Skip to main content


Weitere Artikel dieser Ausgabe durch Wischen aufrufen

18.03.2020 | original article | Ausgabe 3-4/2021

Wiener klinische Wochenschrift 3-4/2021

Rheumatological care in rural areas

The Rheuma-Bus project 2018

Wiener klinische Wochenschrift > Ausgabe 3-4/2021
MSc MBA Dr. Rudolf Puchner, Gertraud Schaffer, Judith Sautner, Alois Alkin, Klaus Machold, Tanja Stamm
Wichtige Hinweise

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.



To explore the medical care of individuals in rural areas during a public health awareness project on musculoskeletal disorders (MSD).


A tour bus was adapted to accommodate rheumatological consultations at widely accessible sites in 16 towns, providing individual medical advice with respect to MSD. The participating rheumatologists assessed the nature (e.g. inflammatory/non inflammatory), extent and duration of MSD and, where possible, made a tentative diagnosis and gave further advice on the course of action. In addition, age, sex and pre-existing care were recorded. All individuals were asked to assess their own severity of pain using a numeric ordinal scale from “no” (0) to “extreme” (10).


A total of 647 individuals visited the service. Median current pain intensity was 5 (interquartile range [IQR] 3–6), mean 4.9 (standard deviation [SD] 2.3). Osteoarthritis was suspected in 381 clients (59.6%), inflammatory rheumatic disease in 247 (38.7%), and in 104 (16.3%) other diseases. 307 (50%) were treated by a GP, 95 (15.5%) were under orthopaedic care, 204 (33.2%) under rheumatological care and 81 (13.1%) under supervision of other specialists. 104 clients (17%) had never consulted a physician for their MSD symptoms before. 27 (4.2%) of all the clients had a newly detected inflammatory rheumatic disease and 62 (9.6%) patients with suspected inflammatory rheumatic disease were not under previous rheumatological care.


The findings showed that there is still a lot of negligence in awareness and knowledge of rheumatic diseases, at least in rural areas.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Sie möchten Zugang zu diesem Inhalt erhalten? Dann informieren Sie sich jetzt über unsere Produkte:

Abo für kostenpflichtige Inhalte

Über diesen Artikel

Weitere Artikel der Ausgabe 3-4/2021

Wiener klinische Wochenschrift 3-4/2021 Zur Ausgabe

mitteilungen der gesellschaft der ärzte in wien