Journal article

Publication year: 2020

Pages: 317-326

Journal: Journal of Physical and Rehabilitation Medicine

Volume number: 30

Issue number: 05

ISSN: 0940-6689

eISSN: 1439-085X

DOI Link: https://doi.org/10.1055/a-1144-3598

Publisher: Georg Thieme Verlag

Abstract: 

Background Multimodal rheumatologic complex treatment (MRCT; OPS procedure classification system code 8-983) is a specific concept of inpatient care (DRG I97Z) implemented since 2005 for patients with rheumatic diseases, degenerative diseases and/or chronic pain syndromes suffering from exacerbated pain and functional impairment. Meanwhile, about 10.000 patients are treated by OPS 8-983per year.

Objectives In a monocentric retrospective analysis we evaluated if MRCT (i) reduces pain and improves functional status in patients with inflammatory joint and spine disorders, osteoarthritis and rheumatic soft tissue diseases, (ii) if there are influencing factors, and (iii) if treatment responses differ between these groups of disorders. The influence of comorbidities such as osteoporosis was evaluated separately.

Methods A total number of 324 MRCT episodes that have been provided to 249 patients between 2014 and 2017 were included into the analysis. We evaluated MRCT episodes of patients with inflammatory joint and spine disorders (IJSD; rheumatoid arthritis, spondyloarthropathies), osteoarthritis (OA) and rheumatic soft tissue diseases (RSTD; connective tissue disorders, fibromyalgia). In addition to the evaluation of MRCT effects on pain and functional impairment between admission and discharge, we assessed potential influence factors and differences in treatment response.

Results MRCT resulted in a significant amelioration of pain, a significant improvement of functional capacity and a significant reduction of disease activity in IJSD, OA and RSTD. Assessed influence factors did not have a significant effect on the outcome parameters. No significant difference in treatment responses to MRCT of the various disease entities could be found.

Conclusion This retrospective analysis proves the efficacy of MRCT on the entire spectrum of disorders in the field of rheumatology. Treatment responses to MRCT of the various diseases are comparable.

Harvard Citation style: Klemm, P., Hudowenz, O., Asendorf, T., Dischereit, G., Mueller-Ladner, U., Tarner, I., et al. (2020) Multimodal Rheumatologic Complex Treatment - does Conception Capture the Clinical Reality?, Journal of Physical and Rehabilitation Medicine, 30(05), pp. 317-326. https://doi.org/10.1055/a-1144-3598

APA Citation style: Klemm, P., Hudowenz, O., Asendorf, T., Dischereit, G., Mueller-Ladner, U., Tarner, I., & Lange, U. (2020). Multimodal Rheumatologic Complex Treatment - does Conception Capture the Clinical Reality?. Journal of Physical and Rehabilitation Medicine. 30(05), 317-326. https://doi.org/10.1055/a-1144-3598