Executive summary on the optimization of the multidisciplinary and integrated approach to polymyalgia rheumatica and giant cell arteritis in Madrid region

A. González García , C. del Arco , D. Lucas Fernández , M. Frías-Vargas , M. Guillán , M. Méndez-Bailón , M. Ruiz Grinspan , A.C. Aguado-Castaño , J. Fraile Maya , G. Latorre González , S. Castañeda
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Abstract

Polymyalgia rheumatica and giant cell arteritis can be a medical emergency in which a delay in correct diagnosis and therapeutic management can cause serious complications.

With the aim of improving the care of patients with these pathologies in the Community of Madrid, a study was designed to identify the causes and possible solutions to address the problems related to the diagnosis of these pathologies.

After the analysis, 11 areas of improvement related to four different aspects of the care process were identified: coordination and protocols, equipment, training and awareness of pathologies, and patient experience. Of all the areas identified, it was considered a priority to resolve those related to the generation of protocols for the comprehensive management of the pathologies, which include all the specialties and levels of care involved. Another crucial aspect is the increase in the degree of clinical suspicion of these pathologies.

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关于优化马德里地区多发性风湿痛和巨细胞动脉炎多学科综合疗法的执行摘要
多发性风湿痛和巨细胞动脉炎可能是一种医疗急症,延误正确诊断和治疗会导致严重的并发症。为了改善马德里大区对这些病症患者的护理,我们设计了一项研究,旨在找出原因和可能的解决方案,以解决与这些病症诊断相关的问题。经过分析,我们确定了与护理过程的四个不同方面相关的 11 个需要改进的领域:协调和协议、设备、培训和对病症的认识以及患者体验。在所有已确定的领域中,与制定病理综合管理规程有关的领域被认为是优先要解决的问题,其中包括所涉及的所有专科和各级护理。另一个至关重要的方面是提高对这些病症的临床怀疑程度。
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