array:23 [
  "pii" => "S2173574311700521"
  "issn" => "21735743"
  "doi" => "10.1016/S2173-5743(11)70052-1"
  "estado" => "S300"
  "fechaPublicacion" => "2011-07-01"
  "aid" => "70052"
  "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología"
  "copyrightAnyo" => "2011"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Reumatol Clin. 2011;7:236-40"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 2032
    "formatos" => array:3 [
      "EPUB" => 51
      "HTML" => 1528
      "PDF" => 453
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2173574311700533"
    "issn" => "21735743"
    "doi" => "10.1016/S2173-5743(11)70053-3"
    "estado" => "S300"
    "fechaPublicacion" => "2011-07-01"
    "aid" => "70053"
    "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Reumatol Clin. 2011;7:241-7"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2908
      "formatos" => array:3 [
        "EPUB" => 48
        "HTML" => 1587
        "PDF" => 1273
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Economic evaluation of tramadol/paracetamol in the management of pain in patients with osteoarthritis in Spain"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "241"
          "paginaFinal" => "247"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Evaluación económica de tramadol/paracetamol en el manejo del dolor en pacientes con osteoartrosis en España"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Javier Vidal, Pere Benito, Anna Manresa, Domingo Ly-Pen, Enrique Batlle, Francisco J. Blanco, Max Brosa, Diana Nieves"
          "autores" => array:8 [
            0 => array:2 [
              "nombre" => "Javier"
              "apellidos" => "Vidal"
            ]
            1 => array:2 [
              "nombre" => "Pere"
              "apellidos" => "Benito"
            ]
            2 => array:2 [
              "nombre" => "Anna"
              "apellidos" => "Manresa"
            ]
            3 => array:2 [
              "nombre" => "Domingo"
              "apellidos" => "Ly-Pen"
            ]
            4 => array:2 [
              "nombre" => "Enrique"
              "apellidos" => "Batlle"
            ]
            5 => array:2 [
              "nombre" => "Francisco J."
              "apellidos" => "Blanco"
            ]
            6 => array:2 [
              "nombre" => "Max"
              "apellidos" => "Brosa"
            ]
            7 => array:2 [
              "nombre" => "Diana"
              "apellidos" => "Nieves"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574311700533?idApp=UINPBA00004M"
    "url" => "/21735743/0000000700000004/v1_201305061625/S2173574311700533/v1_201305061625/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S217357431170051X"
    "issn" => "21735743"
    "doi" => "10.1016/S2173-5743(11)70051-X"
    "estado" => "S300"
    "fechaPublicacion" => "2011-07-01"
    "aid" => "70051"
    "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Reumatol Clin. 2011;7:230-5"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2049
      "formatos" => array:3 [
        "EPUB" => 43
        "HTML" => 1392
        "PDF" => 614
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "One year clinical and ultrasonographic follow up of the Pilot Study for the Referral of Patients with Early Spondyloarthritis (ESPIDEP)"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "230"
          "paginaFinal" => "235"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Seguimiento clínico y ecográfico a 1 año del EStudio PIloto de Derivación de pacientes con Espondiloartritis Precoz (ESPIDEP)"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Tatiana Cobo-Ibáñez, Santiago Muñoz-Fernández, Eugenio De Miguel, Jesús Díez Sebastián, Martina Steiner, Emilio Martín-Mola"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Tatiana"
              "apellidos" => "Cobo-Ibáñez"
            ]
            1 => array:2 [
              "nombre" => "Santiago"
              "apellidos" => "Muñoz-Fernández"
            ]
            2 => array:2 [
              "nombre" => "Eugenio"
              "apellidos" => "De Miguel"
            ]
            3 => array:2 [
              "nombre" => "Jesús"
              "apellidos" => "Díez Sebastián"
            ]
            4 => array:2 [
              "nombre" => "Martina"
              "apellidos" => "Steiner"
            ]
            5 => array:2 [
              "nombre" => "Emilio"
              "apellidos" => "Martín-Mola"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357431170051X?idApp=UINPBA00004M"
    "url" => "/21735743/0000000700000004/v1_201305061625/S217357431170051X/v1_201305061625/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "titulo" => "Characteristics of early arthritis units that may be associated with better referral efficiency: survey of SERAP units"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "236"
        "paginaFinal" => "240"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Virginia Villaverde, Miguel Ángel Descalzo, Loreto Carmona, Miriam Bascones, Jordi Carbonell"
        "autores" => array:6 [
          0 => array:3 [
            "nombre" => "Virginia"
            "apellidos" => "Villaverde"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Miguel"
            "apellidos" => "&#193;ngel Descalzo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:4 [
            "nombre" => "Loreto"
            "apellidos" => "Carmona"
            "email" => array:1 [
              0 => "loreto&#46;carmona&#64;ser&#46;es"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Miriam"
            "apellidos" => "Bascones"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Jordi"
            "apellidos" => "Carbonell"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          5 => array:2 [
            "colaborador" => "Grupo de estudio SERAP"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#9674;</span>"
                "identificador" => "fn1"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:4 [
          0 => array:3 [
            "entidad" => "Secci&#243;n de Reumatolog&#237;a&#44; Hospital Universitario de M&#243;stoles&#44; Madrid&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Unidad de Investigaci&#243;n&#44; Sociedad Espa&#241;ola de Reumatolog&#237;a&#44; Madrid&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Departamento M&#233;dico&#44; Abbott Laboratories&#44; Madrid&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">c</span>"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Servicio de Reumatolog&#237;a&#44; Hospital del Mar&#44; Institut Municipal Atenci&#243; Sanitaria&#44; Barcelona&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">d</span>"
            "identificador" => "aff0020"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46; Unidad de Investigaci&#243;n&#44; Sociedad Espa&#241;ola de Reumatolog&#237;a&#44; Calle Marqu&#233;s del Duero&#44; 5&#44; 1&#46;&#176;&#44; 28001 Madrid&#44; Spain&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Caracter&#237;sticas de una unidad de artritis precoz que mejoran la eficiencia de la derivaci&#243;n&#58; encuesta a las unidades SERAP"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2010-07-19"
    "fechaAceptado" => "2010-11-24"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec112782"
          "palabras" => array:6 [
            0 => "Survey"
            1 => "Early arthritis"
            2 => "Referral"
            3 => "Primary Care"
            4 => "Specialized care"
            5 => "Health services"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec112781"
          "palabras" => array:6 [
            0 => "Encuesta"
            1 => "Artritis precoz"
            2 => "Derivaci&#243;n"
            3 => "Atenci&#243;n primaria"
            4 => "Atenci&#243;n especializada"
            5 => "Servicios de salud"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To identify characteristics of early arthritis units&#44; that may be associated with better referral eficiency&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A national survey of the 36 early arthritis units &#40;EAU&#41; in Spanish Rheumatology Units in 2004 &#40;SERAP project&#41;&#46; Survey collected information about general practitioners &#40;GP&#41; educational program to improve knowledge and practical skills of early arthritis&#44; networking and feed-back system and referral efficiency&#46; EAU were classified in two groups according to 25&#37; and 50&#37; of inappropriate referral process&#44; respectively&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Thirty four of the 36 &#40;94&#37;&#41; EAU&#44; answered the survey&#46; GP were trained in only 1 medical meeting in the primary care clinic&#44; with one or more rheumatologists responsible of GP education&#46; Fourteen of the 34 EAU &#40;42&#46;4&#37;&#41; regularly interacted with GP and only 20 &#40;39&#46;4&#37;&#41; contacted the GP who were responsible for the wrong referral process&#46; Median lag time for referral to the Rheumatology out-patient clinic&#44; was 73 days &#40;15-365 days&#41;&#46; The percentage of wrongly referred patients was between 0 and 80&#37; &#40;38&#37;&#177;21&#41;&#46; Only 10 EAU &#40;27&#46;8&#37;&#41; referred patients appropriately according to the strictest criteria &#40;25&#37; of inappropriate referral&#41; and 27 EAU &#40;75&#37;&#41;&#44; according to 50&#37; of inappropriate referral criteria&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Only two aspects of the EAU implementation strategy were associated with better referral efficiency&#58; 1&#41; interaction with the GP responsible of the inappropriate referral process and 2&#41; a lower median lag time for referral to the Rheumatology out-patient clinic&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Identificar las caracter&#237;sticas de una unidad de artritis precoz &#40;UAP&#41; que se asocian con una mejor eficiencia de la derivaci&#243;n desde atenci&#243;n primaria&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Encuesta a 36 UAP creadas en centros hospitalarios de toda Espa&#241;a en el a&#241;o 2004&#44; mediante el programa SERAP&#46; Las preguntas de la encuesta recog&#237;an detalles del proceso formativo de los m&#233;dicos de atenci&#243;n primaria &#40;MAP&#41;&#44; del sistema de feedback&#44; liderazgo y derivaci&#243;n&#46; Se consider&#243; que una UAP era tanto m&#225;s eficiente cuanto menor fuera el n&#250;mero de pacientes mal derivados&#46; Para el an&#225;lisis se utilizaron dos dinteles de derivaci&#243;n err&#243;nea&#58; 25 y 50&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Treinta y cuatro UAP &#40;94&#37;&#41; participaron en la encuesta&#46; La mayor&#237;a &#40;62&#37;&#41; realiz&#243; la formaci&#243;n de los m&#233;dicos en una sesi&#243;n por centro de atenci&#243;n primaria&#46; Catorce de las 34 UAP &#40;42&#44;4&#37;&#41; informaron regularmente del estado del proyecto a sus MAP y s&#243;lo 20 &#40;39&#44;4&#37;&#41; contactaron con los MAP que estaban derivando mal a los pacientes&#46; El tiempo de espera medio para una primera consulta en Reumatolog&#237;a fue de 73 d&#237;as &#40;15-365 d&#237;as&#41;&#46; El porcentaje de pacientes mal derivados oscil&#243; entre el 0 y el 80&#37; &#40;38&#37;<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>21&#41;&#46; S&#243;lo 10 UAP &#40;27&#44;8&#37;&#41; ten&#237;an una derivaci&#243;n aceptable&#44; seg&#250;n el dintel m&#225;s estricto &#40;25&#37; de derivaci&#243;n err&#243;nea&#41;&#46; Hasta 27 UAP &#40;75&#37;&#41; cumpl&#237;an criterios de derivaci&#243;n aceptable si se establec&#237;a el dintel en el 50&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">S&#243;lo dos aspectos de la estrategia adoptada por las UAP estaban asociados con la eficiencia en la derivaci&#243;n&#58; 1&#41; el hecho de que se contactara con los MAP que no estaban derivando bien y 2&#41; una menor lista de espera en la consulta general de Reumatolog&#237;a&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9674;"
        "nota" => "<p class="elsevierStyleNotepara">Annex 1 includes a list of its components&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:19 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The prevalence of rheumatoid arthritis in the general population of Spain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46; Carmona"
                            1 => "V&#46; Villaverde"
                            2 => "C&#46; Hern&#225;ndez-Garc&#237;a"
                            3 => "J&#46; Ballina"
                            4 => "R&#46; Gabriel"
                            5 => "A&#46; Laffon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rheumatology &#40;oxford&#41;"
                        "fecha" => "2002"
                        "volumen" => "41"
                        "paginaInicial" => "88"
                        "paginaFinal" => "95"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The incidence of rheumatoid arthritis in Spain&#58; results from a nationwide primary care registry"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "and SERAP Study Group"
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Carbonell"
                            1 => "T&#46; Cobo"
                            2 => "A&#46; Balsa"
                            3 => "M&#46;A&#46; Descalzo"
                            4 => "L&#46; Carmona"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/rheumatology/ken205"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rheumatology"
                        "fecha" => "2008"
                        "volumen" => "47"
                        "paginaInicial" => "1088"
                        "paginaFinal" => "1092"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18511475"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Level of radiographic damage and radiographic progression are determinants of physical function&#58; a longitudinal analysis of the TEMPO trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46; Van der Heijde"
                            1 => "R&#46; Landew&#233;"
                            2 => "R&#46; Van Vollenhoven"
                            3 => "S&#46; Fatenejad"
                            4 => "L&#46; Klareskog"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/ard.2007.081331"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Rheum Dis"
                        "fecha" => "2008"
                        "volumen" => "67"
                        "paginaInicial" => "1267"
                        "paginaFinal" => "1270"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18203764"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "What are the consequences of early rheumatoid arthritis for the individual&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46;L&#46; Scott"
                            1 => "C&#46; Smith"
                            2 => "G&#46; Kingsley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.berh.2004.08.007"
                      "Revista" => array:6 [
                        "tituloSerie" => "Best Pract Res Clin Rheumatol"
                        "fecha" => "2005"
                        "volumen" => "19"
                        "paginaInicial" => "117"
                        "paginaFinal" => "136"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15588974"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "EULAR recommendations for the management of early arthritis&#58; report of a task force of the European Standing Committee for International Clinical Studies Including Therapeutics &#40;ESCISIT&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "B&#46; Combe"
                            1 => "R&#46; Landewe"
                            2 => "C&#46; Lukas"
                            3 => "H&#46;D&#46; Bolosiu"
                            4 => "F&#46; Breedveld"
                            5 => "M&#46; Dougados"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/ard.2005.044354"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Rheum Dis"
                        "fecha" => "2007"
                        "volumen" => "66"
                        "paginaInicial" => "34"
                        "paginaFinal" => "45"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16396980"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Early rheumatoid arthritis&#58; strategies for prevention and management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "B&#46; Combe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.berh.2006.08.011"
                      "Revista" => array:6 [
                        "tituloSerie" => "Best Pract Res Clin Rheumatol"
                        "fecha" => "2007"
                        "volumen" => "21"
                        "paginaInicial" => "27"
                        "paginaFinal" => "42"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17350542"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Progresi&#243;n en la arthritis reumatoide precoz"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "B&#46; Combe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.berh.2008.11.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Best Pract Res Clin Rheumatol"
                        "fecha" => "2009"
                        "volumen" => "23"
                        "paginaInicial" => "59"
                        "paginaFinal" => "69"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19233046"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Early referral recommendation for newly diagnosed rheumatoid arthritis&#58; evidence based development of a clinical guide"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "P&#46; Emery"
                            1 => "F&#46;C&#46; Breedveld"
                            2 => "M&#46; Dougados"
                            3 => "J&#46;R&#46; Kalden"
                            4 => "M&#46;H&#46; Schiff"
                            5 => "J&#46;S&#46; Smolen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Rheum Dis"
                        "fecha" => "2002"
                        "volumen" => "61"
                        "paginaInicial" => "290"
                        "paginaFinal" => "297"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11874828"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "&#191;El control precoz de la artritis reumatoide augura un mejor pron&#243;stico a largo plazo&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "V&#46; Villaverde"
                            1 => "A&#46; Balsa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.reuma.2009.10.007"
                      "Revista" => array:6 [
                        "tituloSerie" => "Reumatol Clin"
                        "fecha" => "2010"
                        "volumen" => "6"
                        "paginaInicial" => "106"
                        "paginaFinal" => "110"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21794692"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Attitudes to early rheumatoid arthritis&#58; changing patterns&#46; Results of a survey"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46; Aletaha"
                            1 => "G&#46; Eberl"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/ard.2003.015131"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Rheum Dis"
                        "fecha" => "2004"
                        "volumen" => "63"
                        "paginaInicial" => "1269"
                        "paginaFinal" => "1275"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15361385"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lag time between onset of symptoms and access to rheumatology care and DMARD therapy in a cohort of patients with rheumatoid artritis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46; Hern&#225;ndez-Garc&#237;a"
                            1 => "E&#46; Vargas"
                            2 => "L&#46; Ab&#225;solo"
                            3 => "C&#46; Lajas"
                            4 => "B&#46; Bellajdell"
                            5 => "I&#46;C&#46; Morado"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Rheumatol"
                        "fecha" => "2000"
                        "volumen" => "27"
                        "paginaInicial" => "2323"
                        "paginaFinal" => "2328"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11036824"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A historical perspective concerning population-based and clinical studies of early arthritis and early rheumatoid arthritis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "T&#46; Sokka"
                            1 => "T&#46; Pincus"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Clin Exp Rheumatol"
                        "fecha" => "2003"
                        "volumen" => "21"
                        "numero" => "Suppl31"
                        "paginaInicial" => "S5"
                        "paginaFinal" => "S14"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14969044"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "&#191;C&#243;mo son los pacientes con artritis reumatoide de reciente comienzo en Espa&#241;a&#63; Descripci&#243;n de la cohorte PROAR"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "V&#46; Villaverde"
                            1 => "A&#46; Balsa"
                            2 => "L&#46; Carmona"
                            3 => "R&#46; Sanmart&#237;"
                            4 => "J&#46; Maese"
                            5 => "D&#46; Pascual"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.reuma.2008.09.001"
                      "Revista" => array:6 [
                        "tituloSerie" => "Reumatol Clin"
                        "fecha" => "2009"
                        "volumen" => "5"
                        "paginaInicial" => "115"
                        "paginaFinal" => "120"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21794592"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Situaci&#243;n de la pediatr&#237;a hospitalaria"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46; Casado"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Pediatr Aten Primaria"
                        "fecha" => "2005"
                        "volumen" => "7"
                        "numero" => "Suppl1"
                        "paginaInicial" => "S134"
                        "paginaFinal" => "S135"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "&#191;Est&#225; coordinado el Servicio de Pediatr&#237;a&#63; Encuestas a pediatras de Valencia y soluciones"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Bosc&#225; Berga"
                            1 => "J&#46;M&#46; Paricio Talayero"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "An Esp Pediatr"
                        "fecha" => "1997"
                        "volumen" => "46"
                        "paginaInicial" => "565"
                        "paginaFinal" => "570"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9297424"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "La coordinaci&#243;n entre atenci&#243;n primaria y especializada&#58; &#191;reforma del sistema sanitario o reforma del ejercicio profesional&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Jonay"
                            1 => "J&#46;M&#46; Freire"
                            2 => "J&#46; Gerv&#225;s"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev Adm Sanit"
                        "fecha" => "2006"
                        "volumen" => "4"
                        "paginaInicial" => "357"
                        "paginaFinal" => "382"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estrategias para un diagn&#243;stico y tratamiento precoz de la artritis reumatoide&#46; Implantaci&#243;n de consultas de artritis de reciente comienzo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "V&#46; Villaverde"
                            1 => "A&#46; Balsa"
                            2 => "E&#46; Mart&#237;n-Mola"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Seminarios de la Fundaci&#243;n Espa&#241;ola de Reumatolog&#237;a"
                        "fecha" => "2000"
                        "volumen" => "1"
                        "paginaInicial" => "65"
                        "paginaFinal" => "72"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Differentiating persistent from self-limiting symmetrical synovitis in an early arthritis clinic"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;J&#46; Tunn"
                            1 => "P&#46;A&#46; Bacon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Rheumatol"
                        "fecha" => "1993"
                        "volumen" => "32"
                        "paginaInicial" => "97"
                        "paginaFinal" => "103"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8428243"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnosis and course of early-onset arthritis&#58; Results of a special early arthritis clinic compared to routine patient care"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "I&#46;E&#46; van der Horst-Bruinsma"
                            1 => "I&#46; Speyer"
                            2 => "H&#46; Visser"
                            3 => "F&#46;C&#46; Breedveld"
                            4 => "J&#46;M&#46; Hazes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Br J Reumatol"
                        "fecha" => "1998"
                        "volumen" => "37"
                        "paginaInicial" => "1084"
                        "paginaFinal" => "1088"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735743/0000000700000004/v1_201305061625/S2173574311700521/v1_201305061625/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "17338"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Original Article"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735743/0000000700000004/v1_201305061625/S2173574311700521/v1_201305061625/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574311700521?idApp=UINPBA00004M"
]
Share
Journal Information
Vol. 7. Issue 4.
Pages 236-240 (July - August 2011)
Share
Share
Download PDF
More article options
Vol. 7. Issue 4.
Pages 236-240 (July - August 2011)
Full text access
Characteristics of early arthritis units that may be associated with better referral efficiency: survey of SERAP units
Características de una unidad de artritis precoz que mejoran la eficiencia de la derivación: encuesta a las unidades SERAP
Visits
5186
Virginia Villaverdea, Miguel Ángel Descalzob, Loreto Carmonab,
Corresponding author
loreto.carmona@ser.es

Corresponding author. Unidad de Investigación, Sociedad Española de Reumatología, Calle Marqués del Duero, 5, 1.°, 28001 Madrid, Spain.
, Miriam Basconesc, Jordi Carbonelld, Grupo de estudio SERAP
a Sección de Reumatología, Hospital Universitario de Móstoles, Madrid, Spain
b Unidad de Investigación, Sociedad Española de Reumatología, Madrid, Spain
c Departamento Médico, Abbott Laboratories, Madrid, Spain
d Servicio de Reumatología, Hospital del Mar, Institut Municipal Atenció Sanitaria, Barcelona, Spain
This item has received
Article information
Abstract
Bibliography
Download PDF
Statistics
Abstract
Objective

To identify characteristics of early arthritis units, that may be associated with better referral eficiency.

Methods

A national survey of the 36 early arthritis units (EAU) in Spanish Rheumatology Units in 2004 (SERAP project). Survey collected information about general practitioners (GP) educational program to improve knowledge and practical skills of early arthritis, networking and feed-back system and referral efficiency. EAU were classified in two groups according to 25% and 50% of inappropriate referral process, respectively.

Results

Thirty four of the 36 (94%) EAU, answered the survey. GP were trained in only 1 medical meeting in the primary care clinic, with one or more rheumatologists responsible of GP education. Fourteen of the 34 EAU (42.4%) regularly interacted with GP and only 20 (39.4%) contacted the GP who were responsible for the wrong referral process. Median lag time for referral to the Rheumatology out-patient clinic, was 73 days (15-365 days). The percentage of wrongly referred patients was between 0 and 80% (38%±21). Only 10 EAU (27.8%) referred patients appropriately according to the strictest criteria (25% of inappropriate referral) and 27 EAU (75%), according to 50% of inappropriate referral criteria.

Conclusions

Only two aspects of the EAU implementation strategy were associated with better referral efficiency: 1) interaction with the GP responsible of the inappropriate referral process and 2) a lower median lag time for referral to the Rheumatology out-patient clinic.

Keywords:
Survey
Early arthritis
Referral
Primary Care
Specialized care
Health services
Resumen
Objetivo

Identificar las características de una unidad de artritis precoz (UAP) que se asocian con una mejor eficiencia de la derivación desde atención primaria.

Métodos

Encuesta a 36 UAP creadas en centros hospitalarios de toda España en el año 2004, mediante el programa SERAP. Las preguntas de la encuesta recogían detalles del proceso formativo de los médicos de atención primaria (MAP), del sistema de feedback, liderazgo y derivación. Se consideró que una UAP era tanto más eficiente cuanto menor fuera el número de pacientes mal derivados. Para el análisis se utilizaron dos dinteles de derivación errónea: 25 y 50%.

Resultados

Treinta y cuatro UAP (94%) participaron en la encuesta. La mayoría (62%) realizó la formación de los médicos en una sesión por centro de atención primaria. Catorce de las 34 UAP (42,4%) informaron regularmente del estado del proyecto a sus MAP y sólo 20 (39,4%) contactaron con los MAP que estaban derivando mal a los pacientes. El tiempo de espera medio para una primera consulta en Reumatología fue de 73 días (15-365 días). El porcentaje de pacientes mal derivados osciló entre el 0 y el 80% (38%±21). Sólo 10 UAP (27,8%) tenían una derivación aceptable, según el dintel más estricto (25% de derivación errónea). Hasta 27 UAP (75%) cumplían criterios de derivación aceptable si se establecía el dintel en el 50%.

Conclusiones

Sólo dos aspectos de la estrategia adoptada por las UAP estaban asociados con la eficiencia en la derivación: 1) el hecho de que se contactara con los MAP que no estaban derivando bien y 2) una menor lista de espera en la consulta general de Reumatología.

Palabras clave:
Encuesta
Artritis precoz
Derivación
Atención primaria
Atención especializada
Servicios de salud
Full text is only aviable in PDF
References
[1.]
L. Carmona, V. Villaverde, C. Hernández-García, J. Ballina, R. Gabriel, A. Laffon, et al.
The prevalence of rheumatoid arthritis in the general population of Spain.
Rheumatology (oxford), 41 (2002), pp. 88-95
[2.]
J. Carbonell, T. Cobo, A. Balsa, M.A. Descalzo, L. Carmona, and SERAP Study Group.
The incidence of rheumatoid arthritis in Spain: results from a nationwide primary care registry.
Rheumatology, 47 (2008), pp. 1088-1092
[3.]
D. Van der Heijde, R. Landewé, R. Van Vollenhoven, S. Fatenejad, L. Klareskog.
Level of radiographic damage and radiographic progression are determinants of physical function: a longitudinal analysis of the TEMPO trial.
Ann Rheum Dis, 67 (2008), pp. 1267-1270
[4.]
D.L. Scott, C. Smith, G. Kingsley.
What are the consequences of early rheumatoid arthritis for the individual?.
Best Pract Res Clin Rheumatol, 19 (2005), pp. 117-136
[5.]
B. Combe, R. Landewe, C. Lukas, H.D. Bolosiu, F. Breedveld, M. Dougados, et al.
EULAR recommendations for the management of early arthritis: report of a task force of the European Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT).
Ann Rheum Dis, 66 (2007), pp. 34-45
[6.]
B. Combe.
Early rheumatoid arthritis: strategies for prevention and management.
Best Pract Res Clin Rheumatol, 21 (2007), pp. 27-42
[7.]
B. Combe.
Progresión en la arthritis reumatoide precoz.
Best Pract Res Clin Rheumatol, 23 (2009), pp. 59-69
[8.]
P. Emery, F.C. Breedveld, M. Dougados, J.R. Kalden, M.H. Schiff, J.S. Smolen.
Early referral recommendation for newly diagnosed rheumatoid arthritis: evidence based development of a clinical guide.
Ann Rheum Dis, 61 (2002), pp. 290-297
[9.]
V. Villaverde, A. Balsa.
¿El control precoz de la artritis reumatoide augura un mejor pronóstico a largo plazo?.
Reumatol Clin, 6 (2010), pp. 106-110
[10.]
D. Aletaha, G. Eberl.
Attitudes to early rheumatoid arthritis: changing patterns. Results of a survey.
Ann Rheum Dis, 63 (2004), pp. 1269-1275
[11.]
C. Hernández-García, E. Vargas, L. Abásolo, C. Lajas, B. Bellajdell, I.C. Morado, et al.
Lag time between onset of symptoms and access to rheumatology care and DMARD therapy in a cohort of patients with rheumatoid artritis.
J Rheumatol, 27 (2000), pp. 2323-2328
[12.]
T. Sokka, T. Pincus.
A historical perspective concerning population-based and clinical studies of early arthritis and early rheumatoid arthritis.
Clin Exp Rheumatol, 21 (2003), pp. S5-S14
[13.]
V. Villaverde, A. Balsa, L. Carmona, R. Sanmartí, J. Maese, D. Pascual, et al.
¿Cómo son los pacientes con artritis reumatoide de reciente comienzo en España? Descripción de la cohorte PROAR.
Reumatol Clin, 5 (2009), pp. 115-120
[14.]
J. Casado.
Situación de la pediatría hospitalaria.
Rev Pediatr Aten Primaria, 7 (2005), pp. S134-S135
[15.]
J. Boscá Berga, J.M. Paricio Talayero.
¿Está coordinado el Servicio de Pediatría? Encuestas a pediatras de Valencia y soluciones.
An Esp Pediatr, 46 (1997), pp. 565-570
[16.]
J. Jonay, J.M. Freire, J. Gervás.
La coordinación entre atención primaria y especializada: ¿reforma del sistema sanitario o reforma del ejercicio profesional?.
Rev Adm Sanit, 4 (2006), pp. 357-382
[17.]
V. Villaverde, A. Balsa, E. Martín-Mola.
Estrategias para un diagnóstico y tratamiento precoz de la artritis reumatoide. Implantación de consultas de artritis de reciente comienzo.
Seminarios de la Fundación Española de Reumatología, 1 (2000), pp. 65-72
[18.]
E.J. Tunn, P.A. Bacon.
Differentiating persistent from self-limiting symmetrical synovitis in an early arthritis clinic.
Br J Rheumatol, 32 (1993), pp. 97-103
[19.]
I.E. van der Horst-Bruinsma, I. Speyer, H. Visser, F.C. Breedveld, J.M. Hazes.
Diagnosis and course of early-onset arthritis: Results of a special early arthritis clinic compared to routine patient care.
Br J Reumatol, 37 (1998), pp. 1084-1088

Annex 1 includes a list of its components.

Copyright © 2011. Sociedad Española de Reumatología and Colegio Mexicano de Reumatología
Download PDF
Idiomas
Reumatología Clínica (English Edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?