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Screening strategy- questioning for suspected inflammatory arthritis embedded into primary care MSK spine pathway

by Carol McCrum | May 24, 2020 | in Rheumatology

We have incorporated screening questions for signs, symptoms and risk factors for axSpA into the local digital Msk assessment templates to support earlier recognition of suspected AxSpA and referral to rheumatology.

 

We also are in the process of sending out screening questionnaires for axSpA  to people on the Msk AP spinal triage waiting list to those with persistent back pain under age of 45 years.  With the current climate these people are currently on a 'routine' waiting list to be assessed via teleclinics. We are testing to see if these questionnaires allow more timely redirection to an inflammatory back pain pathway and supports earlier assessment to  improve delays to diagnosis for this condition.

 

 

 

What is needed to sustain the change?

Data is needed on the numbers triaged to the IBP which may come to be diagnosed with axSpA to explore the value and effectiveness of this strategy 

What is your region?

South East

edited on Jul 13, 2020 by Kyle Beacham
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Karen Kenyon May 27, 2020

Screening for AxSpa in telephone and virtual appointments in chronic pain management team.

Reply 1

Greta McLachlan Jun 12, 2020

Status labels added: Monitoring Of Groups, Screening, Horizon 1

Reply 0

Greta McLachlan Jun 15, 2020

Status labels added: Integration Of Resources, Pathway Redesign, Patient Selection, Prim/Sec Integration, Referral Pathway Redesign, Technology (Software/ Apps), Triage, Upskilling Of Staff, Horizon 2

Status label removed: Horizon 1

Reply 0

Greta McLachlan Jun 15, 2020

The idea has been progressed to the next milestone.

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Kyle Beacham Jul 13, 2020

Status labels removed: Integration Of Resources, Monitoring Of Groups, Pathway Redesign, Patient Selection, Prim/Sec Integration, Referral Pathway Redesign, Screening, Technology (Software/ Apps), Triage, Upskilling Of Staff

Reply 0