[Health economic aspects of a stratified medicine for rheumatoid arthritis].

Abstract:

:Up to now stratified therapy concepts have not played an important role in the treatment of patients with rheumatoid arthritis; however, a high heterogeneity regarding the effectiveness of therapies and occurrence of side effects in patients with the same indications provokes research efforts aiming at identifying and developing diagnostic biomarkers. Comprehensive diagnostics could lead to improved patient-oriented therapy algorithms and hence, a higher patient-relevant benefit could be achieved. Furthermore, costs for non-effective therapy options could be reduced, which might improve the cost-effectiveness of single active agents, especially biologicals. For the pharmaceutical industry an enhanced stratification of pharmaceuticals leads to smaller patient target groups and smaller markets on the one hand but on the other hand it may result in higher chances of receiving approval as well as higher reimbursement prices.

journal_name

Z Rheumatol

authors

Frank M,Mittendorf T

doi

10.1007/s00393-011-0883-6

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

12-9

issue

1

eissn

0340-1855

issn

1435-1250

journal_volume

72

pub_type

杂志文章
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    abstract::New strategies including the blockade of TNFalpha showed excellent therapeutic effects even in so far refractory rheumatic diseases. Moreover, these approaches provided us with important informations about the pathogenic role of the mediators involved and distinct autoimmune cellular subsets. Here, we discuss recent d...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-003-0539-2

    authors: Feist E,Burmester GR,Dörner T

    更新日期:2003-08-01 00:00:00

  • Aortic aneurysm and dissection in systemic lupus erythematosus.

    abstract::Aortic aneurysm and dissection are rare complications of systemic lupus erythematosus (SLE). The incidence, etiology, risk factors, and outcomes of this entity were largely unknown.The study materials were based on the publications of aortic aneurysm or dissection due to SLE published between 2000 and 2017.A total of ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-018-0555-x

    authors: Yuan SM

    更新日期:2019-04-01 00:00:00

  • [Elimination half-life and serum protein binding of the anti-rheumatism agent naproxen in kidney failure].

    abstract::Serum protein binding of naproxen is considerably reduced in patients with renal insufficiency. The hypothetical plasma concentration at time zero and the half life are not significantly altered in uremic patients in comparison with healthy subjects when the drug is given orally. This suggests an increased pharmacodyn...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Held H

    更新日期:1979-03-01 00:00:00

  • [Rheumatism and art : Max Slevogt. The bon viveur and artist plagued by gout].

    abstract::The painter Max Slevogt (1868-1932), together with Lovis Corinth and Max Liebermann, was one of the most important representatives of German impressionism. Slevogt, a gourmet who appreciated fine food and good wines, suffered from acute recurrent gouty arthritis starting at the age of 27 years. His medical history is ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 传,历史文章,杂志文章

    doi:10.1007/s00393-019-00730-0

    authors: Zeidler H

    更新日期:2020-06-01 00:00:00

  • [Expanded anamnesis and psychodiagnostic classification of psychosomatic rheumatic patients. I: Anamnestic indications of psychosomatic correlations with manifestations of the locomotor system].

    abstract::The author describes the information gained from anamnesis which points to a psychogenetic cause of rheumatic complaints. These symptoms are part of the diagnostically important criteria which must be supplemented still further by means of a personal discussion with the patient. A great deal depends on the skill of th...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Mathies H

    更新日期:1993-07-01 00:00:00

  • [German patient version of the ASAS/EULAR recommendations for the management of ankylosing spondylitis].

    abstract::The evidence-based recommendations on the management of ankylosing spondylitis (AS) have enjoyed a high level of acceptance and circulation in Germany, as well as in other European countries. To make patient participation in the decision-making process regarding their disease easier, as well as to strengthen the physi...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-009-0428-4

    authors: Kiltz U,Feldtkeller E,Braun J

    更新日期:2010-03-01 00:00:00

  • Prolactin levels and autoantibodies in female patients with systemic lupus erythematosus.

    abstract::We investigated the relationships between prolactin (PRL) levels and antibody occurrence in systemic lupus erythematosus (SLE). No significant association between PRL levels and the majority of the autoantibodies studied (anti-U1 RNP, anti-rRNP, anti-Sm, anti-dsDNA, anti-DNP, auto-LCA, anti-EACA) could be confirmed (P...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s003930070024

    authors: Kozáková D,Rovenský J,Cebecauer L,Bosák V,Jahnová E,Vigas M

    更新日期:2000-01-01 00:00:00

  • [Arthrosis update].

    abstract::Arthrosis deformans is a common disease worldwide with a high prevalence among all ethnic groups. All joints may be affected and genetic factors influence the onset of the disease. The main symptoms include pain and increasing immobility over the course of the illness. Treatment in early stages is conservative. In the...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-008-0304-7

    authors: Rehart S,Lehnert H

    更新日期:2008-07-01 00:00:00

  • Relative efficacy and safety of apremilast, secukinumab, and ustekinumab for the treatment of psoriatic arthritis.

    abstract:OBJECTIVE:To assess the relative efficacy and safety of apremilast, secukinumab, and ustekinumab at different doses in patients with active psoriatic arthritis (PsA). METHOD:A Bayesian network meta-analysis was conducted, which included randomized controlled trials (RCTs) that examined the efficacy and safety of aprem...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00393-017-0355-8

    authors: Song GG,Lee YH

    更新日期:2018-09-01 00:00:00

  • [Ulcerative colitis caused by oral gold therapy in rheumatoid arthritis].

    abstract::We report on a 39-year-old male patient suffering from seropositive rheumatoid arthritis who developed severe colitis during oral gold (Auranofin) therapy. So far, two further cases of colitis during oral, and 28 cases of enterocolitis during parenteral chrysotherapy have been described. The pathomechanism has not bee...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Bross-Bach U,Saal JG,Hartmann F,Müller CA,Waller HD

    更新日期:1987-07-01 00:00:00

  • [Proliferative and metaplastic reactions as tentative reparatory processes in spontaneous arthritis in the mouse].

    abstract::Performing histo-morphologic studies of knee joints in several hundred mice of the strains C57 black, STR/1N and MAGf, showing a disposition for spontaneous osteo-arthrosis, we found tentative reparative processes in many cases. There was a proliferation of cartilage and of the synovial membrane, mostly in the periphe...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Wilhelmi G,Schneider-Faust R

    更新日期:1984-09-01 00:00:00

  • [Diagnostic and prognostic significance of serologic studies in Yersinia arthritis].

    abstract::Commonly-used serological methods for the determination of Yersinia antibodies are based on the presence of agglutinins, which are frequently absent or of low titer when arthritis begins. Stool cultures are usually negative at that time, so many Yersinia infections are underdiagnosed. On the other hand, significant ag...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Grasedyck K,Heesemann J

    更新日期:1987-07-01 00:00:00

  • [§ 116b SGB V (social insurance code, book five) for rheumatology patients. An empirical assessment on the basis of administrative data].

    abstract:BACKGROUND:The choice between outpatient and inpatient care is currently undergoing major changes within the German health care system with the amendment of § 116b SGB V. This study investigates what proportion of hitherto inpatient rheumatologic care could potentially be given on an outpatient basis. METHODS:The anal...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-010-0703-4

    authors: Rath T,Bokern E,Sefo-Bukow E,Büscher G,Lüngen M,Rubbert-Roth A

    更新日期:2011-01-01 00:00:00

  • [The course and topography of pain in generalized tendomyopathies].

    abstract::The generalized tendomyopathy (fibromyalgia) is characterized by the characteristic picture of multilocular pain symptoms, severe pressure-type pain in the tendon insertions and muscles, vitality deficiency, sleep disturbance and other vegetative disorders as well as functional complaints and is often also characteriz...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:

    authors: Brückle W,Lautenschläger J,Müller W

    更新日期:1991-01-01 00:00:00

  • [Back to school physical education despite rheumatism : Development and testing of a sport scientific-based physical education certification].

    abstract:BACKGROUND:Taking part in physical education is an important element of social participation for children with chronic diseases. Nevertheless, children suffering from rheumatism mostly receive recommendations to stop sport activities either completely or partially, without underlying scientific guidelines. OBJECTIVE:T...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-018-0518-2

    authors: Hartmann M,Merker J,Schrödl S,König M,Georgi M,Hinze C,Schwirtz A,Haas JP

    更新日期:2018-10-01 00:00:00

  • Protective effect of folinic acid on low-dose methotrexate genotoxicity.

    abstract:INTRODUCTION:Methotrexate (MTX) is an antineoplastic agent widely used in low dose to treat patients with rheumatoid arthritis (RA). Its side effects can partly be explained by folate antagonism. Folinic acid (Leucovorin) is generally administered with MTX to decrease MTX-induced toxicity. However information regarding...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s003930170075

    authors: Shahin AA,Ismail MM,Saleh AM,Moustafa HA,Aboul-Ella AA,Gabr HM

    更新日期:2001-04-01 00:00:00

  • [Liberation of the oxygen radical from peripheral human phagocytes (granulocytes and monocytes) in patients with chronic polyarthritis].

    abstract::Monocytes from patients with definite or classical rheumatoid arthritis show a significantly higher release of O2-radicals in the chemiluminescence assay (2925 X 10(3) cpm) than those of healthy volunteers (267 X 10(3) cpm) (p = 0.01). This difference does not appear in a similar test with granulocytes, which in both ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Meske S,Maly FE,Estefan M,Müller W

    更新日期:1985-01-01 00:00:00

  • [The temporomandibular joint from the rheumatologic viewpoint].

    abstract::Temporomandibular joint affections in rheumatic disease are described. They were seen in inflamed joint diseases, mostly in rheumatoid arthritis, and less so in juvenile rheumatoid arthritis, psoriatic arthritis, Reiter's syndrome, ankylosing spondylitis, and collagen vascular disease. In osteoarthrosis, the temporoma...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:

    authors: Wörth WD,Keller B,Graber G,Müller W

    更新日期:1988-03-01 00:00:00

  • [Imaging procedures in rheumatology. Differential diagnosis using various imaging procedures in rheumatoid arthritis (RA)].

    abstract::Conventional radiography, ultrasonography (US), magnetic resonance imaging (MRI), computed tomography, and scintigraphy are imaging techniques in use for rheumatoid arthritis (RA). Conventional radiography of the hands and the forefeet should be performed every 6 to 12 months in the first two years, and every 12 to 24...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-005-0720-x

    authors: Kellner H,Schmidt W,Rau R

    更新日期:2005-11-01 00:00:00

  • [Evidence-based medicine and therapeutic ultrasound of the musculoskeletal system].

    abstract::The aim of this review is to critically analyze the evidence of therapeutic ultrasound between 0.8 and 3 MHz for treating musculoskeletal diseases. Relevant randomized, controlled, clinical trials and systematic reviews published on this topic have been taken into consideration.There was evidence of effectiveness for ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-009-0457-z

    authors: Ebenbichler G

    更新日期:2009-09-01 00:00:00

  • The coexistence of mutilating rheumatoid arthritis, progressive systemic sclerosis and polycythemia vera--a case report.

    abstract::A 41-year-old patient with mutilating rheumatoid arthritis and progressive systemic sclerosis, who developed a chronic myeloproliferative disorder polycythemia vera was observed. Some of the pathogenetic aspects of this case with special respect to the function abnormalities of peripheral blood polymorphonuclear cells...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Hrycaj P,Mackiewicz S

    更新日期:1992-09-01 00:00:00

  • [Sensitivity and significance of nuclear magnetic tomography findings of finger joints in rheumatoid arthritis].

    abstract::Evaluation of the sensitivity and value of magnetic resonance imaging (MRI) findings and miniarthroscopic investigations (mini-/needle-arthroscopy = MA) of metacarpophalangeal (MCP) joints in patients with rheumatoid arthritis (RA). 30 patients with RA (21 female, 9 male), disease duration 2 months to 22 years and mea...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s003930200021

    authors: Peters R,Ostendorf B,Scherer A,Becker A,Dann P,Merk H,Mödder U,Schneider M

    更新日期:2002-04-01 00:00:00

  • [Correlations between irrational attitudes and pain quality in patients with chronic polyarthritis].

    abstract::The present study examined relations between irrational attitudes and pain experience in patients with rheumatoid arthritis (RA). 128 patients with definite RA from a rheumatic treatment center were studied by administration of the Irrational Attitudes Questionnaire (15) and a revised form of the Multidimensional Pain...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Klages U

    更新日期:1990-05-01 00:00:00

  • [Tibial pain and unilateral knee arthritis: Precursors of paraneoplastic arthropathy].

    abstract::Various rheumatic symptoms can occur in association with malignancies and are termed the so-called paraneoplastic arthropathy. The clinical picture is often similar to primary inflammatory rheumatic diseases. At present there exist no epidemiological data on this disease entity. The case of a patient with tibial pain ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-010-0734-x

    authors: Lange U,Bachmann G,Müller-Ladner U

    更新日期:2011-06-01 00:00:00

  • The osteogenic potential of ligament fibroblasts is greater in ankylosing spondylitis patients than in patients with osteoarthritis.

    abstract:BACKGROUND:The goal of the present study was to investigate the osteogenic potential of ligament fibroblasts from patients with ankylosing spondylitis (AS). MATERIALS AND METHODS:Ligament fibroblasts were isolated from tissues harvested from AS patients and patients with aseptic necrosis of the femoral head (ANFH) who...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-014-1394-z

    authors: Yang M,Yuan H,Miao M,Xu W

    更新日期:2015-05-01 00:00:00

  • [Mode of action of D-penicillamine on collagen metabolism].

    abstract::The effect of D-penicillamine, given for 14 days in doses of 100 mg/kg and 225 mg/kg, upon the collagen metabolism of skin and bone tissues was studied in rats. The smaller dosage of D-penicillamine did not effect the collagen synthesis in skin or bone. When the higher dosage was used, however, an increase of collagen...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Trnavská Z,Trnavský K

    更新日期:1977-05-01 00:00:00

  • [Still's disease as biphasic disorder : Current knowledge on pathogenesis and novel treatment approaches].

    abstract::Still's disease covers a range of disorders from systemic juvenile idiopathic arthritis (SJIA) up to adult onset Still's disease (AOSD). The overlapping clinical features suggest that SJIA and AOSD are different manifestations of a phenotypic continuum in different age stages. Still's disease is clinically characteriz...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-020-00779-2

    authors: Föll D,Wittkowski H,Hinze C

    更新日期:2020-09-01 00:00:00

  • [Bacterial sacroiliitis].

    abstract::We saw two cases of infectious sacroiliitis in young patients. The multi-various clinical symptoms, the predispositions, as well as the alteration of laboratory analyses are described. Further, we discuss problems of early diagnosis, diagnostic measures like x-ray, sonography, bone-scan, computerized tomography scan, ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Nagler P,Feuerer F,Müller-Fassbender H

    更新日期:1992-05-01 00:00:00

  • [Occurrence of pannus in arthrosis].

    abstract::Eight human femoral heads, surgically removed from patients with the clinical diagnosis: coxarthrosis or necrosis, were examined. In six of these we found severe arthrosis combined with synovitis and pannus formation. The pannus appeared as granulation tissue or fibrous connective tissue covering the surface of the ca...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Pataki A,Lothe K,Spycher MA,Rüttner JR,Cserhati MD

    更新日期:1983-11-01 00:00:00

  • [Enzyme studies on the pathogenesis of experimental mycoplasma arthritis].

    abstract::Biochemical studies of rats with mycoplasma arthritis revealed new findings in pathogenesis and pathophysiology. Preliminary examinations showed that mycoplasmas release specific endonucleases and exonucleases. In evaluating the isoenzymes of the lactate dehydrogenases, malate dehydrogenases as well as of the esterase...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Klein G

    更新日期:1975-05-01 00:00:00