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At least 505 records · Page 28Linked to original sources
PubMed1991

Which patients see a rheumatologist? SWRACR (South Western Regional Advisory Committee on Rheumatology).

Rheumatology outpatient consultations were recorded throughout the South Western Regional Health Authority for one month. Of 2987 consultations (equivalent to 32,600 annually), 630 (21%) were new referrals who waited 60 days (mode) before their consultation. Rheumatoid arthritis and polyarthritis accounted for 43% of new referrals and 75% of follow-up patients. For these categories, 6.5 follow-up patients were seen for each new referral, but this ratio varied from 3.7 to 11.7. Other diagnoses also had variable patterns of follow-up but because they represented only a small proportion they were less relevant to overall service provision and resource consumption. These data not only outline current outpatient working patterns but also indicate areas of further investigation which might elucidate methods of providing good patient care and appropriate use of resources.

Ambulatory Care↗
PubMed1994

Effect of national health service reforms on outpatient rheumatology workload. South West Regional Advisory Committee for Rheumatology.

In order to compare the rheumatology outpatient workload in the South West Regional Health Authority in the years before and after implementation of the NHS reforms in April 1991, surveys were undertaken to collect and compare data from all NHS outpatient consultations during November in 1988, 1990, 1991 and 1992. All patients seen in consultation at all hospital rheumatology outpatient clinics in the South Western Regional Health Authority were included. Results were adjusted for both the number of working days in each month and the inclusion of one new centre in 1992. There was an increase of 33% in total consultations (2663 to 3551) between 1988 and 1992, mostly occurring following implementation of the NHS reforms. This increase related to both follow-up consultations and new patient consultations which increased by 26%. Conversely, waiting time from referral to a new patient consultation increased by 22% (65 days to 79 days). The case mix in most centres showed a proportional reduction in new patients with polyarthritis (43 to 34%) and an increase in back problems (10 to 15%) and OA (14 to 18%) but polyarthritis continued to dominate follow-up cases (75 and 72%). The overall follow-up: new ratio increased from 3.7 to 4.1. Contrary to early fears amongst rheumatologists, their workload has substantially increased during the time of this survey, and the waiting time for new referrals has also increased. While the proportion of new referrals with polyarthritis was reduced, the absolute number of such referrals has increased. As these patients are currently managed by long-term follow-up they make increased demands on hospital resources.(ABSTRACT TRUNCATED AT 250 WORDS)

Arthritis↗
PubMed2001

The potential role of xenotransplantation in treating endstage cardiac disease: a summary of the report of the Xenotransplantation Advisory Committee of the International Society for Heart and Lung Transplantation.

There is an increasing shortage of human donor hearts for transplantation. One potential solution is using hearts from a suitable animal source, such as the pig. A committee of the International Society for Heart and Lung Transplantation has reviewed the current status of research into xenotransplantation. Furthermore, the committee considered what results in the pig-to-nonhuman primate experimental model would justify a clinical trial of xenotransplantation, and the criteria for selecting patients to be entered in the trial. This review emphasizes initial patient selection issues, although the committee's overall conclusions and recommendations are summarized. Although the current experimental results do not presently justify initiating a clinical trial, the committee concluded that xenotransplantation theoretically has immense potential, and that research in this field should be encouraged and supported. Human cadaveric organ donation will still be of the highest priority for the foreseeable future.

Adult↗