Rheumatoid arthritis

Rheuma-VOR study: optimising healthcare of rheumatic diseases by multiprofessional coordinating centres

Ann Rheum DisPublished Prospective non-randomised multicentre study

Authors' conclusion

Rheuma-VOR has shown an improvement in rheumatological care, patient-reported outcome parameters and cost savings by coordinating the cooperation of primary care physicians, rheumatologists and patients, in a nationwide approach.

Study context

Population
Patients with early arthritis; 2340 primary care physicians, 72 rheumatologists, 4 university hospitals and 4 rheumatology centres in 4 German Federal States1,537 diagnosed and consented
Participants
7,049 patients
Comparison
Rheuma-VOR coordinating centres
Primary endpoint
Co-primary: time to diagnosis and screening performance of primary care physicians
Methodological detailsearly vs late implementation phase, comparison with DRFZ reference cohort
  • Early vs late implementation phase
  • Comparison with DRFZ reference cohort

Primary result

As reported in the abstract

Time to diagnosis
  • The time to diagnosis endpoint was met

Secondary outcomes

Secondary endpoints (disease activity, quality of life, well-being, fatigue, depression, functional ability, work ability, drug and medical costs, hospitalisation) vs standard care · 1 year

The secondary endpoints were met
  • Follow-up after 1 year in 592 patients

Cost-effectiveness vs standard care

Rheuma-VOR has a dominant cost-benefit ratio compared with standard care

Original publication

Rheuma-VOR study: optimising healthcare of rheumatic diseases by multiprofessional coordinating centres. Ann Rheum Dis. Published 11 January 2024. doi:10.1136/ard-2023-224205

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