Decken, Cay-Benedict; Kleinert, Stefan; Englbrecht, Matthias; Karberg, Kirsten; Gauler, Georg; Ronneberger, Monika; Rapp, Praxedis; Schuch, Florian; Wendler, Joerg; Späthling-Mestekemper, Susanna; Kuhn, Christoph; Vorbrüggen, Wolfgang; Welcker, Martin; Bartz-Bazzanella, Peter: RhePort 1.3 enhances early identification of inflammatory rheumatic diseases: a prospective study in German rheumatology settings. In: Rheumatol Int, Bd. 45, Nr. 5, S. 129, 2025, ISSN: 1437-160X. @article{pmid40293492,
title = {RhePort 1.3 enhances early identification of inflammatory rheumatic diseases: a prospective study in German rheumatology settings},
author = {Cay-Benedict Decken and Stefan Kleinert and Matthias Englbrecht and Kirsten Karberg and Georg Gauler and Monika Ronneberger and Praxedis Rapp and Florian Schuch and Joerg Wendler and Susanna Späthling-Mestekemper and Christoph Kuhn and Wolfgang Vorbrüggen and Martin Welcker and Peter Bartz-Bazzanella},
doi = {10.1007/s00296-025-05861-z},
issn = {1437-160X},
year = {2025},
date = {2025-04-01},
journal = {Rheumatol Int},
volume = {45},
number = {5},
pages = {129},
abstract = {More efficient means of identifying patients with inflammatory rheumatic diseases (IRDs) could allow earlier diagnosis and treatment. The objective of this study was to evaluate the characteristics of a revised version of an online patient questionnaire-based self-referral tool, RhePort 1.3. This prospective study included adult patients with musculoskeletal complaints presenting for a first rheumatology visit at German RheumaDatenRhePort (RHADAR) rheumatology network centers. All patients completed the RhePort 1.3 questionnaire on patient characteristics and symptoms. Data from RhePort 1.3 were compared with historical data from previous versions. Of 614 patients, 225 (36.6%) were diagnosed with an IRD by a rheumatologist and 164/225 IRD patients (72.9%) had a RhePort 1.3 score > 1, the cut-off point used to determine the need for rheumatologic evaluation. A score > 1 was associated with an approximately two-fold higher IRD risk (odds ratio [95% confidence interval] of 1.98 [1.39, 2.83] vs ≤ 1) and had good sensitivity (73%) and moderate specificity (42%). Among patients referred through a standard referral pathway (n = 283), RhePort 1.3 scores > 1 in addition to physician referral were associated with increases in rheumatology-diagnosed IRD rates from 33.2% (physician referral only) to 45.7%. RhePort 1.3 had higher accuracy than earlier versions (54% vs 35%). We conclude that modest changes to the RhePort questionnaire resulted in increased accuracy. A score > 1 was associated with a doubled risk for an IRD and higher IRD rates in physician-referred patients. These data suggest that RhePort has the potential to streamline the rheumatologist's workload and improve resource use. Further modifications are required to improve specificity.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
More efficient means of identifying patients with inflammatory rheumatic diseases (IRDs) could allow earlier diagnosis and treatment. The objective of this study was to evaluate the characteristics of a revised version of an online patient questionnaire-based self-referral tool, RhePort 1.3. This prospective study included adult patients with musculoskeletal complaints presenting for a first rheumatology visit at German RheumaDatenRhePort (RHADAR) rheumatology network centers. All patients completed the RhePort 1.3 questionnaire on patient characteristics and symptoms. Data from RhePort 1.3 were compared with historical data from previous versions. Of 614 patients, 225 (36.6%) were diagnosed with an IRD by a rheumatologist and 164/225 IRD patients (72.9%) had a RhePort 1.3 score > 1, the cut-off point used to determine the need for rheumatologic evaluation. A score > 1 was associated with an approximately two-fold higher IRD risk (odds ratio [95% confidence interval] of 1.98 [1.39, 2.83] vs ≤ 1) and had good sensitivity (73%) and moderate specificity (42%). Among patients referred through a standard referral pathway (n = 283), RhePort 1.3 scores > 1 in addition to physician referral were associated with increases in rheumatology-diagnosed IRD rates from 33.2% (physician referral only) to 45.7%. RhePort 1.3 had higher accuracy than earlier versions (54% vs 35%). We conclude that modest changes to the RhePort questionnaire resulted in increased accuracy. A score > 1 was associated with a doubled risk for an IRD and higher IRD rates in physician-referred patients. These data suggest that RhePort has the potential to streamline the rheumatologist's workload and improve resource use. Further modifications are required to improve specificity. |
Kleinert, S.; Schuch, F.; Rapp, P.; Ronneberger, M.; Wendler, J.; Sternad, P.; Popp, F.; Bartz-Bazzanella, P.; Decken, C.; Karberg, K.; Gauler, G.; Wurth, P.; Spathling-Mestekemper, S.; Kuhn, C.; Vorbruggen, W.; Welcker, M.: Radiographic and non-radiographic axial spondyloarthritis are not routinely distinguished in everyday clinical care: an analysis of real-world data from rheumatology practices. In: Rheumatol Int, Bd. 44, Nr. 4, S. 653-661, 2024, ISSN: 1437-160X (Electronic)
0172-8172 (Linking). @article{RN10322b,
title = {Radiographic and non-radiographic axial spondyloarthritis are not routinely distinguished in everyday clinical care: an analysis of real-world data from rheumatology practices},
author = {S. Kleinert and F. Schuch and P. Rapp and M. Ronneberger and J. Wendler and P. Sternad and F. Popp and P. Bartz-Bazzanella and C. Decken and K. Karberg and G. Gauler and P. Wurth and S. Spathling-Mestekemper and C. Kuhn and W. Vorbruggen and M. Welcker},
url = {https://www.ncbi.nlm.nih.gov/pubmed/37805981},
doi = {10.1007/s00296-023-05463-7},
issn = {1437-160X (Electronic)
0172-8172 (Linking)},
year = {2024},
date = {2024-01-01},
journal = {Rheumatol Int},
volume = {44},
number = {4},
pages = {653-661},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
|
Kleinert, Stefan; Rapp, Praxedis; Schuch, Florian; Ronneberger, Monika; Wendler, Joerg; Sternad, Patrizia; Popp, Florian; Bartz-Bazzanella, Peter; Decken, Cay; Karberg, Kirsten; Gauler, Georg; Wurth, Patrick; Späthling-Mestekemper, Susanna; Kuhn, Christoph; Vorbrüggen, Wolfgang; Welcker, Martin: Röntgenologische versus non-röntgenologische axiale Spondyloarthritis - Auch ein Real-World-Klassifikation. In: Deutscher Rheumatologiekongress 2023, 51. Kongress der Deutschen Gesellschaft für Rheumatologie (DGRh), 2023. @article{RN10244,
title = {Röntgenologische versus non-röntgenologische axiale Spondyloarthritis - Auch ein Real-World-Klassifikation},
author = {Stefan Kleinert and Praxedis Rapp and Florian Schuch and Monika Ronneberger and Joerg Wendler and Patrizia Sternad and Florian Popp and Peter Bartz-Bazzanella and Cay Decken and Kirsten Karberg and Georg Gauler and Patrick Wurth and Susanna Späthling-Mestekemper and Christoph Kuhn and Wolfgang Vorbrüggen and Martin Welcker},
doi = {https://dx.doi.org/10.3205/23dgrh184},
year = {2023},
date = {2023-01-01},
journal = {Deutscher Rheumatologiekongress 2023, 51. Kongress der Deutschen Gesellschaft für Rheumatologie (DGRh)},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
|
Kleinert, S.; Schuch, F.; Rapp, P.; Ronneberger, M.; Wendler, J.; Sternad, P.; Popp, F.; Bartz-Bazzanella, P.; Decken, C.; Karberg, K.; Gauler, G.; Wurth, P.; Spathling-Mestekemper, S.; Kuhn, C.; Englbrecht, M.; Vorbruggen, W.; Adler, G.; Welcker, M.: Impairment in cognitive function in patients with axial spondyloarthritis and psoriatic arthritis. In: Rheumatol Int, Bd. 43, Nr. 1, S. 89-97, 2023, ISSN: 1437-160X (Electronic)
0172-8172 (Linking). @article{RN10032,
title = {Impairment in cognitive function in patients with axial spondyloarthritis and psoriatic arthritis},
author = {S. Kleinert and F. Schuch and P. Rapp and M. Ronneberger and J. Wendler and P. Sternad and F. Popp and P. Bartz-Bazzanella and C. Decken and K. Karberg and G. Gauler and P. Wurth and S. Spathling-Mestekemper and C. Kuhn and M. Englbrecht and W. Vorbruggen and G. Adler and M. Welcker},
url = {https://www.ncbi.nlm.nih.gov/pubmed/36441274},
doi = {10.1007/s00296-022-05248-4},
issn = {1437-160X (Electronic)
0172-8172 (Linking)},
year = {2023},
date = {2023-01-01},
journal = {Rheumatol Int},
volume = {43},
number = {1},
pages = {89-97},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
|
Kleinert, S.; Burigk, K.; Baltrusch, S.; Ronneberger, M.; Rapp, P.; Wendler, J.; Schuch, F.; Welcker, M.; Decken, C.; Bartz-Bazzanella, P.; Vorbrüggen, W.: RhePORT – Effizienz hinsichtlich personeller Ressourcen und Patientenselektion – Bewährung im Praxisalltag!. In: Deutscher Rheumatologiekongress 2023, 51. Kongress der Deutschen Gesellschaft für Rheumatologie (DGRh), 2023. @article{RN10245,
title = {RhePORT – Effizienz hinsichtlich personeller Ressourcen und Patientenselektion – Bewährung im Praxisalltag!},
author = {S. Kleinert and K. Burigk and S. Baltrusch and M. Ronneberger and P. Rapp and J. Wendler and F. Schuch and M. Welcker and C. Decken and P. Bartz-Bazzanella and W. Vorbrüggen},
doi = {https://dx.doi.org/10.3205/23dgrh236},
year = {2023},
date = {2023-01-01},
journal = {Deutscher Rheumatologiekongress 2023, 51. Kongress der Deutschen Gesellschaft für Rheumatologie (DGRh)},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
|
Kleinert, S.; Schuch, F.; Rapp, P.; Ronneberger, M.; Wendler, J.; Sternad, P.; Popp, F.; Bartz-Bazzanella, P.; Decken, C.; Karberg, K.; Gauler, G.; Wurth, P.; Spathling-Mestekemper, S.; Kuhn, C.; Vorbruggen, W.; Welcker, M.: Radiographic and non-radiographic axial spondyloarthritis are not routinely distinguished in everyday clinical care: an analysis of real-world data from rheumatology practices. In: Rheumatol Int, 2023, ISSN: 1437-160X (Electronic) 0172-8172 (Linking). @article{RN10322,
title = {Radiographic and non-radiographic axial spondyloarthritis are not routinely distinguished in everyday clinical care: an analysis of real-world data from rheumatology practices},
author = {S. Kleinert and F. Schuch and P. Rapp and M. Ronneberger and J. Wendler and P. Sternad and F. Popp and P. Bartz-Bazzanella and C. Decken and K. Karberg and G. Gauler and P. Wurth and S. Spathling-Mestekemper and C. Kuhn and W. Vorbruggen and M. Welcker},
url = {https://www.ncbi.nlm.nih.gov/pubmed/37805981},
doi = {10.1007/s00296-023-05463-7},
issn = {1437-160X (Electronic) 0172-8172 (Linking)},
year = {2023},
date = {2023-01-01},
urldate = {2023-01-01},
journal = {Rheumatol Int},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
|
Kleinert, S.; Rapp, P.; Schuch, F.; Ronneberger, M.; Wendler, J.; Sternad, P.; Popp, F.; Bartz-Bazzanella, P.; Decken, C. B. Von; Karberg, K.; Gauler, G.; Wurth, P.; Spaethling-Mestekemper, S.; Kuhn, C.; Englbrecht, M.; Vorbrüggen, W.; Adler, G.; Welcker, M.: Cognitive Impairment in axial spondyloarthritis? [abstract]. In: Annals of the Rheumatic Diseases, Bd. 80, Nr. Suppl 1, S. 1274, 2021. @article{RN9667,
title = {Cognitive Impairment in axial spondyloarthritis? [abstract]},
author = {S. Kleinert and P. Rapp and F. Schuch and M. Ronneberger and J. Wendler and P. Sternad and F. Popp and P. Bartz-Bazzanella and C. B. Von Decken and K. Karberg and G. Gauler and P. Wurth and S. Spaethling-Mestekemper and C. Kuhn and M. Englbrecht and W. Vorbrüggen and G. Adler and M. Welcker},
url = {http://ard.bmj.com/content/80/Suppl_1/1274.abstract
https://ard.bmj.com/content/annrheumdis/80/Suppl_1/1274.full.pdf},
doi = {10.1136/annrheumdis-2021-eular.1353},
year = {2021},
date = {2021-01-01},
journal = {Annals of the Rheumatic Diseases},
volume = {80},
number = {Suppl 1},
pages = {1274},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
|
Kleinert, Stefan; Schuch, Florian; Rapp, Praxedis; Ronneberger, Monika; Wendler, Joerg; Englbrecht, Matthias: How many of your patients have depressive symptoms? How to assess during routine clinical practice?. In: Ann Rheum Dis, Bd. 78, S. A638, 2019. @article{RN9615,
title = {How many of your patients have depressive symptoms? How to assess during routine clinical practice?},
author = {Stefan Kleinert and Florian Schuch and Praxedis Rapp and Monika Ronneberger and Joerg Wendler and Matthias Englbrecht},
year = {2019},
date = {2019-01-01},
journal = {Ann Rheum Dis},
volume = {78},
pages = {A638},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
|
Kleinert, Stefan; Rapp, Praxedis; Ronneberger, Monika; Wendler, Joerg; Schuch, Florian: Dealing with comorbidities in rheumatoid arthritis with medical assistants. The patients’ opinion on assessment and education by medical assistants during routine clinical practice [abstract]. In: Ann Rheum Dis, Bd. 78, supplement 2, 2019. @article{RN9625,
title = {Dealing with comorbidities in rheumatoid arthritis with medical assistants. The patients’ opinion on assessment and education by medical assistants during routine clinical practice [abstract]},
author = {Stefan Kleinert and Praxedis Rapp and Monika Ronneberger and Joerg Wendler and Florian Schuch},
year = {2019},
date = {2019-01-01},
journal = {Ann Rheum Dis},
volume = {78, supplement 2},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
|