Pediatric rheumatology

Majority of new patient referrals to a large pediatric rheumatology center result in non-rheumatic diagnosis

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

In this analysis of new patient referrals to a large pediatric rheumatology center, the majority of patients were diagnosed with a non-rheumatic condition.

Study context

Population
All new patients referred to and seen by the University of Alabama at Birmingham Pediatric Rheumatology Division, January 2019–December 2021
Participants
2,638 patients
Outcome
Frequency of rheumatic disease, non-rheumatic disease and specific diagnoses among new patient referrals
Methodological detailssingle-centre, tertiary care
  • Single-centre
  • Tertiary care

Main finding

As reported in the abstract

Diagnosis among new patient referrals

Rheumatic disease

610

23.1%

Non-rheumatic condition

2028

76.9%

Observational data: associations, not effects.

Further findings

Most common rheumatic diseases (among those with rheumatic disease)

Juvenile idiopathic arthritis (JIA)
45.6%
Primary RP
7.4%
Recurrent fever syndromes
6.9%
Vasculitides
6.7%
Inflammatory eye disease
6.2%

Most common non-rheumatic conditions (among those with non-rheumatic condition)

Benign musculoskeletal pain
61.8%
Combination of somatic conditions
11.6%
Non-inflammatory rash
7.7%

Original publication

Majority of new patient referrals to a large pediatric rheumatology center result in non-rheumatic diagnosis. Pediatr Rheumatol Online J. Published 13 October 2023. doi:10.1186/s12969-023-00910-y

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