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AB0809 Educational programs for primary care physicians - effectiveness in diagnosis and treatment of ankylosing spondylitis in kazan
  1. S. Lapshina1,
  2. L. Myasoutova1
  1. 1Kazan State Medical University, Kazan, Russian Federation

Abstract

Background The long period of time from the first signs of ankylosing spondylitis (AS) to the correct diagnosis (mean 7-8 years) presents a delay of potentially effective therapy.

Objectives To evaluate the effectiveness of educational activities for primary contact physicians to AS diagnosis

Methods Since 2010 schools for primary care physicians for early diagnosis and therapy tactics of patients with AS are held in Kazan. Evaluation of the results was carried out according to the analysis of reports receiving from outpatient Rheumatological City Center in Kazan in 2009 (base year) compared to the years 2010-2012 after schools.

Results After schools (2010 – 2011 years) among all patients referred to rheumatologist for the first time in a given year, the proportion of patients with AS increased from 7.1% in the base 2009 to 9.6% in 2010, 10,1% in 2011, 11.2% in 2012. The number of patients with AS who have applied for the first time increased from 118 in 2009 to 190 in 2010, 204 pts in 2011, 237 pts in 2012.

Significantly increased the number of primary patients coming to rheumatologist consultation with documentation satisfactory to the rheumatologist (a clear description of back pain, laboratory tests, determination HLAB27, X-ray and / or MRI) from 23.7% in 2009 to 67% of patients in 2012. Primary care physicians, following rheumatologist appointments, begin to recommend more frequently continuous using of non-steroid anti-inflammatory drugs (from 9.7% in 2009 to 44.9% in 2012)

Conclusions Educational programs for primary care physicians are essential and contribute to early diagnosis of AS, the timely and proper destination therapy.

Disclosure of Interest None Declared

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