The regional medical liaison in Niigata Rheumatic Center

DOI
  • Ito Satoshi
    Department of Rheumatology, Niigata Rheumatic Center
  • Abe Asami
    Department of Rheumatology, Niigata Rheumatic Center
  • Otani Hiroshi
    Department of Rheumatology, Niigata Rheumatic Center
  • Ishikawa Hajime
    Department of Rheumatology, Niigata Rheumatic Center
  • Murasawa Akire
    Department of Rheumatology, Niigata Rheumatic Center
  • Nakazono Kiyoshi
    Department of Rheumatology, Niigata Rheumatic Center
  • Kobayashi Daisuke
    Department of Rheumatology, Niigata Rheumatic Center Division of Clinical Nephrology and Rheumatology Niigata University Graduate School of Medical and Dental Sciences
  • Takai Chinatsu
    Department of Rheumatology, Niigata Rheumatic Center Division of Clinical Nephrology and Rheumatology Niigata University Graduate School of Medical and Dental Sciences
  • Nomura Yumi
    Department of Rheumatology, Niigata Rheumatic Center Department of Orthopaedic Surgery, Kagawa University Faculty of Medicine
  • Narita Ichiei
    Division of Clinical Nephrology and Rheumatology Niigata University Graduate School of Medical and Dental Sciences
  • Imai Norio
    Department of Comprehensive Geriatrics in Community, Niigata University Graduate School of Medical and Dental Sciences

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Other Title
  • 新潟県立リウマチセンターにおける医療連携について

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<p>    There have been significant advances in the treatment of rheumatoid arthritis with methotrexate or biological disease-modifying antirheumatic drugs (bDMARDs). However, the number of rheumatologists is insufficient in Japan. Our rheumatic center is located in Niigata prefecture, which has heavy snow in winter. Many patients visit our rheumatic center from Yamagata prefecture or Fukushima prefecture as well as Niigata prefecture including Sado island. Since they cannot visit our rheumatic center in the event of an emergency in winter, we refer those patients to local general hospitals when we start bDMARDs. Patients who cannot use self-injectable subcutaneous bDMARDs by themselves, and patients with osteoporosis treated by weekly or monthly injectable drugs are also referred to local general practitioners (GPs) and receive injections there. We receive patients with fractures or with cerebrovascular diseases from Niigata Prefectural Shibata Hospital (a general hospital) and, provide rehabilitation at the convalescence rehabilitation ward. We have established a system for the referral of patients with proximal hip fractures to GPs for the prescription of bisphosphonate (BP). Since January 2015, we started to prescribe BP when discharging patients from our center and asked GPs to continue it. Since the osteoporosis outpatient ward was established in Shibata Hospital in April 2015, continuous checks have been performed for the progression of hip fractures and the adherence of BP is confirmed once a year.</p>

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