Recommendations for defining giant cell arteritis fast-track clinics. English version

被引:3
|
作者
Schmidt, Wolfgang A. [1 ]
Czihal, Michael [2 ]
Gernert, Michael [3 ]
Hartung, Wolfgang [4 ]
Hellmich, Bernhard [5 ]
Ohrndorf, Sarah [6 ]
Riemekasten, Gabriela [7 ]
Schaefer, Valentin S. [8 ]
Strunk, Johannes [9 ]
Venhoff, Nils [10 ]
机构
[1] Immanuel Krankenhaus Berlin, Abt Rheumatol & Klin Immunol, Klin Innere Med, Standort Berlin Buch, Lindenberger Weg 19, D-13125 Berlin, Germany
[2] LMU Klinikum, Med Klin & Poliklin 4, Sekt Angiol, Munich, Germany
[3] Univ Klinikum Wurzburg, Med Klin 2, Rheumatol Klin Immunol, Wurzburg, Germany
[4] Asklepios Klin Bad Abbach, Klin Rheumatol & Klin Immunol, Bad Abbach, Germany
[5] Medius Klin Kirchheim, Klin Innere Med Rheumatol Pneumol Nephrol & Diabet, Kirchheim Unter Teck, Germany
[6] Charite Univ Med Berlin, Med Klin Schwerpunkt Rheumatol & Klin Immunol, Berlin, Germany
[7] Univ Klinikum Schleswig Holstein, Klin Rheumatol, Lubeck, Germany
[8] Univ Klinikum Bonn, Med Klin & Poliklin 3, Sekt Rheumatol & Klin Immunol, Bonn, Germany
[9] Krankenhaus Porz Rhein gGmbH, Klin Rheumatol, Cologne, Germany
[10] Albert Ludwigs Univ Freiburg, Univ Klinikum Freiburg, Med Fak, Klin Rheumatol & Klin Immunol, Freiburg, Germany
关键词
Polymyalgia rheumatica; Ultrasound; Magnetic resonance imaging; Computed tomography; Positron emission tomography; Ultraschall; Magnetresonanztomographie; Computertomographie; Positronenemissionstomographie;
D O I
10.1007/s00393-024-01532-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A German expert committee recommends defining fast-track clinics (FTC) for the acute diagnosis of giant cell arteritis (GCA) as follows: easy and prompt reachability at least on weekdays, scheduling appointments ideally within 24 h, examination by a specialist with GCA expertise, >= 2 experts per FTC, >= 50 patients with suspected GCA per year, sonologists with >= 300 (>= 50) temporal and axillary artery examinations, adherence to standard operating procedures, availability of an >= 18 (>= 15) MHz and a lower frequency linear ultrasound probe, and collaboration with partners for neurology and ophthalmology consultations, magnetic resonance imaging (MRI), positron emission tomography-computed tomography (PET-CT, possibly CT), and for temporal artery biopsy. Eine Expertenkommission empfiehlt, Fast-Track Kliniken (FTK) f & uuml;r die Akutdiagnostik der Riesenzellarteriitis (RZA) folgenderma ss en zu definieren: niederschwellige, mindestens werkt & auml;gliche Erreichbarkeit, Terminvergabe idealerweise innerhalb von 24 h, Untersuchung durch Facharzt mit RZA-Expertise, >= 2 Experten pro FTK, >= 50 Patienten mit Verdacht auf RZA-Patienten pro Jahr, Ultraschalluntersucher mit >= 300 (>= 50) Untersuchungen von Temporal- und Axillararterien, Befolgung von Standardisierungsanweisungen, Verf & uuml;gbarkeit eines Schallkopfs >= 18 (>= 15) MHz- und eines niederfrequenteren Linearultraschallkopfs und von Kooperationspartnern f & uuml;r zeitnahe Durchf & uuml;hrung von augen & auml;rztlichen und neurologischen Untersuchungen, Magnetresonanztomographie (MRT), Positronenemissionstomographie-Computertomographie (PET-CT, ggf. CT) und Temporalarterienbiopsie.
引用
收藏
页码:285 / 288
页数:4
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