Quantitative recording of physician clinical estimates, beyond a global estimate and formal joint count, in usual care: applying the scientific method, using a simple one-page worksheet.

作者: Theodore Pincus , Martin J. Bergman

DOI: 10.1016/J.RDC.2009.10.020

关键词: Physical therapyMedical physicsMedicineUsual careClinical careOrgan damageWorksheetPatient VisitSomatization

摘要: Little attention has been directed to quantitation of clinical impressions and estimates physicians. This article describes a one-page worksheet for completion by the physician at each patient visit. It includes global estimate change in status four quantitative degree inflammation, organ damage, fibromyalgia or somatization. An prognosis is recorded, with no therapy available therapies. All changes medications are recorded. A template formal 42 joint count. The requires fewer than 15 seconds proven considerable value care.

参考文章(14)
Reed Gw, Reed Gw, Pincus T, Pincus T, DeWalt Da, Further clues to recognition of patients with fibromyalgia from a simple 2-page patient multidimensional health assessment questionnaire (MDHAQ). Clinical and Experimental Rheumatology. ,vol. 22, pp. 453- 461 ,(2004)
M A Cathey, S M Kleinheksel, F Wolfe, Fibrositis (Fibromyalgia) in rheumatoid arthritis The Journal of Rheumatology. ,vol. 11, pp. 814- 818 ,(1984)
Theodore Pincus, Oscar G Segurado, Most visits of most patients with rheumatoid arthritis to most rheumatologists do not include a formal quantitative joint count Annals of the Rheumatic Diseases. ,vol. 65, pp. 820- 822 ,(2006) , 10.1136/ARD.2005.044230
FREDERICK WOLFE, MICHELLE PETRI, GRACIELA S. ALARCÓN, JOHN GOLDMAN, ELIZA F. CHAKRAVARTY, ROBERT S. KATZ, ELIZABETH W. KARLSON, Fibromyalgia, Systemic Lupus Erythematosus (SLE), and Evaluation of SLE Activity The Journal of Rheumatology. ,vol. 36, pp. 82- 88 ,(2008) , 10.3899/JRHEUM.080212
David T. Felson, Jennifer J. Anderson, Maarten Boers, Claire Bombardier, Miriam Chernoff, Bruce Fried, Daniel Furst, Charles Goldsmith, Stephanie Kieszak, Robert Lightfoot, Harold Paulus, Peter Tugwell, Michael Weinblatt, Rudolph Widmark, H. James Williams, Frederick Wolfe, The American college of rheumatology preliminary core set of disease activity measures for rheumatoid arthritis clinical trials Arthritis & Rheumatism. ,vol. 36, pp. 729- 740 ,(1993) , 10.1002/ART.1780360601
Howard A. Fuchs, Raye H. Brooks, Leigh F. Callahan, Theodore Pincus, A simplified twenty-eight-joint quantitative articular index in rheumatoid arthritis. Arthritis & Rheumatism. ,vol. 32, pp. 531- 537 ,(1989) , 10.1002/ANR.1780320504
Vibeke Strand, Stanley Cohen, Michael Schiff, Arthur Weaver, Roy Fleischmann, Grant Cannon, Robert Fox, Larry Moreland, Nancy Olsen, Dan Furst, Jacques Caldwell, Jeffrey Kaine, John Sharp, Frank Hurley, Iris Loew-Friedrich, Leflunomide Rheumatoid Arthritis Investigators Group, Treatment of Active Rheumatoid Arthritis With Leflunomide Compared With Placebo and Methotrexate JAMA Internal Medicine. ,vol. 159, pp. 2542- 2550 ,(1999) , 10.1001/ARCHINTE.159.21.2542