Design of an algorithm for the diagnostic approach of patients with joint pain

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dc.contributor.authorFernández-Ávila, Daniel
dc.contributor.authorRojas, María Ximena
dc.contributor.authorMora, Sergio Alexander
dc.contributor.authorVarela Rojas, Paola
dc.contributor.authorVanegas-García, Lucía
dc.contributor.authorSapag-Durán, Ana María
dc.contributor.authorHormaza jaramillo, Andres Alberto
dc.contributor.authorFernández, Andrés Ricardo
dc.contributor.authorCachafeiro, Antonio
dc.contributor.authorMeléndez, Belia Lucía
dc.contributor.authorCaballero-Uribe, Carlo V
dc.contributor.authorToro Gutierrez, Carlos Enrique
dc.contributor.authorPalleiro, Daniel
dc.contributor.authorJaimes-Fernández, Diego Alejandro
dc.contributor.authorArrieta, Dina Maria
dc.contributor.authorÁlvarez, Fausto
dc.contributor.authorPinto-Patarroyo, Gineth Paola
dc.contributor.authorQuiceno, Guillermo Andrés
dc.contributor.authorPons-Estel, Guillermo
dc.contributor.authorGómez-Puerta, Jose A
dc.contributor.authorThen Báez, Jossiell
dc.contributor.authorBello-Gualtero, Juan Manuel
dc.contributor.authorGutiérrez, Juan Martín
dc.contributor.authorSegura-Charry, Juan Sebastian
dc.contributor.authorFerreyra Garrott, Leandro Gabriel
dc.contributor.authorStange, Lilith
dc.contributor.authorSaldarriaga, Lina María
dc.contributor.authorUgarte-Gil, Manuel Francisco
dc.contributor.authorCardiel, Mario H.
dc.contributor.authorMoreno, Mario Javier
dc.contributor.authorQuintero, Maritza
dc.contributor.authorPorras, Marlon B.
dc.contributor.authorColman, Nelly
dc.contributor.authorChávez, Nilmo Noel
dc.contributor.authorRuiz, Oscar Orlando
dc.contributor.authorMendez Patarroyo, Paul Alejandro
dc.contributor.authorMachado-Xavier, Ricardo
dc.contributor.authorCaicedo, Tomás
dc.contributor.authorOcampo, Vanessa D.
dc.contributor.authorBautista-Molano, Wilson Armando
dc.contributor.authorMedina, Yimy
dc.contributor.authorFuentes-Silva, Yurilis
dc.contributor.authorSoriano, Enrique Roberto
dc.contributor.orcidBautista-Molano, Wilson Armando [0000-0003-0684-9542]
dc.contributor.orcidBautista-Molano, Wilson Armando [0000-0003-0684-9542]
dc.contributor.orcidBautista-Molano, Wilson Armando [0000-0003-0684-9542]
dc.date.accessioned2020-09-03T00:05:21Z
dc.date.available2020-09-03T00:05:21Z
dc.date.issued2020
dc.description.abstractenglishBackground Rheumatic diseases are a reason for frequent consultation with primary care doctors. Unfortunately, there is a high percentage of misdiagnosis. Objective To design an algorithm to be used by primary care physicians to improve the diagnostic approach of the patient with joint pain, and thus improve the diagnostic capacity in four rheumatic diseases. Methods Based on the information obtained from a literature review, we identified the main symptoms, signs, and paraclinical tests related to the diagnosis of rheumatoid arthritis, spondyloarthritis with peripheral involvement, systemic lupus erythematosus with joint involvement, and osteoarthritis. We conducted 3 consultations with a group of expert rheumatologists, using the Delphi technique, to design a diagnostic algorithm that has as a starting point “joint pain” as a common symptom for the four diseases. Results Thirty-nine rheumatologists from 18 countries of Ibero-America participated in the Delphi exercise. In the first consultation, we presented 94 items to the experts (35 symptoms, 31 signs, and 28 paraclinical tests) candidates to be part of the algorithm; 74 items (25 symptoms, 27 signs, and 22 paraclinical tests) were chosen. In the second consultation, the decision nodes of the algorithm were chosen, and in the third, its final structure was defined. The Delphi exercise lasted 8 months; 100% of the experts participated in the three consultations. Conclusion We present an algorithm designed through an international consensus of experts, in which Delphi methodology was used, to support primary care physicians in the clinical approach to patients with joint pain.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1007/s10067-020-05323-w
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1434-9949
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/3935
dc.language.isoeng
dc.publisherSpringer Naturespa
dc.publisher.journalClinical rheumatologyspa
dc.relation.ispartofseriesClinical rheumatology, 1434-9949, 2020spa
dc.relation.urihttps://link.springer.com/article/10.1007/s10067-020-05323-w
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2020-08-25
dc.rights.localAcceso abiertospa
dc.subject.keywordsAlgorithmsspa
dc.subject.keywordsArthritisspa
dc.subject.keywordsLupus erythematosusspa
dc.subject.keywordsOsteoarthritisspa
dc.subject.keywordsPhysiciansspa
dc.subject.keywordsPrimary carespa
dc.subject.keywordsRheumatoidspa
dc.subject.keywordsSpondyloarthritisspa
dc.subject.keywordsSystemicspa
dc.titleDesign of an algorithm for the diagnostic approach of patients with joint painspa
dc.title.translatedDesign of an algorithm for the diagnostic approach of patients with joint painspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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