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