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Differences between rheumatologists and other internists regarding diagnosis and treatment of systemic lupus erythematosus

机译：风湿病学家与其他内科医师在系统性红斑狼疮的诊断和治疗方面的差异

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Objectives: To compare the diagnostics and treatment of SLE patients in the care of rheumatologists with patients in the care of other specialities within a geographically complete cohort. Methods: Nine different sources were used to identify SLE patients resident in Oslo between 1999 and 2008. Only SLE patients fulfilling four or more of the updated 1997 ACR criteria were included. Data were extracted from medical records. The patients were classified into three groups according to each patient's responsible doctor's speciality. Results: A total of 325 SLE patients were included in the study. Of these, 227 had solely been in the care of rheumatologists (rheumatology group), 34 had solely been in the care of nephrologists, haematologists or infectious disease specialists (non-rheumatology group) and 64 had been in the care of both rheumatologists and other specialists (multidisciplinary group). Even though patients in the non-rheumatology group and multidisciplinary group showed similar disease characteristics, patients in the non-rheumatology group were less often tested for aPLs (68 vs 94%; P = 0.001) and less often treated with HCQ (12 vs 78%; P < 0.001). Conclusions: In contrast to rheumatologists, non-rheumatologists do not routinely test all SLE patients for aPLs, and rarely prescribe HCQ. These findings indicate that more communication between different specialists caring for SLE is needed, and highlights an area in need of agreement.
机译：目的：在一个地理上完整的队列中，比较风湿病医师和其他专科医师对SLE患者的诊断和治疗。方法：从1999年至2008年，使用9种不同的来源来识别居住在奥斯陆的SLE患者。仅包括满足更新的1997年ACR标准中的四个或更多条件的SLE患者。从病历中提取数据。根据每个患者的负责医生的专长，将患者分为三组。结果：总共325名SLE患者被纳入研究。其中，风湿病科（风湿病学组）仅照顾227名，风湿病科或风湿病科或传染病专家（非风湿病学组）仅照顾了34名，风湿病科和其他传染病科的照顾仅占34名。专家（多学科小组）。即使非风湿病学组和多学科组的患者表现出相似的疾病特征，非风湿病学组的患者接受aPL的测试次数也较少（68比94％; P = 0.001），HCQ治疗的次数也较少（12比78） ％; P <0.001）。结论：与风湿病医师相反，非风湿病医师不会常规检查所有SLE患者的aPL，并且很少开HCQ。这些发现表明，在照顾SLE的不同专家之间需要更多的交流，并强调了需要达成共识的领域。

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