Combination of C00-D48 and one of the M-/L-codes mentioned prerequisite for admission to study C00-D48 M05-M14 M30-M36 M45 M60 M65 L40.5 M46
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: In general: - Written informed consent - Concurrent malignant and rheumatic disease (including pre-cancerous lesions, paraneoplasia and rheumatic side effects of oncological therapies, analogous to the inclusion criteria of the MalheuR project) - Written informed consent for the MalheuR project (S-391/2018; DRKS00036681 (registration requested)) Onboard module: - Pre-enrolled patients in the MalheuR project registry ConCenTRiC module: - First consultation at the MalheuR clinic DiGA module: - Indication of interest to participate in this optional module in the consent form Interview module: - Indication of interest to participate in this optional module in the consent form - Separate written consent from the patient to the collaborating partner performing the interviews
Exclusion criteria
Exclusion criteria: In general: - Refusal to give consent to the MalheuR project - Minors - Patients unable to give consent - Patients with only malignant or only rheumatic underlying disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.1 Onboard module: Detection of interindividual differences in patient-reported outcomes (PROs) of rheumatology patients with versus without malignant comorbidity (cumulative data of the reference cohort SCREENED 2.0 study S-549/2022) in one-time collection of PROs on current well-being, quality of life (EQ-5D-5L), patient journey and vaccination behavior. 1.2 ConCenTRiC module: Intra-individual improvement of patient-reported outcomes (PROs) immediately after the telemedical (“offsite”) or on-site (“onsite”) consultation compared to the initial state (T1 versus T0) in PROs on current well-being, quality of life (EQ-5D-5L), physical functions (FFbH, PROMIS) and other PROMIS domains. | — |
Secondary
| Measure | Time frame |
|---|---|
| 2.1 Onboard module: Interindividual differences in a) patient-reported outcomes (PROs, matched case-control analysis) and b) health and care indicators (cumulative and matched) of rheumatology patients with versus without malignant comorbidity (reference cohort S-549/2022) 2.2 ConCenTRiC module: - Physician time spent on initial consultations for onsite versus offsite patients - Intraindividual changes in PROs in the follow-up of onsite and offsite patients - Interindividual differences in a) PROs and b) health and care indicators after onsite versus offsite initial consultation - Comparison of group-specific differences in PROs, health and care indicators with a) onboard module and b) reference cohort without malignant comorbidity (S-549/2022): - Satisfaction of patients and referring physicians with the initial consultation - Saving of driving kilometers through telemedical consultation 2.3 DiGA module: - Utilisation of the DiGA offer - Patient-reported individual added value and intraindividual changes in the PROs during follow-up by the use of a DiGA - Group-specific differences in the PROs and in the patient-reported DiGA added value according to DiGA preference and main module affiliation - Comparison of the patient-reported individual added value by the use of a DiGA with an external rheumatological reference cohort without malignant comorbidity (DiGAReal register, Ethics vote 22-113-1-B of the Medical Faculty of the University of Erlangen-Nuremberg). 2.4. Interview module: - qualitative collection of patient journey of patients with concurrent malignant and rheumatic diseases - interindividual differences between Onboard and ConCenTRiC patients, and patients with rheumatic or malignant primary disease or rheumatic side effects of cancer therapy. 2.5 Cross-module - Correlation of identified differences in health and health care with PROs - Subgroup analyses of group-specific differences in PROs between depending on various d | — |
Countries
Germany
Contacts
Universitätsklinikum Heidelberg - Innere Medizin V