Publications by authors named "Manuel Grahammer"

Patients with axial spondyloarthritis (axSpA) require close monitoring to achieve the goal of sustained disease remission. Telehealth can facilitate continuous care while relieving scarce healthcare resources. In a mixed-methods proof-of-concept study, we investigated a hybrid telehealth care axSpA pathway in patients with stable disease over 6 months.

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We aimed to investigate (1) student-led clinics and (2) electronic patient-reported outcomes (ePROs) to accelerate diagnosis and treatment of patients with axial spondyloarthritis (axSpA). Patients with suspected axSpA completed an initial student-led clinic visit (T-1) prior to their planned actual rheumatologist visit (T0). Acceleration of patient appointment and NSAID therapy start, availability of diagnostic findings, and treatment response at T0 were evaluated.

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Article Synopsis
  • The increasing demand for rheumatologists, combined with accessibility issues and long travel times for patients, calls for patient-centered and flexible care models supported by technology, particularly for rheumatoid arthritis (RA) patients.* -
  • A qualitative study within the TELERA trial involved interviews with RA patients and rheumatology staff to assess their experiences with current care and a new model using a medical app, self-administered CRP tests, and self-examinations.* -
  • Findings revealed that patients found current follow-up care cumbersome and expressed a need for easier access to information, with many finding the existing assessment tools outdated; they suggested improvements like automated alerts and better communication features in the app.*
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Article Synopsis
  • * The study used interviews with RA patients and physicians to explore their experiences with an ePRO web app (ABATON RA) designed to enhance shared decision-making and treat-to-target approaches.
  • * Findings revealed that while there were some concerns about usability and reimbursement, both patients and physicians generally felt that the benefits of improved disease monitoring and streamlined care outweighed the drawbacks of using the ePRO system.
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Innovative strategies are needed to adequately assess and monitor disease activity of patients with rheumatoid arthritis (RA) in times of scarce appointments. The aim of the TELERA study is to evaluate the feasibility and performance of asynchronous telemedicine visits based on patient-generated data and patient's drug history. RA patients use a medical app, ABATON, that captures the results of a self-performed quick CRP-test, joint-count, and electronic patient-reported outcomes in between visits.

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Background: The use of patient-reported outcomes (PROs) allows for patient-centered, measurable, and transparent care. Electronic PROs (ePROs) have many benefits and hold great potential to improve current usage of PROs, yet limited evidence exists regarding their acceptance, usage, and barriers among rheumatologists.

Objective: This study aims to evaluate the current level of acceptance, usage, and barriers among German rheumatologists regarding the use of ePROs.

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