title: [Analysis of referrals of new patients to the rheumatology section of a tertiary hospital].
abstract: BACKGROUND
  The prevalence of rheumatic diseases is approximately 15% in the general population.
  
  
  OBJECTIVE
  To assess the concordance between the original and final diagnosis of patients referred to a rheumatology unit.
  
  
  METHODS
  During 2000, all new patients referred to the rheumatology section of Temuco General Hospital were recorded. The concordance between the referral diagnosis given by general practitioners or general internists and the final diagnosis reached at the rheumatology unit was analyzed using the Kappa index. The modified version of the American College of Rheumatology nomenclature was used as reference.
  
  
  RESULTS
  The clinical records of 787 outpatients, 83% females, aged 54.7 +/- 14 years old, were analyzed. Twenty seven percent of patients were referred with the diagnosis of connective tissue diseases, 26% with extra articular diseases and 24% with osteoarthritis. The concordance between referral and final diagnosis reached at the rheumatology unit had a kappa of 0.6 for general practitioners and 0.72 for general internists.
  
  
  CONCLUSIONS
  Although the overall concordance between referral diagnosis, given by general practitioners or general internists, and final rheumatological diagnosis is good, there are still major discrepancies that should be improved.
authors.affiliation: Unidad de Reumatología, Servicio de Medicina Interna, Hospital Regional de Temuco, Facultades de Medicina, Ingeniería, Ciencias y Administración, Universidad de La Frontera, Temuco, Chile. amwerner@terra.es
authors.forename: Ana María
authors.initials: AM
authors.lastname: Werner
authors.forename: Hellmuth
authors.initials: H
authors.lastname: Leal
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care; D011446:Prospective Studies; D012017:Referral and Consultation; D012216:Rheumatic Diseases / Q000175:diagnosis*; D012219:Rheumatology