Evidence map›Paper›PMID 37648932›Full record

Trial reportZeitschrift fur Rheumatologie2024

[Delegation of medical duties to qualified rheumatology assistants : Effect on depression and anxiety in patients with rheumatoid arthritis].

Juliana Rachel Hoeper, Florian Schuch, Patricia Steffens-Korbanka, Georg Gauler, Martin Welcker, Jörg Wendler, Ulrich von Hinüber, Sara Eileen Meyer, Andreas Schwarting, Jan Zeidler and 3 more

Abstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Zeitschrift fur Rheumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Juliana Rachel HoeperCenter for Health Economics Research Hannover (CHERH), Leibniz Universität Hannover, Hannover, Deutschland.
Florian SchuchRheumatologie, Internistische Praxisgemeinschaft, Erlangen, Deutschland.
Patricia Steffens-KorbankaRheumapraxis an der Hase, Osnabrück, Deutschland.
Georg GaulerRheumapraxis an der Hase, Osnabrück, Deutschland.
Martin WelckerMVZ für Rheumatologie, Planegg, Deutschland.
Jörg WendlerRheumatologie, Internistische Praxisgemeinschaft, Erlangen, Deutschland.
Ulrich von HinüberPraxis für Rheumatologie und Osteologie, Hildesheim, Deutschland.
Sara Eileen MeyerKlinik für Rheumatologie und Immunologie, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, 30625, Hannover, Deutschland.
Andreas SchwartingKlinik für Rheumatologie und klinische Immunologie, Universitätsmedizin Mainz, Mainz, Deutschland.
Jan ZeidlerCenter for Health Economics Research Hannover (CHERH), Leibniz Universität Hannover, Hannover, Deutschland.
Torsten WitteKlinik für Rheumatologie und Immunologie, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, 30625, Hannover, Deutschland.
Dirk Meyer-OlsonKlinik für Rheumatologie und Immunologie, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, 30625, Hannover, Deutschland.
Kirsten HoeperKlinik für Rheumatologie und Immunologie, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, 30625, Hannover, Deutschland. hoeper.kirsten@mh-hannover.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAt least 1 comorbidity occurs in 80% of patients with rheumatoid arthritis (RA). In addition to cardiovascular comorbidities psychological comorbid conditions are common. The prevalence of depression and anxiety is higher in patients than in the general population. Screening for comorbidities is crucial. A shortage of outpatient specialist care barely allows resources for this. The implementation of team-based care holds the potential to improve the standard of care while simultaneously working against the shortage of care.

objectiveThe aim of the study was to examine the effects of care on the course of depression and anxiety in patients with seropositive RA and active disease. MATERIAL AND

methodsA multicenter pragmatic randomized controlled trial was conducted over the course of 1 year with 224 patients. After baseline, five more visits followed. In the intervention group (IG), three were initially carried out by qualified rheumatological assistants. Depression, anxiety and patient satisfaction with outpatient care were looked at in detail.

resultsIn the IG the anxiety symptoms significantly improved over 12 months (p = 0.036). The proportions of patients with anxiety also significantly changed in the IG (p < 0.001), while there was no change in the control group between baseline and month 12. The values of the depression scale did not differ significantly (p = 0.866). In terms of the information dimension of the satisfaction questionnaire, patients in the IG felt significantly better informed after 6 months (p = 0.013) and 12 months (p = 0.003).

conclusionA positive effect of team-based care on the course of depression and anxiety in patients with seropositive RA and active disease could be shown.

Indexed as

Arthritis, RheumatoidAdultAgedAnxietyComorbidityDepressionFemaleGermanyHumansMaleMiddle AgedPatient Care TeamPatient SatisfactionRheumatologyTreatment OutcomeComorbidityDisease processOutpatient careScreeningTeam based care

Identifiers

PMID37648932
PMCPMC11147826

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.