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An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

The Case for Integrated Musculoskeletal Care Teams

Samantha C. Shapiro, MD, with Karl Koenig, MD  |  Issue: December 2020  |  

Key Takeaways

  • Integrated practice units that include both rheumatologists and orthopedic surgeons facilitate and expedite the perioperative care of patients with inflammatory arthritides.
  • Healthcare systems can be specifically designed and built to foster multidisciplinary care and collaboration at the individual patient level.
  • More programs of this type should be designed, implemented and measured to demonstrate a path forward in providing real-world, value-based care to our patients.

References

  1. Goodman SM, Springer B, Guyatt G, et al. 2017 American College of Rheumatology/American Association of Hip and Knee Surgeons guideline for the perioperative management of antirheumatic medication in patients with rheumatic diseases undergoing elective total hip or total knee arthroplasty. Arthritis Care Res (Hoboken). 2017 Aug;69(8):1111–1124.
  2. BMUS: The burden of musculoskeletal diseases in the United States: Prevalence, societal and economic cost.
  3. Porter ME. What is value in health care? N Engl J Med. 2010 Dec 23;363(26):2477–2481.
  4. Integrative Rheumatology and Orthopedics Center.
  5. Goodman SM, Bykerk VP, DiCarlo E, et al. Flares in patients with rheumatoid arthritis after total hip and total knee arthroplasty: Rates, characteristics, and risk factors. J Rheumatol. 2018 May;45(5):604–611.

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