Publications by authors named "Patricia Steffens-Korbanka"
Background: In 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.
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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.
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care cumbersome and expressed a need for easier access to information, with many finding the existing assessment tools outdated; they suggested improvements like automated alerts and better communication features in the app.*
[Translation of the 2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis and linguistic validation in German-speaking countries with healthcare professionals].
Z Rheumatol
January 2023
Background: Regular physical activity is beneficial for people with rheumatic diseases and one of the cornerstones in its management. Based on the international recommendations of the World Health Organization for the general population, the "2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis" provide evidence-based recommendations on the prescription, performance, and implementation of physical activity exercises in this population for the first time.
Aim: Translation of the 2018 EULAR recommendations into German and linguistic validation in Germany, Austria and Switzerland.
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).
New treatment strategies and treatment possibilities as well as undertreatment due to the lack of medical specialists especially in rheumatology, necessitate a qualified further training of rheumatological assistant personnel. The increasing independent work of medical and rheumatological assistants expected by physicians with respect to patient management and practice organization, necessitates an intensive cooperation between the two professional groups. The aim is to guarantee the competent treatment of chronically ill patients with rheumatism.
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