Abstracts tagged "Referrals"

Abstract Number: 330 • 2018 ACR/ARHP Annual Meeting
The IMPACT of a Referral Algorithm for Axial Spondyloarthritis: Four Month Follow-up in Patient Reported Outcomes
Maha Jamal¹, Amber Korver², Martijn Kuijper³, Deirisa Lopes Barreto¹, Frank van den Hoogen⁴, Cathelijne W. Y. Appels⁵, Anneke Spoorenberg⁶, Bart Koes⁷, Lonneke van Hoeven⁸, JMW Hazes⁹ and Angelique EAM Weel³, ¹Maasstad Hospital, Rotterdam, Netherlands, ²Erasmuc Medical Center, Rotterdam, Netherlands, ³Rheumatology, Maasstad Hospital, Rotterdam, Netherlands, ⁴Radboud Medical center, Nijmegen, Netherlands, ⁵Rheumatology, Amphia Hospital, Breda, Netherlands, ⁶Rheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, ⁷Erasmuc Medical center, Rotterdam, Netherlands, ⁸Erasmus Medical center, Rotterdam, Netherlands, ⁹Rheumatology, Erasmus MC, Rotterdam, Netherlands
Background/Purpose: A substantial amount of patients with chronic low back pain (CLBP) have axial spondyloarthritis (axSpA), but early recognition of these patients is difficult for…
Abstract Number: 337 • 2018 ACR/ARHP Annual Meeting
Does a Best Practice Alert Improve RA Patient Referral to Preventative Cardiology?
Savanna Smoker¹, Ellen Romich², Amy Nowacki³ and M. Elaine Husni⁴, ¹Case Western Reserve University, Cleveland, OH, ²Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, ³Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, ⁴Rheumatology, Cleveland Clinic, Cleveland, OH
Background/Purpose: RA patients are at about 50% increased risk of cardiovascular disease (CVD)1. Despite this risk, numerous studies show inadequate cardiovascular risk assessment of these…
Abstract Number: 648 • 2018 ACR/ARHP Annual Meeting
Performance of an Online Self-Referral Questionnaire Compared to a Physician-Based Referral Approach to Identify Patients with a High Probability of Axial Spondyloarthritis: Results from the Optiref Study
Fabian Proft¹, Laura Spiller¹, Mikhail Protopopov¹, Valeria Rios Rodriguez¹, Burkhard Muche¹, Judith Rademacher¹, Susanne Lueders², Anne-Katrin Weber¹, Inge Spiller¹, Joachim Sieper^3,4 and Denis Poddubnyy^3,4, ¹Charité Universitätsmedizin Berlin, Berlin, Germany, ²Department of Rheumatology and Clinical Immunology, Charité Universitätsmedizin Berlin, Berlin, Germany, ³German Rheumatism Research Centre, Berlin, Germany, ⁴Charité Universitätsmeidzin Berlin, Berlin, Germany
Background/Purpose: The diagnostic delay in axial spondyloarthritis (axial SpA) has been reported to be 9 years and still remains unacceptably high. One of the major…
Abstract Number: 2466 • 2018 ACR/ARHP Annual Meeting
Prolonged Delay in Presentation to Rheumatologists for Hispanic Patients with Rheumatoid Arthritis Contributes to Later Diagnosis and Treatment
Mariam Riad¹, Daniel Dunham², Jacquelin R. Chua¹, Theodore Pincus¹, Najia Shakoor¹, Sobia Hassan¹, Joel A. Block¹ and Isabel Castrejón¹, ¹Division of Rheumatology, Rush University Medical Center, Chicago, IL, ²Division of Internal Medicine, Rush University Medical Center, Chicago, IL
Background/Purpose: Disparities in the initiation of disease modifying anti-rheumatic drugs (DMARDs) in ethnic minorities have been described in rheumatoid arthritis (RA) patients in the US…
Abstract Number: 294 • 2018 ACR/ARHP Annual Meeting
Physical Therapists’ Ability to Recognize Inflammatory Arthritis Cases and Awareness of Importance for Their Prompt Referral to Rheumatology
Debbie Ehrmann Feldman¹, Tatiana Orozco², Jonathan El-Khoury¹, Maude Laliberté¹, Sasha Bernatsky³, Kadija Perreault⁴, François Desmeules², Roland Grad⁵, Michel Zummer⁶, Denis Pelletier⁷, Jean Légaré⁸ and Linda Woodhouse⁹, ¹Université de Montréal, Montréal, QC, Canada, ²Université de Montréal, Montreal, QC, Canada, ³Divisions of Rheumatology and Clinical Epidemiology, The Research Institute of the McGill University Health Centre, Montreal, QC, Canada, ⁴Université Laval, Québec, QC, Canada, ⁵McGill University, Montreal, QC, Canada, ⁶Rheumatology, Ch Maisonneuve-Rosemont, Montreal, QC, Canada, ⁷OPPQ, Montreal, QC, Canada, ⁸CAPA, Quebec, QC, Canada, ⁹University of Alberta, Edmonton, AB, Canada
Background/Purpose: Early referral to rheumatology of persons with suspected inflammatory rheumatic disease is associated with better outcomes. Persons with undiagnosed rheumatic disease may directly consult…
Abstract Number: 295 • 2018 ACR/ARHP Annual Meeting
Implementing a Staff Tobacco Cessation Protocol Increases Quit Line Referrals in a Community Rheumatology Practice
Ann M. Chodara¹, Edmond Ramly^2,3, Douglas White⁴, Heather Johnson⁵, Andrea Gilmore-Bykovskyi⁶ and Christie M. Bartels⁷, ¹Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, ²Industrial and Systems Engineering, University of Wisconsin College of Engineering, Madison, WI, ³Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, ⁴Gundersen Lutheran - Onalaska Clinic, Onalaska, WI, ⁵Cardiology/Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, ⁶University of Wisconsin School of Nursing, Madison, WI, ⁷Rheumatology/Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI
Background/Purpose: Smoking remains the leading preventable cause of US mortality and predicts higher incidence, greater severity, and reduced treatment response in many rheumatologic conditions. Despite…
Abstract Number: 1253 • 2016 ACR/ARHP Annual Meeting
Evaluation of a Pre-Assessment Tool to Define the Spectrum of Autoimmune Diseases in an Underserved Environment
Gary Craig¹, Keith Knapp², Karen Ferguson¹, Ruben Tavares³, Mary Bell⁴ and Sergio Schwartzman⁵, ¹Discus Analytics LLC., Spokane, WA, ²Arthritis Northwest PLLC., Spokane, WA, ³Rheumatology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada, ⁴University of Toronto, Toronto, ON, Canada, ⁵Rheumatology, Hospital for Special Surgery, New York, NY
Background/Purpose: American rheumatology practice patterns vary considerably. One challenge is practitioner shortage, thus a patient-self-administered screening tool would fill an unmet need if it identified…
Abstract Number: 2025 • 2016 ACR/ARHP Annual Meeting
Lupus Education Advancement Project (LEAP): Rheumatology Fellows Serving As Educators Increased Knowledge and Efficiency in Lupus Recognition and Referral By Providers in Primary and Emergency Care
Diane Gross¹, Amy Caron², Irene Blanco³, Alfred Denio⁴, Sheetal Desai⁵, Amanda Sammut⁶ and Zoon Naqvi⁷, ¹S.L.E. Lupus Foundation/Lupus Research Institute, New York, NY, ²Lupus Research Institute, Ny, NY, ³Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, ⁴Rheumatology, Geisinger Medical Center, Danville, PA, ⁵Medicine/Rheumatology, Unviersity of California, Irvine, Orange, CA, ⁶NYC Health and Hospitals/Harlem Hospital Center and Columbia University Medical Center, New York, NY, ⁷Albert Einstein College of Medicine, Bronx, NY
Background/Purpose: Primary and emergency care providers may have received 45 minutes of lupus education in medical school. Providers may fail in recognizing lupus because symptoms…
Abstract Number: 2745 • 2016 ACR/ARHP Annual Meeting
Adult Axial Spondyloarthritis Screening and Referral Practices Amongst Primary Care Physicians, Physiotherapists, Chiropractors and Nurse Practitioners: Results from a Qualitative Study
Laura Passalent^1,2, Leslie Soever^2,3, Kathleen Bednis¹, Christopher Hawke^1,4, Andrew Bidos^5,6, Jeff Bloom^7,8, Y. Raja Rampersaud^6,8, Nigil Haroon^9,10 and Robert D Inman^8,9, ¹Allied Health, Toronto Western Hospital, Toronto, ON, Canada, ²Physical Therapy, University of Toronto, Toronto, ON, Canada, ³MSK, Geriatrics and Cardiac Rehab Programs, University Health Network, Toronto, ON, Canada, ⁴Department of Physical Therapy, University of Toronto, Toronto, ON, Canada, ⁵Health Quality Programs - ISAEC, University Health Network, Toronto, ON, Canada, ⁶Orthopaedics, Toronto Western Hospital, Toronto, ON, Canada, ⁷Family Medicine, Toronto Western Hospital, Toronto, ON, Canada, ⁸University of Toronto, Toronto, ON, Canada, ⁹Rheumatology, Toronto Western Hospital, University of Toronto, Spondylitis Clinic, Toronto, ON, Canada, ¹⁰Rheumatology, Toronto Western Hospital, Toronto, ON, Canada
Background/Purpose: For the axial spondyloarthritis (SpA) population, early recognition is crucial in preventing major morbidity. Despite this, there exists an unacceptably long delay between the…
Abstract Number: 683 • 2015 ACR/ARHP Annual Meeting
Referral Strategies for the Early Diagnosis of Axial Spondyloarthritis- a Systematic Review
Abhijeet Danve¹ and Atul A. Deodhar², ¹Internal Medicine - Rheumatology, University of Nebraska Medical Center, Omaha, NE, ²Division of Arthritis & Rheumatic Diseases, Oregon Health & Science University, Portland, OR
Background/Purpose: Axial Spondyloarthritis (axSpA) is often misdiagnosed or diagnosed late (average delay 8 to 11 years) since low back pain (LBP) is very common in…
Abstract Number: 2484 • 2015 ACR/ARHP Annual Meeting
Use of Lean Six Sigma Methodology to Improve Time to Scheduling for New Patient Referrals to Rheumatology
Nicole Orzechowski¹, Mary Bolg², Rachael Bergeron¹, Christopher Dorman², Lauren Sanderson², Miranda Stark², Stacey Wilk² and Tammy Gray³, ¹Rheumatology, Dartmouth Hitchcock Medical Center, Lebanon, NH, ²Dartmouth Hitchcock Medical Center, Lebanon, NH, ³White River Junction Family Practice, White River Junction, VT
Background/Purpose: Patient satisfaction is an important driver of patient-centered care. The Section of Rheumatology was taking on average 5 days to contact and schedule new…
Abstract Number: 2510 • 2015 ACR/ARHP Annual Meeting
Outpatient Consultation Requests: A Failure to Communicate
Andrew Sharobeem¹, Haritha Bellam¹ and Rafael Grau², ¹University of Arizona, Tucson, AZ, ²Rheumatology, University of Arizona, Tucson, AZ
Background/Purpose: Early diagnosis and intervention are central premises in the management of patients with rheumatic diseases. Nevertheless, due to the shortage of rheumatologists, patients are…
Abstract Number: 3234 • 2015 ACR/ARHP Annual Meeting
Roadblocks Perceived By Canadian Dermatologists for Referring Patients with Suspected Psoriatic Arthritis
Renise Ayearst¹, Daniel Pereira¹, Charles Lynde², Holly Etchegary³ and Vinod Chandran¹, ¹Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, ²University of Toronto, Toronto, ON, Canada, ³Memorial University of Newfoundland, St.John's, NF, Canada
Background/Purpose: The current system of referral by Canadian dermatologists of patients who may have psoriatic arthritis (PsA) to rheumatologists is suboptimal. Hypothesizing that knowledge level,…
Abstract Number: 2572 • 2014 ACR/ARHP Annual Meeting
Recognition of Spondyloarthritis By General Practitioners in Daily Practice and the Effect of Education on This; A Study with Standardized Patients
Marloes van Onna¹, Simone Gorter², Bas Maiburg³, Gerrie Waagenaar³ and Astrid van Tubergen⁴, ¹Department of Internal Medicine, division of Rheumatology, Maastricht University Medical Center, division of Rheumatology, Maastricht, Netherlands, ²Department of Internal Medicine, division of Rheumatology, Maastricht University Medical Center, Maastricht, Netherlands, ³Department of General Practice, Maastricht Univerisity, department of General Practice, Maastricht, Netherlands, ⁴Maastricht University Medical Center, Maastricht, Netherlands
Background/Purpose: Timely recognition and referral of patients with spondyloarthritis (SpA) is challenging due to the insidious disease onset and frequently unawareness of the clinical picture…
Abstract Number: 2010 • 2014 ACR/ARHP Annual Meeting
Reaching out to Physical Therapists: Results of a Survey on Physical Therapists Preferences for Learning about Evidence-Based Community Programs
Jennifer Hefelfinger¹, Teresa J. Brady², Jennifer Berktold³, Marc Goldstein⁴, Erika Bonilla⁵, Mari Brick⁶, Erica Odom⁷, Angela Oliver⁷ and Penney Cowan⁸, ¹National Association of Chronic Disease Directors, Atlanta, GA, ²Arthritis Program, Centers for Disease Control and Prevention, Atlanta, GA, ³Westat, Inc, Rockville, MD, ⁴American Physical Therapy Association, Alexandria, VA, ⁵Westat, Inc, Rickville, MD, ⁶National Association of Chronic Disease Directors, Voorheesville, NY, ⁷Centers for Disease Control and Prevention, Atlanta, GA, ⁸American Chronic Pain Association, Rocklin, CA
Background/Purpose Community resources such as evidence-based physical activity (PA) and self-management education (SME) programs, with their documented health benefits, can complement clinical care. These clinical-community…

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