Evidence map›Paper›PMID 39761546›Full record

ArticleJournal of medical Internet research2025

Digital Transformation of Rheumatology Care in Germany: Cross-Sectional National Survey.

Susann May, Robert Darkow, Johannes Knitza, Katharina Boy, Philipp Klemm, Martin Heinze, Nicolas Vuillerme, Pascal Petit, Patricia Steffens-Korbanka, Heike Kladny and 4 more

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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

14 authors.

Susann MayCenter for Health Services Research, Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Rüdersdorf bei Berlin, Germany.ORCID 0000-0003-3847-4861
Robert DarkowFH JOANNEUM Gesellschaft mbH, Graz, Austria.ORCID 0000-0002-7991-3691
Johannes KnitzaAGEIS, Université Grenoble Alpes, Grenoble, France.ORCID 0000-0001-9695-0657
Katharina BoyCenter for Health Services Research, Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Rüdersdorf bei Berlin, Germany.ORCID 0009-0009-9616-6278
Philipp KlemmDepartment of Rheumatology, Immunology, Osteology, Kerckhoff-Klinik GmbH, Bad Nauheim, Germany.ORCID 0000-0001-7911-4235
Martin HeinzeCenter for Health Services Research, Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Rüdersdorf bei Berlin, Germany.ORCID 0000-0003-3645-1033
Nicolas VuillermeAGEIS, Université Grenoble Alpes, Grenoble, France.ORCID 0000-0003-3773-393X
Pascal PetitAGEIS, Université Grenoble Alpes, Grenoble, France.ORCID 0000-0001-9015-5230
Patricia Steffens-KorbankaRheumapraxis an der Hase, Osnabrück, Germany.ORCID 0009-0009-9718-6238
Heike KladnyMVZ für Rheumatologie Dr. Martin Welcker GmbH, Planegg, Germany.ORCID 0009-0000-7612-6695
Johannes HornigRheumapraxis an der Hase, Osnabrück, Germany.ORCID 0000-0001-9875-9610
Peer AriesImmunologikum Hamburg, Rheumatologie & Klinische Immunologie, Hamburg, Germany.ORCID 0000-0001-7919-8010
Martin WelckerMVZ für Rheumatologie Dr. Martin Welcker GmbH, Planegg, Germany.ORCID 0000-0002-1856-3085
Felix MuehlensiepenCenter for Health Services Research, Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Rüdersdorf bei Berlin, Germany.ORCID 0000-0001-8571-7286

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, health care has undergone a rapid and unprecedented digital transformation. In many fields of specialty care, such as rheumatology, this shift is driven by the growing number of patients and limited resources, leading to increased use of digital health technologies (DHTs) to maintain high-quality clinical care. Previous studies examined user acceptance of individual DHTs in rheumatology, such as telemedicine, video consultations, and mHealth. However, it is essential to conduct cross-technology and continuous analyses of user acceptance and DHT use to maximize the benefits for all relevant stakeholders.

objectiveThis study aimed to explore the current acceptance, use, and preferences regarding DHTs among patients in rheumatology care in Germany.

methodsRheumatology patients from 3 clinics in Germany were surveyed to understand their perspectives on DHTs. The survey included main themes, including acceptance, preferences, COVID-19's impact, potential, and barriers related to DHTs. The data were analyzed using descriptive statistics and correlation analysis.

resultsOut of 337 participants, 53% (179/337) reported using DHTs. Specific technologies included wearables (72/337, 21%), mHealth apps (71/337, 21%), digital therapeutics (32/337, 9%), electronic prescriptions (30/337, 9%), video consultations (15/337, 4%), and at-home blood self-sampling (3/337, 1%). Nearly two-thirds (220/337, 65%) found DHTs useful, and 69% (233/337) held a generally positive attitude toward DHTs. Attitudes shifted positively during the COVID-19 pandemic for 40% (135/337) of participants. Higher education was more prevalent among DHT users (114/179, 63.7%) compared with nonusers (42/151, 27.8%; P=.02). The main potential benefits identified were location-independent use (244/337, 72%) and time-independent use (216/337, 64%). Key barriers included insufficient user knowledge (165/337, 49%) and limited information on DHTs (134/337, 40%).

conclusionsPatient acceptance and use of DHTs in rheumatology is increasing in Germany. A prospective, standardized monitoring of digital transformation in rheumatology care is highly needed.

Indexed as

COVID-19RheumatologyTelemedicineAdultAgedCross-Sectional StudiesFemaleGermanyHumansMaleMiddle AgedSARS-CoV-2Surveys and QuestionnairesacceptanceattitudecorrelationCOVID-19digital healthdigital health technologieseHealthEuropeexperienceGermanynationalopinionperceptionperspectivepreferencequestionnairerheumatismrheumatologysurveytelehealthtelemedicineuse

Identifiers

PMID39761546
PMCPMC11747535

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.