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[Digitally supported rheumatological screening consultation : How useful is a questionnaire scoring system

Andreas Engel1, Julia Brandl2, Ino K Gao3

  • 1Rheumatologische Schwerpunktpraxis, Rotebühlstr. 66, 70178, Stuttgart, Deutschland. engel@praxisamfeuersee.de.

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|June 30, 2022
PubMed
Summary
This summary is machine-generated.

An early detection consultation (EDC) effectively distinguishes inflammatory from non-inflammatory rheumatic diseases. Combining digital questionnaires with clinical assessment significantly improves diagnostic accuracy for rheumatic conditions.

Keywords:
Digital questionnaireEarly detection consultationRhePortRheumatic diseaseScreening

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Area of Science:

  • Rheumatology
  • Clinical Diagnostics
  • Health Services Research

Background:

  • Scarce healthcare capacities necessitate efficient patient triage.
  • Differentiating inflammatory from non-inflammatory rheumatic diseases early is crucial for timely treatment and resource allocation.

Purpose of the Study:

  • To establish and evaluate an early detection consultation (EDC) for discriminating between inflammatory and non-inflammatory rheumatic diseases in an outpatient setting.
  • To assess the diagnostic performance of a digital questionnaire (RhePort) alone versus combined with a clinical assessment within the EDC.

Main Methods:

  • A total of 500 patients with suspected rheumatic disease were assessed.
  • Patients completed a digital questionnaire (RhePort) and underwent a brief physical examination and CRP determination.
  • Diagnostic accuracy was compared between RhePort scores, EDC assessments, and a definitive diagnosis after 10 weeks.

Main Results:

  • In 490 evaluable patients, 133 (27%) had inflammatory and 357 (73%) had non-inflammatory rheumatic diseases.
  • RhePort alone achieved 80% sensitivity and 35% specificity for inflammatory disease (AUC 0.62).
  • The combined EDC assessment achieved 98% sensitivity and 73% specificity for inflammatory disease.

Conclusions:

  • The combined early detection consultation (EDC) significantly enhances diagnostic sensitivity and specificity compared to digital questionnaires alone.
  • Early identification of inflammatory rheumatic diseases allows for prompt treatment, while excluding non-inflammatory cases optimizes healthcare capacity.
  • This integrated approach improves patient care and efficient management of rheumatology services.