Groener – Steunebrink, L.M.M. (Laura) MSc.

Laura Steunebrink


Researcher / PhD student









Cubicus, room B120



+31 (0)53 – 489 4470 (secretary)



+31 (0)53 – 489 2895

Personal website






Laura Groener-Steunebrink completed her bachelor degree in Health Sciences with a minor in Innovation Management in 2008 at the University of Twente. Next she completed the master Health Sciences / Health Care Management and Business Administration / Service Management (2011). After a short break working in the business industry, Laura started working at the hospital Medisch Spectrum Twente in Enschede at the Department of Rheumatology and at the Department of Psychology, Health and Technology at the University of Twente in March 2014.

Research projects

Rheumatoid arthritis (RA) is a chronic disease that is characterized by
inflammation in the joints. The degree of disease activity can be measured by the Disease Activity Score in 28 joints (DAS28). This score is calculated using the number of tender and swollen joints, erythrocyte sedimentation rate and the level of general well-being of the patient. Several scientific studies have shown that early and intensive treatment aimed at rapidly achieving low disease activity is a good method to treat patients with RA.

The 'Dutch Rheumatoid Arthritis Monitoring (DREAM)' remission induction
cohort study is a study in which patients are enrolled with
a clinical diagnosis of RA (symptoms <1 year) and DAS28>2.6. The goal of treatment is to get patients as quickly as possible in remission (DAS28 <2.6). Early and sustained remission can prevent radiological damage and improve the functionality of the patients.

The first remission induction cohort started in 2006 at the Department of Rheumatology in the hospital Medisch Spectrum Twente in Enschede. In the meantime, a 2nd cohort started in 2012 with another medication protocol. Results so far show that with the help of these treatment strategies, many patients now achieve remission in daily practice, and that this often happens early in the disease process.

The PhD-project is supervised by:
Prof. dr. M.A.F.J. van de Laar, Medisch Spectrum Twente & University of Twente, promotor

Dr. H.E. Vonkeman, Medisch Spectrum Twente, first supervisor


-Client coordinator (2013-2014) - Initiate, coordinate, supervise and optimize logistics processes in Youth care.

-Projectmanagement Prescan (2012-2013) – managing, coordinating and organizing projects: -Quality certification ISO / ZKN, -Fertility, -Osteoporosis screening

-Junior researcher PGT, Universiteit Twente (2011) - design, implementation and

evaluation of healthcare innovations to improve the quality of health and efficiency