Details
| Translated title of the contribution | Delegation of medical duties to qualified rheumatology assistants: Effect on depression and anxiety in patients with rheumatoid arthritis |
|---|---|
| Original language | German |
| Pages (from-to) | 407-415 |
| Number of pages | 9 |
| Journal | Zeitschrift fur Rheumatologie |
| Volume | 83 |
| Issue number | 5 |
| Early online date | 30 Aug 2023 |
| Publication status | Published - Jun 2024 |
Abstract
Background: At 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. Objective: The 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 methods: A 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. Results: In 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). Conclusion: A positive effect of team-based care on the course of depression and anxiety in patients with seropositive RA and active disease could be shown.
ASJC Scopus subject areas
- Medicine(all)
- Rheumatology
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In: Zeitschrift fur Rheumatologie, Vol. 83, No. 5, 06.2024, p. 407-415.
Research output: Contribution to journal › Article › Research › peer review
}
TY - JOUR
T1 - Delegation ärztlicher Leistungen an rheumatologische Fachassistenten
T2 - Effekte auf Depression und Angst bei Patienten mit rheumatoider Arthritis
AU - Hoeper, Juliana Rachel
AU - Schuch, Florian
AU - Steffens-Korbanka, Patricia
AU - Gauler, Georg
AU - Welcker, Martin
AU - Wendler, Jörg
AU - von Hinüber, Ulrich
AU - Meyer, Sara Eileen
AU - Schwarting, Andreas
AU - Zeidler, Jan
AU - Witte, Torsten
AU - Meyer-Olson, Dirk
AU - Hoeper, Kirsten
N1 - Publisher Copyright: © The Author(s) 2023.
PY - 2024/6
Y1 - 2024/6
N2 - Background: At 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. Objective: The 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 methods: A 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. Results: In 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). Conclusion: A positive effect of team-based care on the course of depression and anxiety in patients with seropositive RA and active disease could be shown.
AB - Background: At 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. Objective: The 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 methods: A 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. Results: In 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). Conclusion: A positive effect of team-based care on the course of depression and anxiety in patients with seropositive RA and active disease could be shown.
KW - Comorbidity
KW - Disease process
KW - Outpatient care
KW - Screening
KW - Team based care
UR - http://www.scopus.com/inward/record.url?scp=85169603136&partnerID=8YFLogxK
U2 - 10.1007/s00393-023-01403-9
DO - 10.1007/s00393-023-01403-9
M3 - Artikel
C2 - 37648932
AN - SCOPUS:85169603136
VL - 83
SP - 407
EP - 415
JO - Zeitschrift fur Rheumatologie
JF - Zeitschrift fur Rheumatologie
SN - 0340-1855
IS - 5
ER -