Skip to main content
main-content

Tipp

Weitere Artikel dieser Ausgabe durch Wischen aufrufen

Erschienen in: Wiener klinische Wochenschrift 3-4/2021

18.03.2020 | original article

Rheumatological care in rural areas

The Rheuma-Bus project 2018

verfasst von: MSc MBA Dr. Rudolf Puchner, Gertraud Schaffer, Judith Sautner, Alois Alkin, Klaus Machold, Tanja Stamm

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 3-4/2021

Einloggen, um Zugang zu erhalten
share
TEILEN

Summary

Objective

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

Methods

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).

Results

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.

Conclusion

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

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

Abo für kostenpflichtige Inhalte

Literatur
1.
Zurück zum Zitat Cross M, Smith E, Hoy D, et al. The global burden of rheumatoid arthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73:1316–22. CrossRef Cross M, Smith E, Hoy D, et al. The global burden of rheumatoid arthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73:1316–22. CrossRef
2.
Zurück zum Zitat Smolen JS, Aletaha D, Barton A, et al. Rheumatoid arthritis. Nat Rev Dis Primers. 2018;4:18001. CrossRef Smolen JS, Aletaha D, Barton A, et al. Rheumatoid arthritis. Nat Rev Dis Primers. 2018;4:18001. CrossRef
3.
Zurück zum Zitat Nell VP, Machold KP, Eberl G, Stamm TA, Uffmann M, Smolen JS. Benefit of very early referral and very early therapy with disease-modifying, anti-rheumatic drugs in patients with early rheumatoid arthritis. Baillieres Clin Rheumatol. 2004;43:906–14. Nell VP, Machold KP, Eberl G, Stamm TA, Uffmann M, Smolen JS. Benefit of very early referral and very early therapy with disease-modifying, anti-rheumatic drugs in patients with early rheumatoid arthritis. Baillieres Clin Rheumatol. 2004;43:906–14.
4.
Zurück zum Zitat van der Linden MP, le Cessie S, Raza K, et al. Long-term impact of delay in assessment of patients with early arthritis. Arthritis Rheum. 2010;62:3537–46. CrossRef van der Linden MP, le Cessie S, Raza K, et al. Long-term impact of delay in assessment of patients with early arthritis. Arthritis Rheum. 2010;62:3537–46. CrossRef
6.
Zurück zum Zitat Machold KP, Köller MD, Pflugbeil S, et al. The public neglect of rheumatic diseases: insights from analyses of attendees in a musculoskeletal disease awareness activity. Ann Rheum Dis. 2007;66(5):697–9. CrossRef Machold KP, Köller MD, Pflugbeil S, et al. The public neglect of rheumatic diseases: insights from analyses of attendees in a musculoskeletal disease awareness activity. Ann Rheum Dis. 2007;66(5):697–9. CrossRef
8.
Metadaten
Titel
Rheumatological care in rural areas
The Rheuma-Bus project 2018
verfasst von
MSc MBA Dr. Rudolf Puchner
Gertraud Schaffer
Judith Sautner
Alois Alkin
Klaus Machold
Tanja Stamm
Publikationsdatum
18.03.2020
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 3-4/2021
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-020-01630-z