Multidisciplinary models for pregnancy care in patients with rheumatic diseases: Clinical experiences and experts opinion

Pregnancy care; Rheumatic diseases

Detalles Bibliográficos
Autores: Alsina, Laia, Baniandrés, Ofelia, Caliz, Rafael, Casellas Caro, Manuel, Grados, Dolors, Pluma Sanjurjo, Andrea
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Departament de Salut de la Generalitat de Catalunya (DS)
Repositorio:Scientia. Dipòsit d'Informació Digital del Departament de Salut
OAI Identifier:oai:scientiasalut.gencat.cat:11351/8936
Acceso en línea:https://hdl.handle.net/11351/8936
Access Level:acceso abierto
Palabra clave:Embaràs
Reumatisme
DISEASES::Musculoskeletal Diseases::Rheumatic Diseases
PHENOMENA AND PROCESSES::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproduction::Pregnancy
ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades reumáticas
FENÓMENOS Y PROCESOS::fenómenos fisiológicos reproductivos y urinarios::fenómenos fisiológicos de la reproducción::reproducción::embarazo
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spelling Multidisciplinary models for pregnancy care in patients with rheumatic diseases: Clinical experiences and experts opinionAlsina, LaiaBaniandrés, OfeliaCaliz, RafaelCasellas Caro, ManuelGrados, DolorsPluma Sanjurjo, AndreaEmbaràsReumatismeDISEASES::Musculoskeletal Diseases::Rheumatic DiseasesPHENOMENA AND PROCESSES::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproduction::PregnancyENFERMEDADES::enfermedades musculoesqueléticas::enfermedades reumáticasFENÓMENOS Y PROCESOS::fenómenos fisiológicos reproductivos y urinarios::fenómenos fisiológicos de la reproducción::reproducción::embarazoPregnancy care; Rheumatic diseasesCuidado del embarazo; Enfermedades reumáticasCura de l'embaràs; Malalties reumàtiquesObjectives: To describe different models of multidisciplinary pregnancy care for patients with inflammatory and autoimmune rheumatic diseases, and the steps to follow concerning their implementation. Methods: A qualitative study was conducted including: (1) a comprehensive literature search in PUBMED focused on multidisciplinary care models; (2) structured interviews with seven rheumatologists from multidisciplinary pregnancy clinics for patients with inflammatory and autoimmune rheumatic diseases. Data were collected related to the hospitals, medical departments, populations cared for, and multidisciplinary care models (type, material, and human resources, professional requirements, objectives, referral criteria, agendas, protocols, responsibilities, decision-making, research and educational activities, multidisciplinary clinical sessions, initiation/start, planning, advantages/disadvantages, and barriers/facilitators for implementation); (3) a nominal meeting group in which the results of searches and interviews were analyzed and the recommendations for the implementation of the multidisciplinary care models defined. Results: We analyzed seven models of multidisciplinary care in pregnancy, implemented 3-10 years ago, which can all be summarized by two different subtypes: parallel (patients are assessed the same day in the involved medical services) and preferential (patients are assessed on different days in the involved medical services) circuits. The implementation of a specific model results rather from an adaptation to the hospital’s and professionals’ circumstances. Correct planning and good harmony among professionals are key points to implementing a model. Conclusion: Different multidisciplinary care models have been implemented for patients with inflammatory and autoimmune rheumatic diseases during pregnancy. They pretend to improve care, system efficiency, and collaboration among specialists and should be carefully implemented.The project was supported by UCB Pharma.AVES PublishingInstitut Català de la Salut[Pluma A] Servei de Reumatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Alsina L] Department of Allergy and Clinical Immunology, Clinical Immunology and Primary Immunodeficencies Unit, Hospital Sant Joan de Deu, Barcelona, Spain. [Baniandres O] Department of Dermatology, Hospital Universitario Gregorio Maranon, Madrid, Spain. [Caliz R] Department of Rheumatology, Complejo Hospitalario Universitario de Granada, Granada, Spain. [Casellas M] Unitat Docent d'Obstetrícia i Ginecologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Grados D] Department of Rheumatology, Hospital D’Igualada, Barcelona, SpainVall d'Hebron Barcelona Hospital Campus202320232022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/8936Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésEuropean Journal of Rheumatology;9(4)https://doi.org/10.5152/eujrheum.2022.20012Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/89362026-06-12T09:38:37Z
dc.title.none.fl_str_mv Multidisciplinary models for pregnancy care in patients with rheumatic diseases: Clinical experiences and experts opinion
title Multidisciplinary models for pregnancy care in patients with rheumatic diseases: Clinical experiences and experts opinion
spellingShingle Multidisciplinary models for pregnancy care in patients with rheumatic diseases: Clinical experiences and experts opinion
Alsina, Laia
Embaràs
Reumatisme
DISEASES::Musculoskeletal Diseases::Rheumatic Diseases
PHENOMENA AND PROCESSES::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproduction::Pregnancy
ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades reumáticas
FENÓMENOS Y PROCESOS::fenómenos fisiológicos reproductivos y urinarios::fenómenos fisiológicos de la reproducción::reproducción::embarazo
title_short Multidisciplinary models for pregnancy care in patients with rheumatic diseases: Clinical experiences and experts opinion
title_full Multidisciplinary models for pregnancy care in patients with rheumatic diseases: Clinical experiences and experts opinion
title_fullStr Multidisciplinary models for pregnancy care in patients with rheumatic diseases: Clinical experiences and experts opinion
title_full_unstemmed Multidisciplinary models for pregnancy care in patients with rheumatic diseases: Clinical experiences and experts opinion
title_sort Multidisciplinary models for pregnancy care in patients with rheumatic diseases: Clinical experiences and experts opinion
dc.creator.none.fl_str_mv Alsina, Laia
Baniandrés, Ofelia
Caliz, Rafael
Casellas Caro, Manuel
Grados, Dolors
Pluma Sanjurjo, Andrea
author Alsina, Laia
author_facet Alsina, Laia
Baniandrés, Ofelia
Caliz, Rafael
Casellas Caro, Manuel
Grados, Dolors
Pluma Sanjurjo, Andrea
author_role author
author2 Baniandrés, Ofelia
Caliz, Rafael
Casellas Caro, Manuel
Grados, Dolors
Pluma Sanjurjo, Andrea
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Pluma A] Servei de Reumatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Alsina L] Department of Allergy and Clinical Immunology, Clinical Immunology and Primary Immunodeficencies Unit, Hospital Sant Joan de Deu, Barcelona, Spain. [Baniandres O] Department of Dermatology, Hospital Universitario Gregorio Maranon, Madrid, Spain. [Caliz R] Department of Rheumatology, Complejo Hospitalario Universitario de Granada, Granada, Spain. [Casellas M] Unitat Docent d'Obstetrícia i Ginecologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Grados D] Department of Rheumatology, Hospital D’Igualada, Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Embaràs
Reumatisme
DISEASES::Musculoskeletal Diseases::Rheumatic Diseases
PHENOMENA AND PROCESSES::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproduction::Pregnancy
ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades reumáticas
FENÓMENOS Y PROCESOS::fenómenos fisiológicos reproductivos y urinarios::fenómenos fisiológicos de la reproducción::reproducción::embarazo
topic Embaràs
Reumatisme
DISEASES::Musculoskeletal Diseases::Rheumatic Diseases
PHENOMENA AND PROCESSES::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproduction::Pregnancy
ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades reumáticas
FENÓMENOS Y PROCESOS::fenómenos fisiológicos reproductivos y urinarios::fenómenos fisiológicos de la reproducción::reproducción::embarazo
description Pregnancy care; Rheumatic diseases
publishDate 2022
dc.date.none.fl_str_mv 2022
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/8936
url https://hdl.handle.net/11351/8936
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv European Journal of Rheumatology;9(4)
https://doi.org/10.5152/eujrheum.2022.20012
dc.rights.none.fl_str_mv Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv AVES Publishing
publisher.none.fl_str_mv AVES Publishing
dc.source.none.fl_str_mv Scientia
reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut
instname:Departament de Salut de la Generalitat de Catalunya (DS)
instname_str Departament de Salut de la Generalitat de Catalunya (DS)
reponame_str Scientia. Dipòsit d'Informació Digital del Departament de Salut
collection Scientia. Dipòsit d'Informació Digital del Departament de Salut
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,81155

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