[Clinical pathways in rheumatological inpatient treatment - a structured process management].

Abstract:

:Clinical pathways for three rheumatological indications have been successfully developed in the rheumatological departments of two hospitals. These diseases were selected because of the number of inpatients seen and/or the costs for diagnostics and therapy. Three quota-concepts, the coordination of treatment processes (quota-concept I), the sequence of implementing services (quota-concept II), and the economical utilization of available resources as well as the transparent definition of therapies (quota-concept III) have been established. These concepts have been tested individually as well as in complex situations.

journal_name

Z Rheumatol

authors

Lakomek HJ,Hülsemann JL,Küttner T,Buscham K,Roeder N

doi

10.1007/s00393-007-0162-8

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

247-54

issue

3

eissn

0340-1855

issn

1435-1250

journal_volume

66

pub_type

杂志文章,评审
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  • [Evidence-based treatment recommendations for familial Mediterranean fever : A joint statement by the Society for Pediatric and Adolescent Rheumatology and the German Society for Rheumatology].

    abstract:BACKGROUND:Familial Mediterranean fever (FMF) in Germany is a rare, genetically linked disease of childhood and adolescence, which is characterized by recurrent febrile episodes and clinical signs of peritonitis, pleuritis and arthritis. Treatment with colchicine is effective and well-tolerated in the majority of patie...

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  • [Osteoid osteomas of the fingers: an atypical localization? Two case reports and a review of the literature].

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  • [Is H15 (resin extract of Boswellia serrata, "incense") a useful supplement to established drug therapy of chronic polyarthritis? Results of a double-blind pilot study].

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    journal_title:Zeitschrift fur Rheumatologie

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  • [Are inflammation parameters true signs of activity? A contribution to the problem of process activity and progression in chronic polyarthritis].

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    doi:

    authors: Chlud K

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  • [Why rheumatoid arthritis needs cardiologists].

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    journal_title:Zeitschrift fur Rheumatologie

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  • [Rheumatoid arthritis: new developments in the pathogenesis with special reference to synovial fibroblasts].

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    journal_title:Zeitschrift fur Rheumatologie

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  • [Novel autoantibodies for the diagnosis of rheumatoid arthritis].

    abstract::The diagnosis of rheumatoid arthritis has been hampered by the lack of a truly disease-specific serologic marker. Thus, despite its moderate specificity rheumatoid factor (RF) is still the only established marker antibody for RA and among the diagnostic criteria of the American College of Rheumatology the only serolog...

    journal_title:Zeitschrift fur Rheumatologie

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  • [The Ha(La) antibody as a serologic marker of systemic lupus erythematosus].

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  • [Safety of antirheumatic drug treatment in the elderly].

    abstract::Mainly due to the general demographic changes and decreasing mortality in rheumatic diseases based on therapeutic progress, the proportion of older patients treated by rheumatologists is growing. Drug treatment in the elderly, however, harbors certain risks including age-specific pharmacokinetic features and high rate...

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  • [Occurrence of pannus in arthrosis].

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  • [German patient version of the ASAS/EULAR recommendations for the management of ankylosing spondylitis].

    abstract::The evidence-based recommendations on the management of ankylosing spondylitis (AS) have enjoyed a high level of acceptance and circulation in Germany, as well as in other European countries. To make patient participation in the decision-making process regarding their disease easier, as well as to strengthen the physi...

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  • [Rheumatic tendon pathologies].

    abstract:BACKGROUND:Rheumatoid arthritis is found in approximately 2 % of the total population in Europe and the peak incidence of the disease is during the fourth and fifth decades of life. In approximately 15 % the first symptoms of the disease occur at the level of the foot and ankle. If the early stage-dependent therapy wit...

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  • [Pharmacokinetic studies following 2 and 4-week Felbinac gel administration to the knee joint].

    abstract::Twelve patients with osteoarthrosis were locally treated with Felbinac Gel (biphenyl acetic acid (BPAA) 3%) three times daily for 14 days (five patients), 28 days (six patients) or 42 days (one patient) before elective knee joint surgery. BPAA plasma concentrations as of the seventh day of treatment were steady at bet...

    journal_title:Zeitschrift fur Rheumatologie

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    doi:

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  • [Pharmacological treatment of osteoarthritis in the elderly].

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  • [Tibial pain and unilateral knee arthritis: Precursors of paraneoplastic arthropathy].

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  • [Immunoablation followed by autologous stem cell transplantation in lupus: a clinical update].

    abstract::Systemic lupus erythematosus (SLE) is a classic systemic autoimmune disease. Standard treatment consists of chronic therapy with antimalarials, glucocorticoids and immunosuppressive/cytotoxic drugs, which is associated with considerable side effects. In contrast, immunoablation of autoreactive immunologic memory follo...

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  • [Diagnosis, therapy and current research aspects of selected chronic inflammatory diseases with head and neck involvement].

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    abstract::Over the last ten years various biologics have been introduced in the therapy of rheumatic diseases. The most successful approach so far has been the inhibition of TNF alpha, which is able to suppress systemic inflammation in an unprecedented manner. However, the early observation of newly developed antinuclear antibo...

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  • [Bacterial sacroiliitis].

    abstract::We saw two cases of infectious sacroiliitis in young patients. The multi-various clinical symptoms, the predispositions, as well as the alteration of laboratory analyses are described. Further, we discuss problems of early diagnosis, diagnostic measures like x-ray, sonography, bone-scan, computerized tomography scan, ...

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    pub_type: 杂志文章

    doi:

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  • [Antidesoxyribonuclease B-titer in persons of different ages and sex and comparative studies of antistreptolysin titers].

    abstract::The antidesoxyribonuclease B reaction shows in persons of all classes of age examined a similar distribution of titres as the antistreptolysin reaction. The anti DNase B titres however are mostly lower than the titres of the antistreptolysin reaction, except in the group of children, 6 to 17 years of age, suffering fr...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Otto R,Richter M,Scholz E,Neumann G

    更新日期:1981-01-01 00:00:00

  • [T-large granular lymphocyte leukaemia. An important differential diagnosis to Felty's syndrome].

    abstract::T-Large Granular Lymphocyte (T-LGL) leukaemia is a rare clonal disease characterized by neutropenia and/or anaemia. Because of its strong association with rheumatoid arthritis (RA), T-LGL leukaemia is an important differential diagnosis to Felty's syndrome. This differentiation might be especially difficult since, in ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

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  • [Ultrasound study of the elbow joint in patients with chronic inflammatory joint diseases--an enrichment of diagnosis?].

    abstract::After clinical and radiological examination, the elbows of 74 patients with rheumatoid arthritis were examined by ultrasound. Clinical examination gives a good impression of the inflammatory changes of the elbow joint. Sonography was very useful in detecting synovitis and joint effusion and their distribution in the d...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Sell S,König S,Zacher J

    更新日期:1993-05-01 00:00:00

  • [Inflammatory muscle diseases].

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    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Pongratz D

    更新日期:1986-07-01 00:00:00

  • [Ultrastructure of hyaline cartilage and articular capsule tissue in alkaptonuric ochronosis].

    abstract::The biochemical defect leading to alcaptonuria is well known. However, the pathogenesis of ochronotic arthropathy is poorly understood. The present ultrastructural study elucidated the localization of ochronotic pigment in the articular cartilage and evidence was found that suggests a pathway for cartilage destruction...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Mohr W,Wessinghage D,Lenschow E

    更新日期:1980-03-01 00:00:00