{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T07:15:56Z","timestamp":1767165356736,"version":"build-2238731810"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"914","license":[{"start":{"date-parts":[[2001,12,1]],"date-time":"2001-12-01T00:00:00Z","timestamp":1007164800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2001,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>It has been suggested that rheumatological disorders are underdiagnosed in patients with medical problems and that this might be rectified by incorporating a standard brief screening examination as part of the routine assessment of all patients admitted to hospital with medical conditions. Therefore the GALS screening examination was used to assess the prevalence of rheumatic disease in 100 patients admitted with acute medical problems and in a further 100 in the rehabilitative phase of their disease. The nature of locomotor dysfunction in all patients with a positive result was defined by an independent review and then sensitivity and specificity of the screening test was calculated for rheumatic disease in both populations.<\/jats:p>\n                  <jats:p>The median age of the two populations were 63 and 78 years respectively, with more females in the rehabilitation group. The overall prevalence of a positive screening test was 53% in the acute and 94% in the chronic disease groups, although the false positive rate in the rehabilitation patients was 30% due to factors other than rheumatic disorders limiting locomotor function (mainly orthopaedic and neurological conditions). The diagnosis of a rheumatological disorder was made de novo in a significant minority (10%) of patients and was usually amenable to treatment. The commonest rheumatic disorder was osteoarthritis which accounted for 55% of all rheumatic disease, followed by inflammatory joint disease (16%), and osteoporosis (12%). In addition to osteoporosis, Paget's disease of bone and polymyalgia rheumatica were found more frequently in those patients undergoing rehabilitation than in those admitted with an acute medical problem. A number of clinically important associations between medical and rheumatic disorders were found, such as stroke disease with shoulder capsulitis and heart failure with gout.<\/jats:p>\n                  <jats:p>The sensitivity of the GALS screening test was extremely high (92% and 100%), while its specificity fell in the rehabilitation group from 83% to 17%. None the less, it is felt that this study indicates that the routine use of this test should be considered as part of the assessment of all hospitalised patients with medical problems, whether acute or chronic.<\/jats:p>","DOI":"10.1136\/pgmj.77.914.774","type":"journal-article","created":{"date-parts":[[2017,12,28]],"date-time":"2017-12-28T10:10:44Z","timestamp":1514455844000},"page":"774-777","source":"Crossref","is-referenced-by-count":10,"title":["What is the prevalence of rheumatic disorders in general medical inpatients?"],"prefix":"10.1093","volume":"77","author":[{"given":"C","family":"Hood","sequence":"first","affiliation":[{"name":"Department of Rheumatology, Queen Elizabeth Hospital , Sheriff Hill, Gateshead, Tyne and Wear NE9 6SX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Queen Elizabeth Hospital , Sheriff Hill, Gateshead, Tyne and Wear NE9 6SX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Queen Elizabeth Hospital , Sheriff Hill, Gateshead, Tyne and Wear NE9 6SX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2001,12,1]]},"reference":[{"key":"2023042613422686600_B1","article-title":"Morbidity statistics from general practice.","volume-title":"Third National Study Series MB5, No 1.","year":"1981\u201382"},{"key":"2023042613422686600_B2","first-page":"178","article-title":"The epidemiology of disability.","volume":"16","author":"Wright","year":"1982","journal-title":"J R Coll Physicians Lond"},{"key":"2023042613422686600_B3","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/S0035-8819(25)02126-9","article-title":"Audit of medical inpatient care: a cry from the joint.","volume":"24","author":"Doherty","year":"1990","journal-title":"J R 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techniques.","author":"Doherty","year":"1992"},{"key":"2023042613422686600_B8","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1093\/rheumatology\/31.6.409","article-title":"Guidelines on undergraduate curriculum in the UK.","volume":"31","author":"Doherty","year":"1992","journal-title":"Br J Rheumatol"},{"key":"2023042613422686600_B9","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1136\/ard.59.6.468","article-title":"Aggressive treatment in early rheumatoid arthritis: a randomised controlled study.","volume":"59","author":"van Jaarsveld","year":"2000","journal-title":"Ann Rheum Dis"},{"key":"2023042613422686600_B10","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/0002-9343(91)90512-V","article-title":"Prophylaxis and treatment of osteoporosis.","volume":"90","author":"Consensus Development Conference","year":"1991","journal-title":"Am J Med"},{"key":"2023042613422686600_B11","first-page":"46","article-title":"Guidelines for osteoporosis in coeliac disease and inflammatory bowel disease.","volume":"suppl 1","author":"Scott","year":"2000","journal-title":"Gut"},{"key":"2023042613422686600_B12","first-page":"82","article-title":"Osteoporosis in asthmatics: relationship to oral steroids and male sex.","volume":"59","author":"Elmer","year":"2000","journal-title":"Ann Rheum Dis"},{"key":"2023042613422686600_B13","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1002\/1529-0131(200003)43:3<522::AID-ANR7>3.0.CO;2-Y","article-title":"Bone mineral density and frequency of osteoporosis in female patients with rheumatoid arthritis: results from 394 patients in the Oslo County rheumatoid arthritis register.","volume":"43","author":"Haugeberg","year":"2000","journal-title":"Arthritis Rheum"},{"key":"2023042613422686600_B14","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1136\/ard.59.9.668","article-title":"Impact on medical students of incorporating GALS screen teaching into medical school curriculum.","volume":"59","author":"Fox","year":"2000","journal-title":"Ann Rheum Dis"},{"key":"2023042613422686600_B15","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1136\/ard.52.12.886","article-title":"The GALS locomotor screen and disability.","volume":"52","author":"Plant","year":"1993","journal-title":"Ann Rheum Dis"}],"container-title":["Postgraduate Medical 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