Análisis de las interconsultas de pacientes nuevos recibidas en un policlínico de reumatología de un hospital terciario

Background: The prevalence of rheumatic diseases is approximately 15% in the general population. Aim: To assess the concordance between the original and final diagnosis of patients referred to a rheumatology unit. Patients and methods: During 2000, all new patients referred to the rheumatology secti...

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Autores principales:	Werner C,Ana María, Leal L,Hellmuth
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2002
Materias:	Connective tissue diseases Diagnosis, differential Rheumatology Rheumatic diseases
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000700006
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spelling	oai:scielo:S0034-988720020007000062014-08-20Análisis de las interconsultas de pacientes nuevos recibidas en un policlínico de reumatología de un hospital terciarioWerner C,Ana MaríaLeal L,Hellmuth Connective tissue diseases Diagnosis, differential Rheumatology Rheumatic diseases Background: The prevalence of rheumatic diseases is approximately 15% in the general population. Aim: To assess the concordance between the original and final diagnosis of patients referred to a rheumatology unit. Patients and methods: During 2000, all new patients referred to the rheumatology section of Temuco General Hospital were recorded. The concordance between the referral diagnosis given by general practitioners or general internists and the final diagnosis reached at the rheumatology unit was analyzed using the Kappa index. The modified version of the American College of Rheumatology nomenclature was used as reference. Results: The clinical records of 787 outpatients, 83% females, aged 54.7±14 years old, were analyzed. Twenty seven percent of patients were referred with the diagnosis of connective tissue diseases, 26% with extra articular diseases and 24% with osteoarthritis. The concordance between referral and final diagnosis reached at the rheumatology unit had a kappa of 0.6 for general practitioners and 0.72 for general internists. Conclusions: Although the overall concordance between referral diagnosis, given by general practitioners or general internists, and final rheumatological diagnosis is good, there are still major discrepancies that should be improved (Rev Méd Chile 2002; 130: 753-9)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.130 n.7 20022002-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000700006es10.4067/S0034-98872002000700006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Connective tissue diseases Diagnosis, differential Rheumatology Rheumatic diseases
spellingShingle	Connective tissue diseases Diagnosis, differential Rheumatology Rheumatic diseases Werner C,Ana María Leal L,Hellmuth Análisis de las interconsultas de pacientes nuevos recibidas en un policlínico de reumatología de un hospital terciario
description	Background: The prevalence of rheumatic diseases is approximately 15% in the general population. Aim: To assess the concordance between the original and final diagnosis of patients referred to a rheumatology unit. Patients and methods: During 2000, all new patients referred to the rheumatology section of Temuco General Hospital were recorded. The concordance between the referral diagnosis given by general practitioners or general internists and the final diagnosis reached at the rheumatology unit was analyzed using the Kappa index. The modified version of the American College of Rheumatology nomenclature was used as reference. Results: The clinical records of 787 outpatients, 83% females, aged 54.7±14 years old, were analyzed. Twenty seven percent of patients were referred with the diagnosis of connective tissue diseases, 26% with extra articular diseases and 24% with osteoarthritis. The concordance between referral and final diagnosis reached at the rheumatology unit had a kappa of 0.6 for general practitioners and 0.72 for general internists. Conclusions: Although the overall concordance between referral diagnosis, given by general practitioners or general internists, and final rheumatological diagnosis is good, there are still major discrepancies that should be improved (Rev Méd Chile 2002; 130: 753-9)
author	Werner C,Ana María Leal L,Hellmuth
author_facet	Werner C,Ana María Leal L,Hellmuth
author_sort	Werner C,Ana María
title	Análisis de las interconsultas de pacientes nuevos recibidas en un policlínico de reumatología de un hospital terciario
title_short	Análisis de las interconsultas de pacientes nuevos recibidas en un policlínico de reumatología de un hospital terciario
title_full	Análisis de las interconsultas de pacientes nuevos recibidas en un policlínico de reumatología de un hospital terciario
title_fullStr	Análisis de las interconsultas de pacientes nuevos recibidas en un policlínico de reumatología de un hospital terciario
title_full_unstemmed	Análisis de las interconsultas de pacientes nuevos recibidas en un policlínico de reumatología de un hospital terciario
title_sort	análisis de las interconsultas de pacientes nuevos recibidas en un policlínico de reumatología de un hospital terciario
publisher	Sociedad Médica de Santiago
publishDate	2002
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000700006
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Análisis de las interconsultas de pacientes nuevos recibidas en un policlínico de reumatología de un hospital terciario

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