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Hierarchical nomenclature in rheumatology.
- Source :
-
Reumatologia clinica [Reumatol Clin (Engl Ed)] 2020 Jan - Feb; Vol. 16 (1), pp. 3-10. Date of Electronic Publication: 2019 Feb 08. - Publication Year :
- 2020
-
Abstract
- Introduction: One of the missions of the Spanish Society of Rheumatology is to provide the necessary tools for excellence in health care. Currently, there is no reference point to quantify medical actions in this specialty, and this is imperative.<br />Material and Method: A list of actions was drawn up and a hierarchical classification system was established by developing a complexity index, calculated based on the completion time and difficulty level of each action.<br />Results: The results of the Delphi method tended to the consensus opinion within a group (mean σ2 - σ1=0.75-1.43=-0.68, mean IQR2 - IQR1=0.8-1.9=-1.1). The values of the complexity index ranged between 48 and 465 points. Among consultation actions, those reaching the highest scores were the first inpatient visit (366) and visits to the patient's home (369). Among diagnostic techniques, biopsies were prominent, those with the highest score were: bone biopsy (465), sural nerve biopsy (416) and synovial biopsy (380). Ultrasound scan scored 204, capillaroscopy 113 and densitometry 112. Among therapeutic techniques, infiltration/ arthrocentesis/articular injection in children reached the highest difficulty (388). The score for ultrasound-guided articular injection was 163. The score for clinical report on disability was 323 and expert report 370.<br />Conclusions: A nomenclature of 54 actions in Rheumatology was compiled. Biopsies (bone, sural nerve, synovial), inpatient visits, visits to the patient's home, infiltrations in children, and the preparation of the expert report were identified as the most complex actions. Musculoskeletal ultrasound is twice as complex as subsequent visits, capillaroscopy or bone densitometry.<br /> (Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.)
- Subjects :
- Arthrocentesis classification
Biopsy classification
Bone and Bones pathology
Delphi Technique
Densitometry classification
House Calls
Humans
Injections, Intra-Articular classification
Inpatients
Microscopic Angioscopy classification
Rheumatology classification
Sural Nerve pathology
Synovial Membrane pathology
Time Factors
Ultrasonography classification
Rheumatology methods
Subjects
Details
- Language :
- English; Spanish; Castilian
- ISSN :
- 2173-5743
- Volume :
- 16
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Reumatologia clinica
- Publication Type :
- Academic Journal
- Accession number :
- 30745278
- Full Text :
- https://doi.org/10.1016/j.reuma.2018.11.010