[Quality of a multidisciplinary orthopaedic-rheumatological consultation]

Z Rheumatol. 2010 Oct;69(8):749-54. doi: 10.1007/s00393-010-0666-5.
[Article in German]

Abstract

Aim: 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.

Method: 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.

Results: 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.

Conclusion: Interdisciplinary consultation led to improved and faster diagnosis and therapy of rheumatological diseases, which was positively evaluated by the pool of patients treated.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Germany / epidemiology
  • Humans
  • Male
  • Middle Aged
  • Orthopedics / standards*
  • Prevalence
  • Quality Assurance, Health Care / methods
  • Quality Assurance, Health Care / statistics & numerical data*
  • Referral and Consultation / standards*
  • Rheumatic Diseases / diagnosis*
  • Rheumatic Diseases / epidemiology
  • Rheumatic Diseases / therapy*
  • Rheumatology / standards*
  • Treatment Outcome
  • Young Adult