Dtsch Arztebl Int
-
Randomized Controlled Trial Multicenter Study
The Structured Delegation of Medical Care Services for Patients With Inflammatory Rheumatic Diseases-Findings of a Randomized Controlled Trial (the StärkeR Project).
In some areas of Germany, there is a shortage of specialist physicians for patients with inflammatory rheumatic diseases. Delegating certain medical care services to qualified, specialized rheumatological assistants (SRAs) might be an effective way to supplement the available capacity for specialized medical care. ⋯ Team-based care, with greater integration of SRAs, is just as good as standard care in important respects. Trained SRAs can effectively support rheumatologists in the care of stable patients with RA or PsA.
-
Review
Pregnancy and Autoimmune Disease: Diseases of the Nervous System, Connective Tissue, and the Bowel.
Pregnancies in women with chronic disease are on the rise. This pertains to autoimmune diseases in particular since these tend to affect women of childbearing age. The interaction between pregnancy and autoimmune disease may increase the risk of maternal, fetal, and obstetric complications; additional care may be required. ⋯ The care of pregnant women with chronic diseases requires collaboration between specialists of the pertinent levels of care. A stable course of disease before conception, close interdisciplinary care, and pregnancy-compatible medication contribute to a reduction in maternal and perinatal complications.