gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Reduction of laboratory costs using a diagnostic approach based on an interdisciplinary concept with clinical findings in uveitis patients

Meeting Abstract

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  • corresponding author A. Lösch - Interdisciplinary Uveitiscenter Heidelberg
  • S. Flessa - Dpt. of Tropical Hygiene and Public Health Section of International Health Economics, University of Heidelberg
  • C. Fiehn - Interdisciplinary Uveitiscenter Heidelberg
  • M.D. Becker - Interdisciplinary Uveitiscenter Heidelberg

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogFR.16.02

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dog2004/04dog303.shtml

Veröffentlicht: 22. September 2004

© 2004 Lösch et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

Interdisciplinarity is a main feature of high quality diagnostics, therapy, and management of patients with inflammatory/ rheumatological diseases. Normally, the patient is seen both in a rheumatological and ophthalmological clinic. These separate examinations are inconvenient for the patients because of frequent appointments and the distances between clinics. Loss of information may cause inadequate decision making concerning therapy or inefficient planning of further diagnostics. The classic approach of examining patients with intraocular inflammation often consists of an expensive battery of all available diagnostic procedures.

Methods

Existing standards of uveitis diagnostic tools were screened. As an optimal strategy for an interdisciplinary center a diagnostic procedure based on clinical findings was identified with intensive interaction between ophthalmologists and rheumatologists [1]. Only when examination does not reveal a clear association with a rheumatological or ophthalmological disease, a standard test scheme depending on anatomical features of the uveitis (uveitis anterior, intermedia, posterior, or panuveitis) is implemented. We implemented this new diagnostic standard on a fixed time point (intervention), replacing the old standard diagnostic regime and compared the laboratory costs.

Results

With our strategy we were able to get a 65% reduction in the cost of laboratory diagnostics in patients with intraocular inflammation without an increase in the number of cases of primary uveitis, which shows that the quality of our investigation did not decrease.

Conclusions

An efficient use of laboratory examinations in uveitis patients based on clinical findings allows a significant reduction of their costs in an interdisciplinary team.


References

1.
Fiehn et al. Differenzialdiagnose der Uveitis. Dtsch. Ärzteblatt 2003, 100:A2514-22