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Urruticoechea-Arana A, León-Vázquez F, Giner-Ruiz V, Andréu-Sánchez JL, Olivé-Marqués A, Freire-González M, Pego-Reigosa JM, Muñoz-Fernández S, Román-Ivorra JA, Alegre-Sancho JJ, Vargas-Negrín F, Medina-Abellán M, Cobo-Ibáñez T, Mas-Garriga X, Calvo-Alén J, Costa-Ribas C, Blanco-Vela R, Pérez-Martín Á, Beltrán-Catalán E, Forcada-Gisbert J, Hernández-Miguel MV, Hermosa-Hernán JC, Narváez-García J, Nieto-Pol E, Rúa-Figueroa Í. Development of an application for mobile phones (App) based on the collaboration between the Spanish Society of Rheumatology and Spanish Society of Family Medicine for the referral of systemic autoimmune diseases from primary care to rheumatology. ACTA ACUST UNITED AC 2019; 16:373-377. [PMID: 31722849 DOI: 10.1016/j.reuma.2019.09.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Revised: 08/02/2019] [Accepted: 09/03/2019] [Indexed: 12/18/2022]
Abstract
Management of systemic autoimmune diseases is challenging for physicians in their clinical practice. Although not common, they affect thousands of patients in Spain. The family doctor faces patients with symptoms and non-specific cutaneous, mucous, joint, vascular signs or abnormal laboratory findings at the start of the disease process and has to determine when to refer patients to the specialist. To aid in disease detection and better referral, the Spanish Society of Rheumatology and the Spanish Society of Family Medicine has created a group of experts who selected 26 symptoms, key signs and abnormal laboratory findings which were organized by organ and apparatus. Family doctors and rheumatologists with an interest in autoimmune systemic diseases were selected and formed mixed groups of two that then elaborated algorithms for diagnostic guidelines and referral. The algorithms were then reviewed, homogenized and adapted to the algorithm format and application for cell phone (apps) download. The result is the current Referral document of systemic autoimmune diseases for the family doctor in paper format and app (download). It contains easy-to-use algorithms using data from anamnesis, physical examination and laboratory results usually available to primary care, that help diagnose and refer patients to rheumatology or other specialties if needed.
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Affiliation(s)
| | - Fernando León-Vázquez
- Miembro de la SEMFYC, Centro de Salud San Juan de la Cruz, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, España
| | | | - José Luis Andréu-Sánchez
- Miembro de la SER, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Madrid, España
| | | | | | - José María Pego-Reigosa
- Miembro de la SER, Hospital Meixoeiro de Vigo, Instituto de Investigación Sanitaria Galicia Sur, Vigo, España
| | - Santiago Muñoz-Fernández
- Miembro de la SER, Hospital Universitario Infanta Sofía, Universidad Europea de Madrid, San Sebastián de los Reyes, Madrid, España
| | - José A Román-Ivorra
- Miembro de la SER, Hospital Universitario y Politécnico La Fe, Valencia, España
| | | | | | | | - Tatiana Cobo-Ibáñez
- Miembro de la SER, Hospital Universitario Infanta Sofía, Universidad Europea de Madrid, San Sebastián de los Reyes, Madrid, España
| | - Xavier Mas-Garriga
- Miembro de la SEMFYC, EAP Santa Eulàlia Sud, L'Hospitalet de Llobregat, Barcelona, España
| | - Jaime Calvo-Alén
- Miembro de la SER, Hospital Universitario Araba, Vitoria-Gasteiz, España
| | | | - Ricardo Blanco-Vela
- Miembro de la SER, Hospital Universitario Marqués de Valdecilla, Santander, España
| | | | | | | | | | | | - Javier Narváez-García
- Miembro de la SER, Hospital Universitari de Bellvitge-IDIBELL, Universitat de Barcelona, Barcelona, España
| | - Enrique Nieto-Pol
- Miembro de la SEMFYC, Centro de Salud Concepción Arenal, Santiago de Compostela, España
| | - Íñigo Rúa-Figueroa
- Miembro de la SER, Hospital Universitario Doctor Negrín, Las Palmas de Gran Canaria, España
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