Remodeling a rheumatology practice to facilitate early referral

Remodeling a rheumatology practice to facilitate early referral
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DOI:
10.1016/j.rdc.2005.07.005
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发表时间:
2005-11-01
影响因子:
2.3
通讯作者:
Cush, JJ
Cush, JJ
中科院分区:
医学4区
文献类型:
--
作者:
Cush, JJ

文献摘要

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在接下来的12个月里,7500名加拿大人和7.5万名美国人将受到类风湿性关节炎的困扰。对早期类风湿性关节炎患者的医疗保健用途知之甚少。尽管如此,风湿病学家和结果研究人员强烈支持对这一人群进行早期诊断和治疗的必要性。本文综述了新发关节炎患者早期转诊的趋势和障碍。一项调查总结了早期关节炎诊所增长缓慢的情况,该调查描述了北美23个早期关节炎项目的特点。此外,还提出了几种筛查工具和模型来捕捉这些早发性关节炎患者。
In the next 12 months, 7500 Canadians and 75,000 Americans will be afflicted with the onset of rheumatoid arthritis. Little is known about the health care use of patients with early RA. Nonetheless, rheumatologists; and outcomes researchers strongly endorse the need for early diagnosis and treatment of this population. This article reviews trends and impediments to early referral of new-onset arthritis patients. The slow growth of early arthritis clinics is summarized in a survey that characterizes 23 early arthritis programs in North America. Also, several screening tools and models to capture these early-onset arthritis patients are presented.