Publications by authors named "Philipp Sewerin"

Objective: In axSpA, validated PROs are well-established in clinical trials, but it remains unclear whether they comprehensively reflect patients' discomfort and disease status. We aimed to investigate how patients' self-reported disease status does compare to validated clinical trial measures during routine clinical visits.

Methods: Data from axSpA patients' initial and last five visits were retrospectively analyzed.

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Objectives: To prospectively evaluate the effect of guselkumab through 48 weeks across various clinical outcomes in subgroups of patients with psoriatic arthritis (PsA) and inadequate response to tumour necrosis factor inhibitors (TNFi-IR) from the phase 3b COSMOS trial. Subgroups were defined by baseline demographics, disease characteristics and prior/ongoing therapies.

Methods: Patients with active PsA (tender joint count (TJC) and swollen joint count (SJC) both ≥3) and TNFi-IR were randomised 2:1 to receive guselkumab 100 mg at week 0, week 4, then every 8 weeks through week 44 or to placebo with cross-over to guselkumab 100 mg at week 16 (early escape) or week 24 (planned).

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Objectives: In axial spondyloarthritis (axSpA), early diagnosis is crucial, but diagnostic delay remains long and diagnostic criteria do not exist. We aimed to identify a diagnostic model that distinguishes patients with axSpA from patients without axSpA with chronic back pain based on clinical data in routine care.

Methods: Clinical data from patients with chronic back pain were used, with information on rheumatological examinations based on clinical indications.

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Background: Laboratory-based biomarkers accurately presenting systemic lupus erythematosus (SLE) disease activity may have a practical value in clinical routine. As shown in many other conditions, complete blood count (CBC)-derived biomarkers may also play a role in SLE.

Objectives: We aimed to study for the first time the pan-immune-inflammation value (PIV, monocytes x platelets x neutrophils/lymphocytes) and the more established systemic immune-inflammation index (SII, neutrophils x platelets /lymphocytes) in SLE patients and correlate it with serological and clinical findings including disease outcomes.

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Background: In spondyloarthritides (SpA) and fibromyalgia (FM), patients suffer from generalized pain. The impact of FM on PRO validated in SpA has not been systematically studied.

Objective: Study the performance of PROs developed for SpA in patients with primary (p) FM without chronic inflammatory-rheumatic disease vs.

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Article Synopsis
  • * It highlights the importance of transitioning these MRI techniques from research validation to clinical practice for early detection of degenerative and inflammatory joint conditions.
  • * The discussion includes recent literature on new quantitative sequences and their potential to enhance personalized medicine approaches through improved patient management and treatment monitoring.
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  • The study aimed to identify the presence and locations of inflammatory and structural lesions in patients with rheumatoid arthritis (RA) and radiographic axial spondyloarthritis (r-axSpA) who experience chronic neck pain.
  • A total of 107 patients participated, with RA patients reporting significantly higher neck pain levels compared to those with r-axSpA, though both groups showed various patterns of inflammation in the cervical spine.
  • The findings suggest that RA typically causes upper cervical inflammation, while r-axSpA is associated with more bone marrow edema in lower cervical segments, indicating a distinct pattern of neck pain-related lesions in each condition.
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  • The DNVF Memorandum outlines the interdisciplinary field of physical activity-related health care research in Germany, defining key concepts and identifying research gaps.
  • The study emphasizes the importance of using standardized tools to assess outcome parameters in physical activity and sports therapy.
  • The memorandum aims to enhance understanding of physical activity promotion in healthcare, stimulate new research initiatives, and integrate existing evidence on the effectiveness of exercise into healthcare practices.
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Background: The potential benefit of methotrexate (MTX) in combination with biologic (b) and targeted synthetic (ts) disease modifying anti-rheumatic drugs (DMARDs) in psoriatic arthritis (PsA) is still a matter of debate.

Objectives: To compare clinical and patient reported characteristics as well as drug retention rates in PsA patients receiving b/tsDMARD monotherapy or in combination with MTX.

Methods: RABBIT-SpA is a prospective longitudinal cohort study including axSpA and PsA patients.

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Article Synopsis
  • Psoriasis is now recognized as a systemic disease, known as psoriatic disease, affecting not just the skin but also the joints, arteries, and bones, as supported by recent research across various medical fields.
  • Key risk factors include obesity, which heightens the chance of developing psoriatic arthritis, while triggers can include stress, infections, and certain medications; associated health issues can include hypertension and depression.
  • Modern treatments now focus on targeting the underlying inflammatory processes with biologics, and a structured management approach is recommended to help healthcare providers and patients collaborate on the best treatment strategies.
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Background: Patients with axial spondyloarthritis (axSpA) are often compromised by impaired function and mobility. The standardized 2-week inpatient program 'multimodal rheumatologic complex treatment' (MRCT) was designed for patients with axSpA. The Epionics SPINE (ES) is an objective tool validated to assess mobility.

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Objective: Patients with axial spondyloarthritis (axSpA) suffer from clinical symptoms like morning stiffness and back pain. Mobility of patients with axSpA is often impaired. The aim of this study is to compare the performance of patients with axSpA regarding mobility measures including performance-based tests and objective electronic assessments with the Epionics SPINE device (ES) at different times of the day compared with healthy controls (HC).

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Article Synopsis
  • - This study aimed to analyze the age-specific and sex-specific incidence of psoriasis vulgaris in Germany, using health data from around 65 million people from 2009 to 2011.
  • - The findings revealed that incidence rates increase through midlife, peaking at age 60, with men showing slightly higher peak incidence than women (130 vs. 117 cases per 100,000 person-years).
  • - While there was a rising overall incidence of psoriasis during the study period, Germany's age-standardized incidence rate was relatively low compared to other European nations.
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Hand Osteoarthritis (HOA) is a frequently occurring musculoskeletal disease that impacts health. Diagnostic criteria often incorporate osteophytes documented through imaging procedures. Radiographic imaging is considered the gold standard; however, more sensitive and safer methods like ultrasound imaging are becoming increasingly important.

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The population-based prevalence of psoriatic arthritis (PsA) is still unclear and not well described globally. The aim of this study was to conduct a population-based prevalence projection and provide long-term future estimations of PsA patients in Germany until 2050, using the illness-death model and based on historical data. We analyzed the national statutory health insurance data of 65 million population in the German Institute for Medical Documentation and Information between January 2009 and December 2012.

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Objectives: Despite the increasing number of female medical students and fellows in Europe, women are still under-represented in higher academic careers and positions in medicine. The aim of this survey was to assess the 'status quo' on gender distribution among rheumatologists in Germany.

Methods: A web-based anonymous survey (21 questions with multiple answers and free text) using QuestionPro was distributed among rheumatologists in Germany via newsletters, social media and personal contact, including questions regarding hierarchical positions and work characteristics.

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This article deals with the spread of misinformation in a general context and specifically in the health sector. It presents a theoretical view of the problem and analyzes its characteristics with a focus on medicine and mainly rheumatology. Finally, conclusions from the previous analysis are formulated as well as suggestions for reducing the dimensions of the problem in the health sector.

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Introduction: The course of axial spondyloarthritis (axSpA) is often characterized by impairments in physical function and mobility. Regular physical activity (PA) is a cornerstone of axSpA management. Recent European League Against Rheumatism (EULAR) recommendations for PA have stressed the importance of their implementation.

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Article Synopsis
  • * This study investigated the effect of treatment with methotrexate combined with adalimumab versus methotrexate alone on cartilage health over 24 weeks in early rheumatoid arthritis patients.
  • * Results showed a significant increase in dGEMRIC levels in the combination therapy group after 12 and 24 weeks, suggesting improved cartilage composition, whereas the methotrexate-only group did not show significant changes.
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Sjögren's syndrome (SjS) is a possible autoimmune cause of interstitial lung disease. The diagnostic pathway for SjS, however, is largely undefined in comparison to other systemic autoimmune diseases. Subjective sicca symptoms, anti-SS-A/Ro antibodies and even ANA as screening tests all have relevant limitations in sensitivity and/or specificity.

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In recent years, much research evaluating the radiographic destruction of finger joints in patients with rheumatoid arthritis (RA) using deep learning models was conducted. Unfortunately, most previous models were not clinically applicable due to the small object regions as well as the close spatial relationship. In recent years, a new network structure called RetinaNets, in combination with the focal loss function, proved reliable for detecting even small objects.

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