Evidence map›Paper›PMID 37890976›Full record

ArticleAnnals of the rheumatic diseases2024

Rheuma-VOR study: optimising healthcare of rheumatic diseases by multiprofessional coordinating centres.

Matthias Dreher, Torsten Witte, Kirsten Hoeper, Gunter Assmann, Fabian Proft, Denis Poddubnyy, Niels Murawski, Konstantinos Triantafyllias, Marlon Grodd, Erika Graf and 11 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Annals of the rheumatic diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 5% of its field
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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

21 authors at 8 institutions in 1 country.

Matthias DreherDivision of Rheumatology and Clinical Immunology, Department of Internal Medicine I, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.ORCID http://orcid.org/0000-0002-9171-3780
Torsten WitteDepartment of Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Kirsten HoeperDepartment of Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0002-4327-9836
Gunter AssmannCenter of Rheumatology and Clinical Immunology, RUB-University Hospital Minden JWK, Minden, Germany.ORCID http://orcid.org/0000-0002-3216-9340
Fabian ProftDepartment of Gastroenterology, Infectiology and Rheumatology (including Nutrition Medicine), Charite Universitatsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0003-4306-033X
Denis PoddubnyyDepartment of Gastroenterology, Infectiology and Rheumatology (including Nutrition Medicine), Charite Universitatsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-4537-6015
Niels MurawskiInternal Medicine I Oncology, Haematology, Clinical Immunology and Clinical Rheumatology, Saarland University Hospital and Saarland University Faculty of Medicine, Homburg, Germany.
Konstantinos TriantafylliasDivision of Rheumatology and Clinical Immunology, Department of Internal Medicine I, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.ORCID http://orcid.org/0000-0001-8765-2636
Marlon GroddInstitute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany.
Erika GrafInstitute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-6831-0756
Urs A FichtnerInstitute of Medical Biometry and Statistics, Section of Healthcare Research and Rehabilitation Research, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-4190-8969
Harald BinderInstitute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany.
Jan ZeidlerCenter for Health Economics Research Hannover (CHERH), Leibniz Universitat Hannover, Hannover, Germany.ORCID http://orcid.org/0000-0002-0104-2267
Juliana Rachel HoeperCenter for Health Economics Research Hannover (CHERH), Leibniz Universitat Hannover, Hannover, Germany.
Johanna CallhoffEpidemiology and Health Services Research, German Rheumatism Research Centre, Berlin, Germany.ORCID http://orcid.org/0000-0002-3923-2728
Kirsten KarbergCenter for Rheumatology Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-1362-7326
Anna TrautweinDivision of Rheumatology and Clinical Immunology, Department of Internal Medicine I, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Dativa TibyampanshaDepartment of Pharmacolgy, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Leszek WojnowskiDepartment of Pharmacolgy, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Reinhold E SchmidtDepartment of Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Andreas SchwartingDivision of Rheumatology and Clinical Immunology, Department of Internal Medicine I, University Medical Center of the Johannes Gutenberg University, Mainz, Germany schwarting@uni-mainz.de.ORCID http://orcid.org/0000-0002-0566-598X
Johannes Gutenberg University Mainz · DEUniversity of Freiburg · DEMedizinische Hochschule Hannover · DECharité - Universitätsmedizin Berlin · DELeibniz University Hannover · DEGerman Rheumatism Research Centre · DESaarland University · DEUniversity Hospitals of the Ruhr-University of Bochum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEarly diagnosis of inflammatory arthritis is critical to prevent joint damage and functional incapacities. However, the discrepancy between recommendations of early diagnosis and reality is remarkable. The Rheuma-VOR study aimed to improve the time to diagnosis of patients with early arthritis by coordinating cooperation between primary care physicians, specialists and patients in Germany.

methodsThis prospective non-randomised multicentre study involved 2340 primary care physicians, 72 rheumatologists, 4 university hospitals and 4 rheumatology centres in 4 German Federal States. The two coprimary endpoints (time to diagnosis and screening performance of primary care physicians) were evaluated for early versus late implementation phase. Additionally, time to diagnosis and secondary endpoints (decrease of disease activity, increase in quality of life and overall well-being, improvement of fatigue, depression, functional ability, and work ability, reduction in drug and medical costs and hospitalisation) were compared with a reference cohort of the German Rheumatism Research Centre (DRFZ) reflecting standard care.

resultsA total of 7049 patients were enrolled in the coordination centres and 1537 patients were diagnosed with a rheumatic disease and consented to further participation. A follow-up consultation after 1 year was realised in 592 patients. The time to diagnosis endpoint and the secondary endpoints were met. In addition, the calculation of cost-effectiveness shows that Rheuma-VOR has a dominant cost-benefit ratio compared with standard care. DISCUSSION: Rheuma-VOR has shown an improvement in rheumatological care, patient-reported outcome parameters and cost savings by coordinating the cooperation of primary care physicians, rheumatologists and patients, in a nationwide approach.

Indexed as

Arthritis, RheumatoidRheumatic DiseasesDelivery of Health CareHumansProspective StudiesQuality of Lifearthritis, psoriaticarthritis, rheumatoidhealth services researchspondylitis, ankylosing

Identifiers

PMID37890976
PMCPMC10850684
OpenAlexW4387996249

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.