{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T23:29:01Z","timestamp":1759447741053},"reference-count":10,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2005,12,12]],"date-time":"2005-12-12T00:00:00Z","timestamp":1134345600000},"content-version":"vor","delay-in-days":3451,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatism"],"published-print":{"date-parts":[[1996,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective<\/jats:italic>. To determine both the extent to which adult rheumatologists treat children and their level of comfort in doing so.<\/jats:p><jats:p><jats:italic>Methods<\/jats:italic>. A questionnaire was sent to all 77 physicians in the state of Washington who were listed as adult rheumatologists in the American College of Rheumatology (ACR) directory.<\/jats:p><jats:p><jats:italic>Results<\/jats:italic>. Sixty\u2010six questionnaires (86%) were returned; 50 were identified as being from privatepracticing adult rheumatologists and were the focus of this study. Sixty\u2010two percent of the respondents reported that they care for children; predictors included increased exposure to pediatric rheumatology during fellowship (<jats:italic>P<\/jats:italic> = 0.003), increased distance from Seattle (<jats:italic>P<\/jats:italic> = 0.001), and listing oneself in the ACR directory as treating children (<jats:italic>P<\/jats:italic> = 0.03). Most respondents reported feeling discomfort in treating children younger than 6 years of age, treating Kawasaki disease, and treating polyarteritis nodosa, but most reported feeling comfortable treating children with chronic arthritides. Impediments to referring to a pediatric rheumatologist included distance (median distance 35 miles), convenience for the family, personal preference, and experience in caring for children. Twenty\u2010nine percent reported difficulties referring to a pediatric rheumatologist outside of one's managed care plan. Adult rheumatologists expressed interest in continuing medical education dealing with pediatric rheumatology, preferably with a lecture format in their home communities.<\/jats:p><jats:p><jats:italic>Conclusion<\/jats:italic>. A significant number of adult rheumatologists care for children. Pediatric rheumatologists should provide both educational and consultative support for these adult rheumatologist colleagues.<\/jats:p>","DOI":"10.1002\/art.1780390722","type":"journal-article","created":{"date-parts":[[2007,2,14]],"date-time":"2007-02-14T12:06:32Z","timestamp":1171454792000},"page":"1218-1221","source":"Crossref","is-referenced-by-count":14,"title":["Pediatric rheumatology in adult rheumatology practices in Washington state"],"prefix":"10.1002","volume":"39","author":[{"given":"David D.","family":"Sherry","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol A.","family":"Wallace","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart J.","family":"Kahn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,12,12]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780241011"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780250625"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780260520"},{"key":"e_1_2_1_5_2","first-page":"119","article-title":"Community rheumatology practice in Thunder Bay: a Canadian experience from Northwestern Ontario","volume":"8","author":"Koehler MG","year":"1981","journal-title":"J Rheumatol"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.84.3.567"},{"key":"e_1_2_1_7_2","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1542\/peds.89.2.183","article-title":"Barriers to pediatric referral in managed care systems","volume":"89","author":"Cartland JDC","year":"1992","journal-title":"Pediatrics"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780270327"},{"key":"e_1_2_1_9_2","volume-title":"American College of Rheumatology\/Association of Rheumatology Health Professionals 1994 Membership Directory","year":"1994"},{"key":"e_1_2_1_10_2","volume-title":"1994 Worst Traffic in America Survey","author":"Metro Traffic Control, Inc.","year":"1995"},{"key":"e_1_2_1_11_2","volume-title":"Guidelines for Reviewers of Rheumatic Disease Care","author":"American College of Rheumatology Council on Rheumatologic Care","year":"1994"}],"container-title":["Arthritis &amp; Rheumatism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fart.1780390722","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/art.1780390722","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T01:38:59Z","timestamp":1700703539000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/art.1780390722"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,7]]},"references-count":10,"journal-issue":{"issue":"7","published-print":{"date-parts":[[1996,7]]}},"alternative-id":["10.1002\/art.1780390722"],"URL":"https:\/\/doi.org\/10.1002\/art.1780390722","archive":["Portico"],"relation":{},"ISSN":["0004-3591","1529-0131"],"issn-type":[{"value":"0004-3591","type":"print"},{"value":"1529-0131","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,7]]}}}