RESUMEN
Almost 1 year after publication of the Choosing wisely recommendations ("Klug-entscheiden-Empfehlungen," KEE) for rheumatology, it is evident that they have found their way into specialist and lay publications, the media used by self-help groups, online media, and continuing education congresses. As such, a broad target audience has been reached. In the meantime, newly established or updated guidelines have been published which incorporate the KEE for rheumatology. The KEE provide a gateway into clinical Standard Operating Procedures or recommendations.
Asunto(s)
Difusión de la Información , Guías de Práctica Clínica como Asunto/normas , Reumatología/normas , Congresos como Asunto , Alemania , Humanos , Publicaciones Periódicas como Asunto , Grupos de AutoayudaRESUMEN
Viral arthritis and vasculitis are important differential diagnoses primarily in patients with acute polyarticular arthritis in association with fever and rash, in populations specially at risk and in returning travellers. Parvovirus B19 is the most frequent cause of viral arthritis in Europe, whereas rubella, hepatitis B and C viruses have become less common. Due to worldwide tourism arthritogenic alphaviruses, which are transmitted by mosquito vectors have come into the focus of tropical medicine and rheumatology. Viral arthritis is typically self-limiting but due to severe pain often requires symptomatic therapy with nonsteroidal antirheumatic drugs; however, arthritis and vasculitis may also be a manifestation of an important treatable viral infection, such as hepatitis B, C and human immunodeficiency viruses (HIV).
Asunto(s)
Artritis Infecciosa/diagnóstico , Artritis Infecciosa/terapia , Vasculitis/diagnóstico , Vasculitis/terapia , Virosis/diagnóstico , Virosis/terapia , Antiinflamatorios no Esteroideos/administración & dosificación , Antirreumáticos/administración & dosificación , Antivirales/administración & dosificación , Artritis Infecciosa/virología , Diagnóstico Diferencial , Quimioterapia Combinada/métodos , Medicina Basada en la Evidencia , Humanos , Resultado del Tratamiento , Vasculitis/virología , Virosis/virologíaRESUMEN
"Choosing wisely - DGIM" is an initiative of the German Society of Internal Medicine (DGIM) to strengthen the quality of diagnostics and indications for therapy. Aspects of inappropriate patient care are identified based on scientific evidence in collaboration with12 internal medicine and associated societies. Identified aspects are reviewed and endorsed by an interdisciplinary consensus committee. Addressed are those diagnostic and therapeutic measures which are rarely used despite scientific evidence of their usefulness and those which are frequently used although clear evidence exists that the measures are not useful or even harmful. The resulting positive or negative recommendations are intended to support physicians in the assessment of indications. The relevance of the "Choosing wisely - DGIM" initiative is confirmed by a survey involving 4200 members of DGIM.
Asunto(s)
Toma de Decisiones Clínicas/métodos , Medicina Interna/organización & administración , Errores Médicos/prevención & control , Garantía de la Calidad de Atención de Salud/organización & administración , Indicadores de Calidad de la Atención de Salud/organización & administración , Alemania , Participación del Paciente/métodos , Rol del Médico , Relaciones Médico-Paciente , Guías de Práctica Clínica como AsuntoRESUMEN
In a joint initiative by the boards of the German Society for Rheumatology (DGRh) and the Association of Rheumatology Clinics (VRA) the European "standards of care" for rheumatoid arthritis, recently suggested by the European Musculoskeletal Conditions Surveillance and Information Network (eumusc.net) and supported by the European League Against Rheumatism (EULAR), were translated and annotated. The recommendations include aspects of the management of the disease, actual medical care, and access to information - this includes all types of support people with RA need, and, last but not least communication of the necessary knowledge. Furthermore, health care structures such as the availability of medical staff with relevant expertise are also important.
Asunto(s)
Artritis Reumatoide/diagnóstico , Artritis Reumatoide/terapia , Atención a la Salud/normas , Guías de Práctica Clínica como Asunto , Reumatología/normas , Europa (Continente) , Medicina Basada en la Evidencia , Alemania , Humanos , Traducción , Resultado del TratamientoAsunto(s)
Toma de Decisiones Clínicas/métodos , Medicina Interna/organización & administración , Participación del Paciente/métodos , Relaciones Médico-Paciente , Garantía de la Calidad de Atención de Salud/organización & administración , Indicadores de Calidad de la Atención de Salud/organización & administración , Alemania , Rol del MédicoRESUMEN
The "choosing wisely" recommendations of the German Society of Internal Medicine (DGIM) and its specialist societies address diagnostic and therapeutic procedures, which are of particular medical importance but applied too often or too rarely in clinical practice. The aim is to further improve treatment of patients. Important topics of overuse and insufficient treatment related to the diagnostics, therapy, prevention and exclusion of infectious diseases could be identified. These topics not only play an important role in the discipline of infectious diseases but are also relevant for other internal medical disciplines. These topics related to infectious diseases have also been integrated into the recommendations of the German Society of Gastroenterology, Digestive and Metabolic Diseases as well as the German Societies for Internal Intensive Care and Emergency Medicine, for Pneumology, for Nephrology and for Rheumatology. The pivotal issues of the recommendations are the inappropriate use of antibiotics and insufficient vaccination rates.
Asunto(s)
Antibacterianos/uso terapéutico , Infecciones Bacterianas/prevención & control , Medicina Interna/normas , Guías de Práctica Clínica como Asunto , Uso Excesivo de Medicamentos Recetados/prevención & control , Vacunación/normas , Antibacterianos/normas , Infecciones Bacterianas/tratamiento farmacológico , Humanos , Errores de Medicación/prevención & controlAsunto(s)
Desequilibrio Ácido-Base/diagnóstico , Desequilibrio Ácido-Base/terapia , Desequilibrio Hidroelectrolítico/diagnóstico , Desequilibrio Hidroelectrolítico/terapia , Desequilibrio Ácido-Base/etiología , Diagnóstico Diferencial , Diagnóstico Precoz , Humanos , Desequilibrio Hidroelectrolítico/etiologíaRESUMEN
Back pain is a significant medical problem and one of the most common causes of medical consultations and missed work. In acute low back pain, patients with "red flags" indicating a serious underlying spinal or extraspinal disease must be identified by medical evaluation. Most cases of acute back pain are non-specific, and education, physical activity and pain medication is recommended. In addition, yellow flags (risks of developing chronic pain) should be recognized. The management of low back pain has been addressed by the German National Disease Management Guideline (NVL) low back pain published in 2010. This guideline evaluates the evidence and effectiveness of diagnostic and therapeutic interventions with a focus on nonspecific back pain. For chronic nonspecific low back pain intervention based on nondrug and drug therapy and a multiprofessional assessment is recommended. In patients with chronic inflammatory low back pain with onset before the age of 45, rheumatic spondyloarthritis should be considered. Recently, a guideline (S3-Leitlinie) for the management of axial spondyloarthritis including ankylosing spondylitis has become available. It provides evidence of physical and drug therapy including nonsteroidal antirheumatic and Tumor necrosis factor (TNF) inhibitor therapy.