Recommendations for defining giant cell arteritis fast-track clinics. English version
Wolfgang Schmidt, Michael Czihal, M. Gernert, Wolfgang Hartung, Bernhard Hellmich, Sarah Ohrndorf, Gabriela Riemekasten, Valentin Sebastian Schäfer, Johannes Strunk, Nils Venhoff
Abstract
A German expert committee recommends defining fast-track clinics (FTC) for the acute diagnosis of giant cell arteritis (GCA) as follows: easy and prompt reachability at least on weekdays, scheduling appointments ideally within 24 h, examination by a specialist with GCA expertise, ≥ 2 experts per FTC, ≥ 50 patients with suspected GCA per year, sonologists with ≥ 300 (≥ 50) temporal and axillary artery examinations, adherence to standard operating procedures, availability of an ≥ 18 (≥ 15) MHz and a lower frequency linear ultrasound probe, and collaboration with partners for neurology and ophthalmology consultations, magnetic resonance imaging (MRI), positron emission tomography-computed tomography (PET-CT, possibly CT), and for temporal artery biopsy.