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Early diagnosis of rheumatic diseases: an evaluation of the present situation and proposed changes
Musculoskeletal pain is a very common complaint, affecting 30–40% of the European population. It is estimated that approximately 400,000 Poles suffer from inflammatory rheumatic diseases, such as rheumatoid arthritis, ankylosing spondylitis and psoriatic arthritis, and a vast majority of those affec...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847309/ https://www.ncbi.nlm.nih.gov/pubmed/27407218 http://dx.doi.org/10.5114/reum.2015.50550 |
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author | Kwiatkowska, Brygida Raciborski, Filip Kłak, Anna Maślińska, Maria Gryglewicz, Jerzy |
author_facet | Kwiatkowska, Brygida Raciborski, Filip Kłak, Anna Maślińska, Maria Gryglewicz, Jerzy |
author_sort | Kwiatkowska, Brygida |
collection | PubMed |
description | Musculoskeletal pain is a very common complaint, affecting 30–40% of the European population. It is estimated that approximately 400,000 Poles suffer from inflammatory rheumatic diseases, such as rheumatoid arthritis, ankylosing spondylitis and psoriatic arthritis, and a vast majority of those affected are working-age individuals. Patients with suspected arthritis require prompt diagnosis and treatment, as any delays may result in irreversible joint destruction and disability. Currently in Poland, the lag time between the onset of symptoms and diagnosis is, on average, as much as 35 weeks. In this paper, we review the current state of specialist rheumatology care in Poland and propose a reorganised care model that includes early diagnosis of inflammatory arthritis. The main goal we wish to achieve with our reorganised model is to enhance access to outpatient specialist rheumatology care for patients with suspected arthritis. We believe that our model should make it possible to considerably reduce the lag time between GP referral and the diagnosis and treatment by a rheumatologist to as little as 3 to 4 weeks. This article provides a proposal of changes that would achieve this goal and is a summary of the report published by the Institute of Rheumatology in September 2014. |
format | Online Article Text |
id | pubmed-4847309 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie |
record_format | MEDLINE/PubMed |
spelling | pubmed-48473092016-07-12 Early diagnosis of rheumatic diseases: an evaluation of the present situation and proposed changes Kwiatkowska, Brygida Raciborski, Filip Kłak, Anna Maślińska, Maria Gryglewicz, Jerzy Reumatologia Original Article Musculoskeletal pain is a very common complaint, affecting 30–40% of the European population. It is estimated that approximately 400,000 Poles suffer from inflammatory rheumatic diseases, such as rheumatoid arthritis, ankylosing spondylitis and psoriatic arthritis, and a vast majority of those affected are working-age individuals. Patients with suspected arthritis require prompt diagnosis and treatment, as any delays may result in irreversible joint destruction and disability. Currently in Poland, the lag time between the onset of symptoms and diagnosis is, on average, as much as 35 weeks. In this paper, we review the current state of specialist rheumatology care in Poland and propose a reorganised care model that includes early diagnosis of inflammatory arthritis. The main goal we wish to achieve with our reorganised model is to enhance access to outpatient specialist rheumatology care for patients with suspected arthritis. We believe that our model should make it possible to considerably reduce the lag time between GP referral and the diagnosis and treatment by a rheumatologist to as little as 3 to 4 weeks. This article provides a proposal of changes that would achieve this goal and is a summary of the report published by the Institute of Rheumatology in September 2014. Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie 2015-04-10 2015 /pmc/articles/PMC4847309/ /pubmed/27407218 http://dx.doi.org/10.5114/reum.2015.50550 Text en Copyright © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie 2015 http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Original Article Kwiatkowska, Brygida Raciborski, Filip Kłak, Anna Maślińska, Maria Gryglewicz, Jerzy Early diagnosis of rheumatic diseases: an evaluation of the present situation and proposed changes |
title | Early diagnosis of rheumatic diseases: an evaluation of the present situation and proposed changes |
title_full | Early diagnosis of rheumatic diseases: an evaluation of the present situation and proposed changes |
title_fullStr | Early diagnosis of rheumatic diseases: an evaluation of the present situation and proposed changes |
title_full_unstemmed | Early diagnosis of rheumatic diseases: an evaluation of the present situation and proposed changes |
title_short | Early diagnosis of rheumatic diseases: an evaluation of the present situation and proposed changes |
title_sort | early diagnosis of rheumatic diseases: an evaluation of the present situation and proposed changes |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847309/ https://www.ncbi.nlm.nih.gov/pubmed/27407218 http://dx.doi.org/10.5114/reum.2015.50550 |
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