[The medical computer as a diagnostic aid in joint pain--attitude of patients and results].

Abstract:

:409 unselected outpatients were asked standardized expert system questions on the medical history of joint complaints. An average number of 30.4 +/- 6.6 out of 60 questions with 346 different answers were asked in a mean time of 20.1 +/- 6.6 min. This time, required for the questions to be displayed on the computer screen and input assistance from a staff-member, proved to be comparable to the time required for a medical history to be taken on the same patients by a physician. In 75% of the cases the computer was able to predict the correct diagnosis on behalf of information of the medical history only. Using only medical history as a source of information, computer and physician had the same rate of wrong diagnoses. Before and after the standardized medical history on the computer screen all patients were asked about their opinion of the computer as a diagnostic aid. Male and younger patients more often appreciated computerized diagnosing. Just a few patients felt that their relation to the physician was disturbed by the computer or were inconvenienced themselves. Most patients stated they did not believe that physicians could ever be replaced by computers. Only a few of them had resignations about storage and statistical utilization of personal data.

journal_name

Z Rheumatol

authors

Schewe S,Krüger K,Herzer P,Schattenkirchner M

subject

Has Abstract

pub_date

1991-07-01 00:00:00

pages

211-5

issue

4

eissn

0340-1855

issn

1435-1250

journal_volume

50

pub_type

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

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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...

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    authors: Sell S,König S,Zacher J

    更新日期:1993-05-01 00:00:00

  • [Hyper-IgD-syndrome].

    abstract:UNLABELLED:We report on a 6-year-old Romanian girl with recently diagnosed hyper-IgD-syndrome. The leading symptom of this rare disease are periodic pyrexia, joint involvements (arthralgias/arthritis) and swollen lymph nodes. A permanent increase of alpha 1-acid glycoprotein fucosylation indicates persisting inflammati...

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  • [Lifelong heavy agricultural work and development of arthrosis of the hand--a case study].

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  • [Blood pressure in arm and finger arteries in rheumatoid arthritis].

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    doi:

    authors: Beste KW

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  • [Ocular sarcoidosis].

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  • [Imaging procedures in rheumatology: imaging in vasculitis].

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    journal_title:Zeitschrift fur Rheumatologie

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    更新日期:2006-11-01 00:00:00

  • The photometric latex test for rheumatoid factors in patients with rheumatoid arthritis. I. correlation with other serologic tests.

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    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Dezelić N,Zergollern V,Dezelić G,Dürrigl T,Jurak H,Vitaus M,Androić S

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  • [Personalized medicine in cytokine-targeted therapy].

    abstract::Personalized healthcare tries to predict the effectiveness and safety in individual therapeutic approaches by defining individual patient characteristics (biomarkers), while stratification uses diagnostic patterns for groups of patients for prediction of therapeutic response with less adverse reactions caused by the d...

    journal_title:Zeitschrift fur Rheumatologie

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    更新日期:2013-02-01 00:00:00

  • Cartilage destruction in septic arthritis--electron microscopy and historical considerations.

    abstract::Light and electron microscopic investigations of joint cartilage in 13 cases of septic arthritis revealed sites of cartilaginous matrix infiltrated with polymorphonuclear granulocytes. This finding confirms rather unknown morphological works done by investigators on this diseases in the late 19th and beginning of the ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Gauger M,Mohr W

    更新日期:1995-07-01 00:00:00

  • [Chronic widespread pain and tender points in low back pain: a population-based study].

    abstract:BACKGROUND:Clinical observation suggests a frequent coincidence of back pain (BP) and fibromyalgia (FMA). Based on data from a population survey on back pain we studied the hypothesis of FMA being a frequent underlying condition of BP. We additionally studied the association of the severity of back pain and both chroni...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

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  • [Pneumocystis jiroveci pneumonia (PcP) in patients with rheumatic diseases: case report and review].

    abstract::A 74-year-old female patient with rheumatoid arthritis was diagnosed with Pneumocystis jiroveci pneumonia (PcP) following therapy with methotrexate and prednisone. Although bactrim treatment was initiated and PcP was not detected by a control bronchoalveolar lavage, the patient died. The precise cause of death remains...

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  • [Novel anti-osteoporotic drugs on the horizon].

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  • [Paradigm shift in ANCA diagnostics : New international consensus recommendations].

    abstract:BACKGROUND:Up to now indirect immunofluorescence (IIF) followed by an antigen-specific assay specific for proteinase 3 (PR3) or myeloperoxidase (MPO) has been the standard method for the detection of antineutrophil cytoplasmic antibodies (ANCA). The development of more sensitive and highly specific PR3-ANCA and MPO-ANC...

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    更新日期:2017-03-01 00:00:00

  • [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...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

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    authors: Kallinich T,Blank N,Braun T,Feist E,Kiltz U,Neudorf U,Oommen PT,Weseloh C,Wittkowski H,Braun J

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  • [Diagnostic and prognostic significance of serologic studies in Yersinia arthritis].

    abstract::Commonly-used serological methods for the determination of Yersinia antibodies are based on the presence of agglutinins, which are frequently absent or of low titer when arthritis begins. Stool cultures are usually negative at that time, so many Yersinia infections are underdiagnosed. On the other hand, significant ag...

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    doi:

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    更新日期:1987-07-01 00:00:00

  • [Enteropathic arthritis: water in the intestines, fire in the joints].

    abstract::Patients with various kinds of intestinal illnesses sometimes suffer not only abdominal symptoms, but also joint involvement, leading to a reduction in quality of life. Diseases leading to inflammatory joint involvement such as inflammatory bowel disease, Whipple's disease or surgical intestinal bypass, are classified...

    journal_title:Zeitschrift fur Rheumatologie

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    更新日期:2009-06-01 00:00:00

  • [Combination of biologics : where do we stand?].

    abstract:INTRODUCTION:Data with respect to safety and therapeutic efficacy for the combination of biological DMARDs is scarce and inhomogeneous in order to make final conclusions. To this end, data to biologic combinations is disappointing due to relatively low therapeutic efficacy and partially enhanced rates of severe infecti...

    journal_title:Zeitschrift fur Rheumatologie

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    authors: Härle P

    更新日期:2013-11-01 00:00:00

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

    abstract::Rheumatoid arthritis (RA) is a chronic inflammatory disease, which is mainly characterized by synovial hyperplasia, pathological immune phenomena and progressive destruction of the affected joints. Various cell types are involved in the pathogenesis of RA including T cells, antigen presenting cells, and endothelial ce...

    journal_title:Zeitschrift fur Rheumatologie

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    doi:10.1007/s003930170030

    authors: Seemayer CA,Distler O,Kuchen S,Müller-Ladner U,Michel BA,Neidhart M,Gay RE,Gay S

    更新日期:2001-10-01 00:00:00

  • [Regenerative potential of human adult precursor cells: cell therapy--an option for treating cartilage defects?].

    abstract::Cell-based therapeutical approaches are already in clinical use and are attracting growing interest for the treatment of joint defects. Mesenchymal stem and precursor cells (MSC) cover a wide range of properties that are useful for the regeneration process of bone and cartilage defects. The following article is an ove...

    journal_title:Zeitschrift fur Rheumatologie

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    authors: Dehne T,Tschirschmann M,Lauster R,Sittinger M

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  • [SAPHO syndrome].

    abstract::The SAPHO syndrome, an acronym for synovitis, acne, pustulosis, hyperostosis and osteitis, is a rare disease which affects bones, joints and the skin. The main osteoarticular features are hyperostosis and osteitis. Osteoarticular symptoms predominantly occur on the anterior chest wall but the spine and the peripheral ...

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    authors: Heldmann F,Kiltz U,Baraliakos X,Braun J

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  • The treatment of rheumatoid arthritis with OM-8930, a bacterial immunostimulating agent.

    abstract::OM 8930, a bacterial product with immunostimulatory capacities, was studied for its efficacy in the long-term treatment of rheumatoid arthritis (RA). Ten (10) patients with active seropositive rheumatoid arthritis were treated intermittently for six months with the agent and were evaluated according to clinical, labor...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Rosenthal M,Plattner S

    更新日期:1981-09-01 00:00:00

  • [Interstitial nephritis in rheumatic diseases].

    abstract::Interstitial nephritis is responsible for about 12 % of end-stage renal disease in Germany. It comprises an etiologically heterogenous group of inflammatory renal disorders which primarily affect the renal interstitium and tubuli. Drugs, predominantly antibiotics, nonsteroidal anti-inflammatory drugs and proton pump i...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-014-1482-0

    authors: Korsten P,Müller GA

    更新日期:2015-05-01 00:00:00

  • [Blastocystis hominis as a rare arthritogenic pathogen. A case report].

    abstract::Blastocysts hominis, a protozoon considered to be a nonpathogen intestinal commensal, is now discussed to be a cause of intestinal infection under certain circumstances, e.g., immunosuppression. There are two published cases of Blastocysts infection complicated by arthritis which was classified as "reactive" in one ca...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Krüger K,Kamilli I,Schattenkirchner M

    更新日期:1994-03-01 00:00:00

  • [Rheumatology in German MD curricula].

    abstract::Transmitting a substantial amount of basic knowledge in Rheumatology to all medical students is essential for the future medical care of patients with rheumatic diseases for two reasons: on the one hand, future general practitioners will need to master the patterns of rheumatic diseases to recognize them fast enough i...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-020-00933-w

    authors: Aringer M,Baerwald C,Bergner R,Feuchtenberger M,Gebhardt C,Hagen M,Keyßer G,Lorenz HM,Witte T

    更新日期:2020-12-02 00:00:00

  • The influence of heat and cold on the pain threshold in rheumatoid arthritis.

    abstract::Superficial heat and cold are commonly used therapeutic methods in patients with rheumatoid arthritis. Both procedures have analgesic effect. In 30 inpatients with rheumatoid arthritis the pain threshold was measured before and after warm bath and ice massage. Rheumatoid patients had significantly lower pain threshold...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Curković B,Vitulić V,Babić-Naglić D,Dürrigl T

    更新日期:1993-09-01 00:00:00

  • [Gold treatment of progressive chronic polyarthritis--a clinical study].

    abstract::In an intraindividual series of investigation consisting of 30 patients with rheumatoid arthritis the effect of gold therapy (Aurothioglucose) has been proved controlling biochemical and clinical parameters. Controls of the function-index by Steinbrocker et al. have shown a significant improvement in comparison with t...

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    pub_type: 杂志文章

    doi:

    authors: Knoche U,Wagner H,Hauss WH

    更新日期:1975-05-01 00:00:00