Ulusal Romatoloji Dergisi / Journal of Turkish Society for Rheumatology
 
 
p-ISSN: 2651-2653
e-ISSN: 2651-2661
Editor-in-Chief
Haner Direskeneli
2018 Volume 10
 
 
Deomed Yayıncılık
 
 
 
Volume 10, Issue 1, June 2018
Page(s): 1-5
 
Clinical Research Article
Received: February 12, 2017; Accepted: February 27, 2017; Published online: June 1, 2018
doi:10.2399/raed.18.27247; Copyright © 2018 Turkish Society for Rheumatology
The referral features and the diagnosis of the patients referred to rheumatology outpatient clinic
Bilal Arıcan1, Mehmet Engin Tezcan2 (E-mail)
1Sağlık Bilimleri Üniversitesi, Kartal Dr. Lütfi Kırdar Eğitim ve Araştırma Hastanesi, Aile Hekimliği Kliniği, İstanbul; 2Sağlık Bilimleri Üniversitesi, Kartal Dr. Lütfi Kırdar Eğitim ve Araştırma Hastanesi, Romatoloji Bölümü, İstanbul
Summary
Objective: Rheumatologic diseases have systemic features. So, almost all medical specialities can refer some of their patients to rheumatology. There is 0.22 rheumatologists per a hundred thousand persons in Turkey. Suitability of patient referrals to rheumatology outpatient clinics may relate to early diagnosis and timely treatment of the patients with rheumatologic diseases. In this study, we aimed to determine the main clinical features of referred patients to the rheumatology clinic and frequency of final diagnosis of them.

Methods: We enrolled 739 patients who were referred to Kartal Lütfi Kırdar Training and Research Hospital Rheumatology outpatient clinic in the recent year. We obtained patient name, age, gender, reason for referral, final diagnosis and referral physician information from the patient files.

Results: Articular signs were found as the most common reason for referral. 392 (53.1%) patients were diagnosed with rheumatologic diseases. Osteoarthritis was the most frequent diagnosis. Signs, laboratory parameters and provisional diagnosis in referral forms were similar in both patients with rheumatologic and non-rheumatologic diseases.

Conclusion: Early diagnosis and treatment is the essential for rheumatologic diseases. Referring patients to rheumatology with high sensitivity contributes early diagnosis and helps for prevention of complication. Also, correct referral process may reduce inappropriate application to rheumatology clinics. Articular signs, high acute phase reactants and positive auto-antibodies were the most common reasons for referring. Most frequent diagnosis was osteoarthritis.
Keywords: Rheumatology, referring, early diagnosis
 
 
Reklam
 
   
RAED Dergisi / RAED Journal

Türkiye Romatoloji Derneği (TRD) yayın organıdır. Deomed Yayıncılık tarafından yayımlanmaktadır. / Official Publication of the Rheumatology Society of Turkey (TRD). Published by Deomed Publishing. Copyright © 2018, TRD.
Creative Commons License
RAED Dergisi çevrimiçi (online) sürümünde yayımlanan akademik içeriğin kullanım hakları, ilgili içerikte tersi belirtilmediği sürece Deomed Yayıncılık tarafından Creative Commons Attribution-NoCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND3.0) lisansı aracılığıyla bedelsiz sunulmaktadır. / Except where otherwise noted, academic content of this online version of the journal by Deomed Publishing is licensed under the terms of Creative Commons Attribution-NoCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND3.0) License.