Pediatric rheumatology in adult rheumatology practices in Washington State
Pediatric rheumatology in adult rheumatology practices in Washington State
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DOI：
10.1002/art.1780390722
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发表时间：
1996-07-01
影响因子：
--
通讯作者：
Kahn, SJ
中科院分区：
文献类型：
--
作者：
Sherry, DD;Wallace, CA;Kahn, SJ
Objective. To determine both the extent to which adult rheumatologists treat children and their level of comfort in doing so.Methods. A questionnaire was sent to all 77 physicians in the state of Washington who were listed as adult rheumatologists in the American College of Rheumatology (ACR) directory.Results. Sixty-six questionnaires (86%) were returned; 50 were identified as being from private-practicing adult rheumatologists and were the focus of this study. Sixty-two percent of the respondents reported that they care for children; predictors included increased exposure to pediatric rheumatology during fellowship (P = 0.003), increased distance from Seattle (P = 0.001), and listing oneself in the ACR directory as treating children (P = 0.03), Most respondents reported feeling discomfort in treating children younger than 6 years of age, treating Kawasaki disease, and treating polyarteritis nodosa, but most reported feeling comfortable treating children with chronic arthritides. Impediments to referring to a pediatric rheumatologist included distance (median distance 35 miles), convenience for the family, personal preference, and experience in caring for children, Twenty-nine percent reported difficulties referring to a pediatric rheumatologist outside of one's managed care plan, Adult rheumatologists expressed interest in continuing medical education dealing with pediatric rheumatology, preferably with a lecture format in their home communities.Conclusion. A significant number of adult rheumatologists care for children, Pediatric rheumatologists should provide both educational and consultative support for these adult rheumatologist colleagues.
