have shown improved outcomes in various diseases. At Massachusetts General Hospital, we are entering our ninth year of having an interdisciplinary Rheumatology-Dermatology (R-D) clinic. To evaluate the contribution of an R-D clinic by comparing care of patients pre- and post-evaluation in the combined clinic. As proxies of care, rates and comprehensiveness of evaluations (capillaroscopic examination, skin and joint examination) were compared between the combined clinic and standard Rheumatology or Dermatology clinic. This was a retrospective chart review of patients at the R-D clinic in Massachusetts General Hospital during the period November 2012 to December 2017. Prior to the patients visiting the R-D only 5% of capillaroscopic examinations were documented, only 5% of rheumatologists specifically described a rash even when present, and pruritus was documented in only 6% of rheumatology notes. By contrast, in the R-D clinic, capillaroscopic, skin and joint examinations were documented in 100% of visits, and 19% of patients were given a different or a refined diagnosis. Although all our patients had cutaneous manifestations of their disease (hair ...Continue Reading

References

Dec 22, 1999·Advances in Experimental Medicine and Biology·C Mallia
Sep 10, 2011·Archives of Dermatological Research·Nicole F VelezAbrar A Qureshi

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Citations

Jun 7, 2021·Chinese Medical Journal·Yu-Xin Zheng, Min Zheng

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