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Prävalenz, Komorbidität und interdisziplinäre Versorgung der Rheumatoiden Arthritis ­ Versicherungsdaten zur ambulanten und stationären Versorgung in Baden-Württemberg. / [Prevalence, comorbidity and interdisciplinary treatment of rheumatoid arthritis - Insurance data on outpatient and inpatient care in Baden-Württemberg].

Strahl, A; Schneider, O; Frankenhauser-Mannuß, J; Knapstein, S; Hermann, C; Lembeck, B; Lorenz, H-M; Rüther, W; Flechtenmacher, J.
Z Rheumatol; 77(2): 113-126, 2018 Mar.
Artigo em Alemão | MEDLINE | ID: mdl-28929232

BACKGROUND:

Rheumatoid arthritis (RA) has an increased number of comorbidities compared with the general population.

OBJECTIVE:

Study aim was to collect epidemiological data on prevalence, incidence and comorbidities of RA as well as utilization of outpatient and inpatient care services. MATERIAL AND

METHODS:

In an age and gender-adjusted case control study, a total of 3.4 million patients insured by the AOK Baden-Württemberg were analysed with respect to visits to physicians, prevalence, incidence and comorbidities of RA. The study was based on out- and inpatient diagnoses from 2013.

RESULTS:

The RA prevalence was 0.64% (n = 26,919), the incidence was 0.04%. Patients with RA have significant more comorbidities in almost all diagnosis groups, especially in musculoskeletal and cardiovascular diseases, compared to a control group (n = 181,209). 22.8% of RA patients had not contacted an internist rheumatologist, orthopedist or orthopedic surgeon. Biological disease-modifying anti-rheumatic drugs (DMARDs) were almost exclusively prescribed by internist rheumatologists, while conventional DMARDs were equally prescribed by general practitioners and rheumatologists. Of the RA patients 32.6% were hospitalized at least once a year and were nearly twice as frequently inpatient as the control group.

CONCLUSION:

RA patients need more in- and outpatient healthcare services and suffer significantly more often from comorbidities. The general practitioner is the most frequently visited physician. Other consulted physicians are rheumatologists, ophthalmologists, orthopedists/orthopedic surgeons and internists not specialized in rheumatology. The study highlights the need to create consensus treatment algorithms and maintain a close interdisciplinary and intersectoral cooperation and communication.
Selo DaSilva