Actividad asistencial en las consultas externas de las unidades de reumatología de Galicia

Published on Sep 1, 2006in Reumatología Clínica
· DOI :10.1016/S1699-258X(06)73054-6
Manuel Rodríguez Gómez1
Estimated H-index: 1
,
Juan J. Gomez-Reino63
Estimated H-index: 63
+ 3 AuthorsJesús Juan Ibáñez Ruán1
Estimated H-index: 1
Abstract
Objetivos: Analisis de los pacientes que son asistidos en las unidades de reumatologia del servicio publico de salud de Galicia. Pacientes y metodos: Estudio multicentrico. Se incluyeron pacientes durante el periodo de una semana de todas las consultas externas de reumatologia dependientes del Servicio Gallego de Salud. Resultados: Se estudiaron 1.357 pacientes, 422 nuevos y 935 revisiones. Las edades medias fueron 55,1 ± 15,6 y 56,9 ± 16,7 anos, respectivamente. Entre los pacientes nuevos, el 22,5% fue diagnosticado de enfermedades inflamatorias, y el 77,5% de enfermedades no inflamatorias. La principal fuente de derivacion de los pacientes fue medicina primaria. El indice kappa global para el analisis de concordancia entre los diagnosticos de los medicos remitentes y los establecidos por el reumatologo fue de 0,8 (intervalo de confianza del 95%, 0,73-0,86). En enfermedades inflamatorias fue sensiblemente inferior. Entre los pacientes revisados, los diagnosticados de enfermedades inflamatorias representaron el 63,4% del total. En este grupo de pacientes se observo mayor puntuacion en el test HAQm y mayor frecuencia de casos con invalidez permanente. Globalmente, los pacientes con enfermedad inflamatoria requirieron mayor tiempo de consulta que el resto de los pacientes, y en ellos la tasa de altas fue menor. Conclusiones: En las consultas externas de reumatologia, los pacientes con enfermedades inflamatorias representan mayor numero, consumen mas tiempo de asistencia, muestran mayor grado de discapacidad y tienden a acumularse con el paso del tiempo. Hay un alto grado de concordancia diagnostica con los medicos de atencion primaria en enfermedades no inflamatorias que contrasta con una elevada tasa de derivacion de estas.
  • References (15)
  • Citations (3)
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References15
Published on Oct 10, 1991in Arthritis & Rheumatism 7.87
William D. Marder1
Estimated H-index: 1
(American College of Rheumatology),
Robert F. Meenan6
Estimated H-index: 6
(American College of Rheumatology)
+ 7 AuthorsJohn D. Stobo33
Estimated H-index: 33
69 Citations Source Cite
Published on Aug 1, 2005in Reumatología Clínica
Jaime Morales-Romero8
Estimated H-index: 8
,
Jorge I. Gamez-Nava15
Estimated H-index: 15
(Mexican Social Security Institute)
+ 5 AuthorsLaura Gonzalez-Lopez16
Estimated H-index: 16
Objetivo El conocimiento de los motivos de atencion en reumatologia es necesario para planear mejor la distribucion de recursos para la salud. El objetivo del presente estudio es identificar los motivos por los que se solicita atencion medica reumatologica en un hospital de segundo nivel del Instituto Mexicano del Seguro Social situado en Guadalajara (Mexico). Material y metodos Se ha realizado un estudio transversal descriptivo, basado en la revision de una base de datos informatizada, de los m...
11 Citations Source Cite
Published on Jun 1, 2002in Rheumatology 5.25
G. Turner2
Estimated H-index: 2
(University of Manchester),
Deborah Symmons92
Estimated H-index: 92
(University of Manchester)
+ 1 AuthorsT. Palferman1
Estimated H-index: 1
(University of Manchester)
Objectives. To summarize the changes in rheumatology provision and working practice that have occurred on the basis of the results of the 1997, 1999 and 2001 surveys carried out to update the British Society for RheumatologyuArthritis Research Campaign Rheumatology Workforce Register. Methods. The Workforce Register includes all consultant rheumatologists in the UK who do at least one NHS clinical session per week. Questionnaires were sent to all consultants on the register at the beginning of 1...
21 Citations Source Cite
Published on Nov 1, 1998in Rheumatology 5.25
J. I. Gamez-Nava8
Estimated H-index: 8
(University of Alberta),
L. Gonzalez-Lopez7
Estimated H-index: 7
(University of Alberta)
+ 1 AuthorsMaria E. Suarez-Almazor63
Estimated H-index: 63
SUMMARY Objective. To describe primary care patterns of referral and diagnoses of patients with rheumatic diseases referred to rheumatologists. Methods. The medical records of all consecutive patients referred in 1994 by >300 primary care physicians to two rheumatologists at an academic centre were reviewed. The referring physician diagnosis was compared with the rheumatologist’s diagnosis. Sensitivity, specificity and predictive values of primary care diagnoses were estimated using the rheumato...
89 Citations Source Cite
Published on Jan 1, 2003in Rheumatology 5.25
J. R. Kirwan1
Estimated H-index: 1
,
H. Averns1
Estimated H-index: 1
+ 11 AuthorsT. Palferman1
Estimated H-index: 1
Rheumatologists in the former South West RegionalHealth Authority (SWRHA) have undertaken regionalaudits of their out-patient workloads on five occasionsfrom 1988 w1x to 1994 w2x. These spanned the introduc-tion of the NHS reforms of 1991 w3x, for which properevaluation was not undertaken either before or duringtheir introduction. The rheumatology audits recorded allout-patient referrals during the month of November,together with the diagnostic category and (for newpatients) the time waiting from...
11 Citations Source Cite
Published on Feb 1, 2003in Annals of the Rheumatic Diseases 12.35
G Schulpen4
Estimated H-index: 4
,
W.P.M. Vierhout2
Estimated H-index: 2
+ 3 AuthorsS van der Linden38
Estimated H-index: 38
Objective: To assess the effects of joint consultation on referral behaviour of general practitioners (GPs) in a prospective cohort study. Methods: All patients with rheumatological complaints that 17 participating GPs, from the area of the University Hospital Maastricht, wanted to refer during a two year inclusion period (n=166) were eligible for inclusion. These patients were either referred to the outpatient clinic, or presented at a joint consultation held every six weeks at the practice of ...
30 Citations Source Cite
Published on Sep 20, 2005in Annals of Internal Medicine 19.38
Lydia Abasolo14
Estimated H-index: 14
,
Margarita Blanco5
Estimated H-index: 5
+ 12 AuthorsMaría Dolores Aguilar9
Estimated H-index: 9
Measurements: Efficacy variables were 1) days of temporary work disability and 2) number of patients with permanent work disability. All analyses were done on an intention-to-treat basis. Results: 13 077 patients were included in the study, 7805 in the control group and 5272 in the intervention group, generating 16 297 episodes of MSD-related temporary work disability. These episodes were shorter in the intervention group than in the control group (mean, 26 days compared with 41 days; P < 0.001)...
49 Citations Source Cite
Published on Nov 1, 2002in The Journal of Rheumatology 3.47
Deborah Shipton3
Estimated H-index: 3
,
Elizabeth M. Badley41
Estimated H-index: 41
+ 1 AuthorsGillian Hawker70
Estimated H-index: 70
OBJECTIVE: To determine what, if any, barriers exist that prevent rheumatologists from providing adequate rheumatology care. METHODS: All 158 identified rheumatologists in Ontario were sent a self-administered questionnaire and followed up by telephone. RESULTS: The response rate was 83%. All but 6 rheumatologists reported at least one barrier to the provision of service. The 3 most commonly reported barriers were the cost of drugs for patients (83%), billing policies and regulations for consult...
16 Citations
Published on Dec 1, 1994in The Journal of Rheumatology 3.47
Bolumar F1
Estimated H-index: 1
,
Ruiz Mt1
Estimated H-index: 1
+ 1 AuthorsPascual E1
Estimated H-index: 1
Objective. To assess the reliability of the diagnosis given to rheumatic disease patients at the primary care level, the clinical records of 612 patients at the outpatient clinic of rheumatology of the main General Hospital in Alicante (Spain) were studied. Methods. The accuracy indices (sensitivity, specificity), the predictive values of tentative diagnosis made by the referring physicians and the degree of agreement (Kappa statistics) with the final diagnoses made by rheumatologists at the out...
33 Citations
  • References (15)
  • Citations (3)
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Cited By3
Published on May 1, 2017in Reumatología Clínica
Raúl Menor Almagro3
Estimated H-index: 3
,
Juan Francisco Rodríguez Gutiérrez + 3 AuthorsJosé Luís de la Iglesia Salgado1
Estimated H-index: 1
Abstract Objective To determine the dilution titles at antinuclear antibodies (ANA) by indirect immunofluorescence observed in cell substrate HEp-2 and its association with the diagnosis of systemic connective tissue disease in ANA test requested by a Rheumatology Unit. Method Samples of patients attended for the first time in the rheumatology unit, without prior ANA test, between January 2010 and December 2012 were selected. The dilution titers, immunofluorescence patterns and antigen specifici...
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