Mayer-Wagner S, Wiendl F, Schewe S, Grünke M, Schulze-Koops H, Delhey P, Holzapfel B M, Jansson V, Hausdorf J
Orthopädische Klinik und Poliklinik, Klinikum Großhadern, Ludwig-Maximilians-Universität München, Deutschland.
Z Rheumatol. 2010 Oct;69(8):749-54. doi: 10.1007/s00393-010-0666-5.
An interdisciplinary approach plays an important role in orthopaedic rheumatology. The aim of this study was to test the quality of an interdisciplinary consultation, which analyzed a pool of orthopaedic patients in terms of rheumatological disease.
Orthopaedic patients (n=100) were transferred to a multidisciplinary team of experts in a two-stage selection process. Patient data were examined with regard to diagnosis and therapy. A patient interview analyzed the course of disease and effects of the consultation. Patients were questioned on the development of pain, diagnostics and therapy as well as their general satisfaction.
Rheumatological disease was diagnosed in 42% of patients, while specific anti-rheumatic therapy was started in 41%. An improvement in symptoms as a result of treatment was seen in 63% of cases. Patient examinations revealed an above-average level of satisfaction in 63% of patients.
Interdisciplinary consultation led to improved and faster diagnosis and therapy of rheumatological diseases, which was positively evaluated by the pool of patients treated.
跨学科方法在骨科风湿病学中发挥着重要作用。本研究的目的是测试跨学科会诊的质量，该会诊从风湿病学疾病角度分析了一组骨科患者。
100名骨科患者在两阶段筛选过程中被转交给一个多学科专家团队。对患者数据进行了诊断和治疗方面的检查。通过患者访谈分析了疾病进程和会诊效果。询问患者疼痛的发展、诊断和治疗情况以及他们的总体满意度。
42%的患者被诊断出患有风湿性疾病，41%的患者开始接受特定的抗风湿治疗。63%的病例治疗后症状有所改善。患者检查显示63%的患者满意度高于平均水平。
跨学科会诊使风湿性疾病的诊断和治疗得到改善且更加迅速，接受治疗的患者群体对此给予了积极评价。
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