Publications by authors named "Juliana Rachel Hoeper"
Objectives: Early 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.
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- The study highlights that 80% of rheumatoid arthritis (RA) patients have at least one comorbidity, with high rates of depression and anxiety compared to the general population, prompting the need for effective screening and care.
- A year-long randomized controlled trial involving 224 patients tested the effects of team-based care on managing depression and anxiety, focusing on an intervention group (IG) receiving support from rheumatological assistants.
- Results indicated significant improvements in anxiety symptoms and patient satisfaction in the IG, demonstrating the benefits of collaborative care, while no significant changes in depression levels were observed.
Objectives: To explore patients' agreement and reasons for agreement or disagreement with the EULAR recommendations for patient education (PE) for people with inflammatory arthritis (IA).
Methods: This mixed-method survey collected data using snowball sampling. The survey had been translated into 20 languages by local healthcare professionals, researchers and patient research partners.
Effect of nurse-led care on outcomes in patients with ACPA/RF-positive rheumatoid arthritis with active disease undergoing treat-to-target: a multicentre randomised controlled trial.
RMD Open
April 2021
Objective: To determine the non-inferiority of nurse-led care (NLC) in patients with anticitrullinated protein antibody (ACPA)-positive and/or rheumatoid factor (RF)-positive rheumatoid arthritis (RA) with active disease who are starting disease-modifying antirheumatic drug therapy, following treat-to-target (T2T) recommendations.
Methods: A multicentre, pragmatic randomised controlled trial was conducted to assess clinical effectiveness, anxiety, depression and patient satisfaction following a non-inferiority design. The participants were 224 adults with ACPA/RF-positive RA who were randomly assigned to either NLC or rheumatologist-led care (RLC).