{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T07:16:17Z","timestamp":1757574977402,"version":"3.27.0"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T00:00:00Z","timestamp":1709856000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T00:00:00Z","timestamp":1709856000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Medizinische Hochschule Hannover (MHH)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Z Rheumatol"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Eine fr\u00fche Diagnose und Behandlung entz\u00fcndlich-rheumatischer Erkrankungen kann Folgesch\u00e4den wie dauerhafte Einschr\u00e4nkungen der Mobilit\u00e4t und Gelenk- oder Organsch\u00e4den verhindern. Gleichzeitig besteht ein gr\u00f6\u00dfer werdendes Versorgungsdefizit aufgrund fehlender rheumatologischer Kapazit\u00e4ten. Betroffen sind besonders die l\u00e4ndlichen Regionen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Die vorliegenden nicht best\u00e4tigten Diagnosen der Studie Rheuma-VOR wurden hinsichtlich des Vorliegens einer anderen definitiven entz\u00fcndlich-rheumatischen Erkrankung analysiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Die eingegangenen Frageb\u00f6gen der an der Rheuma-VOR-Studie teilnehmenden Rheumatolog:innen wurden nach Vermerken anderer entz\u00fcndlich-rheumatischer Erkrankungen als der geforderten Diagnose einer rheumatoiden Arthritis, Psoriasis-Arthritis oder Spondyloarthritis gescreent.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Von 910 \u201enicht best\u00e4tigten\u201c Diagnosen waren bei 245 Patient:innen andere gestellte Diagnosen auszuwerten. Insgesamt 29,8\u202f% der Diagnosen entsprechen degenerativen Gelenkver\u00e4nderungen oder chronischen Schmerzsyndromen, bei 26,1\u202f% lagen verschiedene Formen entz\u00fcndlicher Arthritiden vor. Der Gro\u00dfteil der Diagnosen (40,5\u202f%) entfiel auf Kollagenosen und Vaskulitiden, wobei die Polymyalgia rheumatica mit 20\u202f% am h\u00e4ufigsten diagnostiziert wurde (49\u00a0Patient:innen).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die vorliegenden Daten zeigen, dass bei einem Gro\u00dfteil der Patient:innen die rheumatologische Vorstellung indiziert war. Aufgrund der ambulanten Versorgungsdefizite ist eine vorherige Selektion des Patientenguts essenziell, um die eingeschr\u00e4nkten Kapazit\u00e4ten bestm\u00f6glich zu nutzen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00393-024-01490-2","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T13:01:38Z","timestamp":1709902898000},"page":"679-685","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Die Subanalyse von Rheuma-VOR zeigt den erheblichen Bedarf der rheumatologischen Versorgung auf","The subanalysis of Rheuma-VOR demonstrates a\u00a0considerable need for rheumatological care"],"prefix":"10.1007","volume":"83","author":[{"given":"Stefanie","family":"Hirsch","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Hoeper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Meyer-Olson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Schwarting","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Gente","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Dreher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Hoeper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Witte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Thiele","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,3,8]]},"reference":[{"issue":"3","key":"1490_CR1","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1007\/s00393-017-0297-1","volume":"76","author":"A Zink","year":"2017","unstructured":"Zink\u00a0A et\u00a0al (2017) Memorandum der Deutschen Gesellschaft f\u00fcr Rheumatologie zur Versorgungsqualit\u00e4t in der Rheumatologie \u2013 Update 2016. 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