Benesova K, Lorenz H-M, Lion V, Voigt A, Krause A, Sander O, Schneider M, Feuchtenberger M, Nigg A, Leipe J, Briem S, Tiessen E, Haas F, Rihl M, Meyer-Olson D, Baraliakos X, Braun J, Schwarting A, Dreher M, Witte T, Assmann G, Hoeper K, Schmidt R E, Bartz-Bazzanella P, Gaubitz M, Specker C
Sektion Rheumatologie, Innere Medizin V, Universitätsklinik Heidelberg, Heidelberg, Deutschland.
ACURA Rheumazentrum Baden-Baden, Baden-Baden, Deutschland.
Z Rheumatol. 2019 Oct;78(8):722-742. doi: 10.1007/s00393-019-0683-y.
In order to reduce the prognostically relevant time interval between the initial manifestation of a rheumatic and musculoskeletal disease and diagnosis as well as the consecutive initiation of an appropriate treatment, several rheumatological centers in Germany have improved the access to initial rheumatologic evaluation by establishing early recognition/screening clinics at their respective sites. Corresponding models located at Altoetting·Burghausen, Bad Pyrmont, Berlin Buch, Duesseldorf, Heidelberg, Herne, Mannheim as well as supraregional/multicenter initiatives Rheuma Rapid, RhePort and Rheuma-VOR are presented in this overview along with the respective characteristics, potential advantages and disadvantages, but also first evaluation results of several models. The aim of this publication is to promote early detection of rheumatic and musculoskeletal diseases as one of the most important challenges in current rheumatology by encouraging further rheumatologic centers and practices to launch their own early recognition/screening consultation model on the basis of aspects presented herein.
为了缩短风湿性和肌肉骨骼疾病初发与诊断之间以及随后开始适当治疗之间与预后相关的时间间隔，德国的多个风湿病中心通过在各自地点设立早期识别/筛查诊所，改善了获得初次风湿病评估的途径。本综述介绍了位于阿尔托廷·布尔豪森、巴特皮尔蒙特、柏林布赫、杜塞尔多夫、海德堡、赫内、曼海姆的相应模式，以及超区域/多中心项目“风湿快速”“风湿报告”和“风湿预警”，还介绍了各自的特点、潜在优缺点以及几个模式的初步评估结果。本出版物的目的是通过鼓励更多的风湿病中心和医疗机构基于本文所述方面推出自己的早期识别/筛查咨询模式，促进风湿性和肌肉骨骼疾病的早期检测，这是当前风湿病领域最重要的挑战之一。
