Five Years’ Experience of Multidisciplinary Approach to Chronic Inflammatory Diseases by Rheumatology, Dermatology and Gastroenterology Departments

Introduction: Chronic inflammatory diseases (CIDs) are lifelong complex disorders that affect quality of life, and this study aimed to summarize 5 years of experience with a multidisciplinary approach for these complex diseases as a result of medical council meetings. Methods: Hospital-based, medica...

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Main Authors: Burcu Yağız, Belkıs Nihan Coşkun, Altuğ Güner, Aslı Macunluoglu, Yavuz Pehlivan, Serkan Yazici, Hüseyin Ediz Dalkılıç, Emel Başkan, Tugba Ocak, Murat Kıyıcı
Format: Article
Language:English
Published: Nizameddin KOCA 2022-01-01
Series:Turkish Journal of Internal Medicine
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/1845863
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author Burcu Yağız
Belkıs Nihan Coşkun
Altuğ Güner
Aslı Macunluoglu
Yavuz Pehlivan
Serkan Yazici
Hüseyin Ediz Dalkılıç
Emel Başkan
Tugba Ocak
Murat Kıyıcı
author_facet Burcu Yağız
Belkıs Nihan Coşkun
Altuğ Güner
Aslı Macunluoglu
Yavuz Pehlivan
Serkan Yazici
Hüseyin Ediz Dalkılıç
Emel Başkan
Tugba Ocak
Murat Kıyıcı
author_sort Burcu Yağız
collection DOAJ
description Introduction: Chronic inflammatory diseases (CIDs) are lifelong complex disorders that affect quality of life, and this study aimed to summarize 5 years of experience with a multidisciplinary approach for these complex diseases as a result of medical council meetings. Methods: Hospital-based, medical records review study was conducted. A total of 45 monthly medical council meetings were held between 2014-2019 with the participation of the rheumatology, dermatology and gastroenterology departments of the same university. Patients with complex conditions that were seen in each department's own polyclinic composed the council. This study only included 308 patients referred by the rheumatology group. Results: Females made up 66.5 % of the 308 patients. The median age was 45 (19-77). PsA (psoriatic arthritis) and other SPA (spondyloarthritis) patients composed 49.3% of the total. A total of 68.18% of the patients were presented only to consult with the dermatology department. The most common reason for presenting patients was to discuss options for treatment (41.5%). The diagnosis of psoriasis was confirmed in 48 of 67 (71.6%) patients who presented with a pre-diagnosis. The diagnosis was changed in 34.74% of the patients, whereas the diagnosis became completely different in 11.36% of the patients. Conclusions: Many patients with challenging diagnosis and treatment processes are encountered in daily practice. The combination of different disciplines makes it possible to provide more rapid and effective solutions. In this study, we aimed to emphasize the increasing importance of such multidisciplinary approaches
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spelling doaj.art-8b04d03af1c7497da551b4b3012dbd712023-02-15T16:10:34ZengNizameddin KOCATurkish Journal of Internal Medicine2687-42452022-01-0141374410.46310/tjim.9582471881Five Years’ Experience of Multidisciplinary Approach to Chronic Inflammatory Diseases by Rheumatology, Dermatology and Gastroenterology DepartmentsBurcu Yağız0Belkıs Nihan Coşkun1Altuğ Güner2Aslı Macunluoglu3Yavuz Pehlivan4Serkan Yazici5Hüseyin Ediz Dalkılıç6Emel Başkan7Tugba Ocak8Murat Kıyıcı9BURSA ULUDAĞ ÜNİVERSİTESİULUDAĞ ÜNİVERSİTESİ, TIP FAKÜLTESİULUDAĞ ÜNİVERSİTESİ, TIP FAKÜLTESİULUDAĞ ÜNİVERSİTESİ, TIP FAKÜLTESİULUDAĞ ÜNİVERSİTESİ, TIP FAKÜLTESİULUDAĞ ÜNİVERSİTESİ, TIP FAKÜLTESİULUDAĞ ÜNİVERSİTESİ, TIP FAKÜLTESİULUDAĞ ÜNİVERSİTESİ, TIP FAKÜLTESİULUDAĞ ÜNİVERSİTESİ, TIP FAKÜLTESİULUDAĞ ÜNİVERSİTESİ, TIP FAKÜLTESİIntroduction: Chronic inflammatory diseases (CIDs) are lifelong complex disorders that affect quality of life, and this study aimed to summarize 5 years of experience with a multidisciplinary approach for these complex diseases as a result of medical council meetings. Methods: Hospital-based, medical records review study was conducted. A total of 45 monthly medical council meetings were held between 2014-2019 with the participation of the rheumatology, dermatology and gastroenterology departments of the same university. Patients with complex conditions that were seen in each department's own polyclinic composed the council. This study only included 308 patients referred by the rheumatology group. Results: Females made up 66.5 % of the 308 patients. The median age was 45 (19-77). PsA (psoriatic arthritis) and other SPA (spondyloarthritis) patients composed 49.3% of the total. A total of 68.18% of the patients were presented only to consult with the dermatology department. The most common reason for presenting patients was to discuss options for treatment (41.5%). The diagnosis of psoriasis was confirmed in 48 of 67 (71.6%) patients who presented with a pre-diagnosis. The diagnosis was changed in 34.74% of the patients, whereas the diagnosis became completely different in 11.36% of the patients. Conclusions: Many patients with challenging diagnosis and treatment processes are encountered in daily practice. The combination of different disciplines makes it possible to provide more rapid and effective solutions. In this study, we aimed to emphasize the increasing importance of such multidisciplinary approacheshttps://dergipark.org.tr/tr/download/article-file/1845863chronic inflammatory diseasesdermatologygastroenterologymultidisciplinaryrheumatology
spellingShingle Burcu Yağız
Belkıs Nihan Coşkun
Altuğ Güner
Aslı Macunluoglu
Yavuz Pehlivan
Serkan Yazici
Hüseyin Ediz Dalkılıç
Emel Başkan
Tugba Ocak
Murat Kıyıcı
Five Years’ Experience of Multidisciplinary Approach to Chronic Inflammatory Diseases by Rheumatology, Dermatology and Gastroenterology Departments
Turkish Journal of Internal Medicine
chronic inflammatory diseases
dermatology
gastroenterology
multidisciplinary
rheumatology
title Five Years’ Experience of Multidisciplinary Approach to Chronic Inflammatory Diseases by Rheumatology, Dermatology and Gastroenterology Departments
title_full Five Years’ Experience of Multidisciplinary Approach to Chronic Inflammatory Diseases by Rheumatology, Dermatology and Gastroenterology Departments
title_fullStr Five Years’ Experience of Multidisciplinary Approach to Chronic Inflammatory Diseases by Rheumatology, Dermatology and Gastroenterology Departments
title_full_unstemmed Five Years’ Experience of Multidisciplinary Approach to Chronic Inflammatory Diseases by Rheumatology, Dermatology and Gastroenterology Departments
title_short Five Years’ Experience of Multidisciplinary Approach to Chronic Inflammatory Diseases by Rheumatology, Dermatology and Gastroenterology Departments
title_sort five years experience of multidisciplinary approach to chronic inflammatory diseases by rheumatology dermatology and gastroenterology departments
topic chronic inflammatory diseases
dermatology
gastroenterology
multidisciplinary
rheumatology
url https://dergipark.org.tr/tr/download/article-file/1845863
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