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Article: Rheumatology Care in the Face of COVID-19.

Lubrano, Ennio / Scriffignano, Silvia / Perrotta, Fabio Massimo

2020 Volume 7, Issue 3, Page(s) 425–428

Keywords	covid19
Language	English
Publishing date	2020-05-29
Publishing country	England
Document type	Letter
ZDB-ID	2783278-8
ISSN	2198-6584 ; 2198-6576
ISSN (online)	2198-6584
ISSN	2198-6576
DOI	10.1007/s40744-020-00213-8
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Rheumatology Care in the Face of COVID-19

Lubrano, Ennio / Scriffignano, Silvia / Perrotta, Fabio Massimo

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #424759
Database	COVID19

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Article ; Online: Rheumatology Care in the Face of COVID-19

Lubrano, Ennio / Scriffignano, Silvia / Perrotta, Fabio Massimo

Rheumatology and Therapy

2020 Volume 7, Issue 3, Page(s) 425–428

Keywords	covid19
Language	English
Publisher	Springer Science and Business Media LLC
Publishing country	us
Document type	Article ; Online
ZDB-ID	2783278-8
ISSN	2198-6584 ; 2198-6576
ISSN (online)	2198-6584
ISSN	2198-6576
DOI	10.1007/s40744-020-00213-8
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Teleconsultation in rheumatology: A literature review and opinion paper.

Avouac, Jérôme / Marotte, Hubert / Balsa, Alejandro / Chebbah, Myriam / Clanche, Solenn Le / Verhagen, Linda A W / Filková, Mária / Mueller, Ruediger B / Mongey, Anne-Barbara / Taylor, Peter C

Seminars in arthritis and rheumatism

2023 Volume 63, Page(s) 152271

Abstract: ... health care professionals. In 2020, the social distancing constraints during the COVID-19 pandemic accelerated more ... of telerheumatology, it is not intended to replace face-to-face visits, but rather as a way to enhance access to care ... of telemedicine in rheumatology. This field has received considerable recent attention through the development ...

Abstract	In this article, we review published literature on "telerheumatology", a term describing the use of telemedicine in rheumatology. This field has received considerable recent attention through the development of efficient digital technologies, resulting in a good level of satisfaction among patients and health care professionals. In 2020, the social distancing constraints during the COVID-19 pandemic accelerated more widespread adoption worldwide. Telerheumatology is particularly suited for patients with rheumatoid arthritis who have achieved a sustained therapeutic target of remission or low disease activity. To facilitate remote consultations and meet expectations of rheumatologists and patients, international and national guidelines have recently been proposed and existing tools, such as Patient-Reported Outcomes questionnaires, have had to be digitally adapted. In addition, telerheumatology toolkits are proposed by the Arab League of Associations for Rheumatology (ArLAR), the Association of American Medical College (AAMC), and the American College of Rheumatology (ACR) for all learners, from medical students to practicing clinicians, encouraging the acquisition of telehealth skills and facilitating their integration into their routine clinical practice. The main benefits reported for this mode of health care are greater access to specialty care, flexibility, reduced rates of missed appointments, as well as improved patient engagement and autonomy. Limitations include the absence of physical examination. However, to implement telerheumatology effectively and widely in daily clinical practice, some barriers still need to be addressed. These include training of health care professionals, technological restrictions and reimbursement mechanisms. Despite the advantages of telerheumatology, it is not intended to replace face-to-face visits, but rather as a way to enhance access to care, service delivery and health care support for patients.
MeSH term(s)	Humans ; Remote Consultation/methods ; Rheumatology/methods ; Pandemics ; Telemedicine/methods ; Delivery of Health Care
Language	English
Publishing date	2023-09-27
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	120247-9
ISSN	1532-866X ; 0049-0172
ISSN (online)	1532-866X
ISSN	0049-0172
DOI	10.1016/j.semarthrit.2023.152271
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Article ; Online: Telemedicine in rheumatology

L. Cavagna / G. Zanframundo / V. Codullo / M.G. Pisu / R. Caporali / C. Montecucco

a reliable approach beyond the pandemic

2020

Abstract: ... which affects the referral of chronically ill patients to health care structures. The emerging need ... for adopting telemedicine and whether they would prefer it over face-to-face evaluation. Demographical and ...

Abstract	Objectives: The SARS-CoV-2 outbreak has imposed considerable restrictions on people's mobility, which affects the referral of chronically ill patients to health care structures. The emerging need for alternative ways to follow these patients up is leading to a wide adoption of telemedicine. We aimed to evaluate the feasibility of this approach for our cohort of patients with CTDs, investigating their attitude to adopting telemedicine, even after the pandemic. Methods: We conducted a telephonic survey among consecutive patients referred to our CTD outpatients' clinic, evaluating their capability and propensity for adopting telemedicine and whether they would prefer it over face-to-face evaluation. Demographical and occupational factors were also collected, and their influence on the answers has been evaluated by a multivariate analysis. Results: A total of 175 patients answered our survey (M/F = 28/147), with a median age of 62.5 years [interquartile range (IQR) 53-73]. About 80% of patients owned a device allowing video-calls, and 86% would be able to perform a tele-visit, either alone (50%) or with the help of a relative (36%). Telemedicine was considered acceptable by 78% of patients and 61% would prefer it. Distance from the hospital and patient's educational level were the strongest predictive factors for the acceptance of telemedicine (P < 0.05), whereas age only affected the mastering of required skills (P < 0.001). Conclusion: Telemedicine is a viable approach to be considered for routine follow-up of chronic patients, even beyond the pandemic. Our data showed that older patients would be willing to use this approach, although a proper guide for them would be required.
Keywords	COVID-19 ; SARS-CoV-2 ; connective tissue diseases ; idiopathic inflammatory myopathies ; systemic lupus erythematosus ; systemic sclerosis ; tele-rheumatology ; telemedicine ; Settore MED/16 - Reumatologia ; covid19
Language	English
Publisher	Oxford University Press
Publishing country	it
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Controversies in rheumatology: telemedicine-friend or foe?

Dejaco, Christian / Landewé, Robert B M

Rheumatology (Oxford, England)

2022 Volume 62, Issue 8, Page(s) 2661–2664

Abstract: Telemedicine is increasingly used in rheumatology. While telemedicine guaranteed care of patients ... during the COVID-19 pandemic, it is now increasingly used to facilitate triage of patients, monitoring ... In this article, the opportunities and threats of telemedicine in rheumatology are debated. A possible way forward ...

Abstract	Telemedicine is increasingly used in rheumatology. While telemedicine guaranteed care of patients during the COVID-19 pandemic, it is now increasingly used to facilitate triage of patients, monitoring of disease activity, and patients' education. In addition, tele-visits as well as remote physio- and psychotherapy are replacing traditional face-to-face contacts between patients and their healthcare provider. While this may save resources in a world in which the gap between the demand and the provision of healthcare increases, there is also a danger of losing essential information, for example by non-verbal communication, that can only be retrieved during face-to-face contact in the office. In addition, it may be challenging to build a trusting relationship between patients and healthcare professionals by virtual means only. Globally acting companies that see market opportunities already amply offer 'simple' technical solutions for telemedicine. While such solutions may seem (economically) interesting at first glance, there is a risk of monopolization, leaving the most valuable parts of healthcare to a small number of profit-seeking companies. In this article, the opportunities and threats of telemedicine in rheumatology are debated. A possible way forward is to complement traditional face-to-face visits with information gained by telemedicine, in order to render these consultations more efficient rather than replacing personal contact by technology.
MeSH term(s)	Humans ; COVID-19/epidemiology ; Rheumatology ; Pandemics ; Telemedicine ; Delivery of Health Care
Language	English
Publishing date	2022-12-19
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1464822-2
ISSN	1462-0332 ; 1462-0324
ISSN (online)	1462-0332
ISSN	1462-0324
DOI	10.1093/rheumatology/keac708
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Article: Future challenges in rheumatology - is telemedicine the solution?

de Thurah, Annette / Marques, Andrea / de Souza, Savia / Crowson, Cynthia S / Myasoedova, Elena

Therapeutic advances in musculoskeletal disease

2022 Volume 14, Page(s) 1759720X221081638

Abstract: ... within rheumatology. Due to demographic shifts and workforce shortages in the future, new models of rheumatology care ... The COVID-19 pandemic has become an unprecedented facilitator of rapid telehealth expansion ... of a conventional 'face-to-face' visit. Future studies should especially focus on optimal models for rheumatology ...

Abstract	The COVID-19 pandemic has become an unprecedented facilitator of rapid telehealth expansion within rheumatology. Due to demographic shifts and workforce shortages in the future, new models of rheumatology care will be expected to emerge, with a growing footprint of telehealth interventions. Telehealth is already being used to monitor patients with rheumatic diseases and initial studies show good results in terms of safety and disease progression. It is being used as a tool for appointment prioritization and triage, and there is good evidence for using telehealth in rehabilitation, patient education and self-management interventions. Electronic patient-reported outcomes (ePROs) offer a number of long-term benefits and opportunities, and a routine collection of ePROs also facilitates epidemiological research that can inform future healthcare delivery. Telehealth solutions should be developed in close collaboration with all stakeholders, and the option of a telehealth visit must not deprive patients of the possibility to make use of a conventional 'face-to-face' visit. Future studies should especially focus on optimal models for rheumatology healthcare delivery to patients living in remote areas who are unable to use or access computer technology, and other patient groups at risk for disparity due to technical inequity and lack of knowledge.
Language	English
Publishing date	2022-03-17
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2516075-8
ISSN	1759-7218 ; 1759-720X
ISSN (online)	1759-7218
ISSN	1759-720X
DOI	10.1177/1759720X221081638
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Article ; Online: Telemedicine in rheumatology: a reliable approach beyond the pandemic.

Cavagna, Lorenzo / Zanframundo, Giovanni / Codullo, Veronica / Pisu, Maria Grazia / Caporali, Roberto / Montecucco, Carlomaurizio

Rheumatology (Oxford, England)

2020 Volume 60, Issue 1, Page(s) 366–370

Abstract	Objectives: The SARS-CoV-2 outbreak has imposed considerable restrictions on people's mobility, which affects the referral of chronically ill patients to health care structures. The emerging need for alternative ways to follow these patients up is leading to a wide adoption of telemedicine. We aimed to evaluate the feasibility of this approach for our cohort of patients with CTDs, investigating their attitude to adopting telemedicine, even after the pandemic. Methods: We conducted a telephonic survey among consecutive patients referred to our CTD outpatients' clinic, evaluating their capability and propensity for adopting telemedicine and whether they would prefer it over face-to-face evaluation. Demographical and occupational factors were also collected, and their influence on the answers has been evaluated by a multivariate analysis. Results: A total of 175 patients answered our survey (M/F = 28/147), with a median age of 62.5 years [interquartile range (IQR) 53-73]. About 80% of patients owned a device allowing video-calls, and 86% would be able to perform a tele-visit, either alone (50%) or with the help of a relative (36%). Telemedicine was considered acceptable by 78% of patients and 61% would prefer it. Distance from the hospital and patient's educational level were the strongest predictive factors for the acceptance of telemedicine (P < 0.05), whereas age only affected the mastering of required skills (P < 0.001). Conclusion: Telemedicine is a viable approach to be considered for routine follow-up of chronic patients, even beyond the pandemic. Our data showed that older patients would be willing to use this approach, although a proper guide for them would be required.
MeSH term(s)	Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Ambulatory Care ; COVID-19 ; Connective Tissue Diseases/therapy ; Educational Status ; Employment ; Feasibility Studies ; Female ; Geography ; Humans ; Italy ; Male ; Middle Aged ; Patient Acceptance of Health Care ; Patient Preference ; Rheumatology ; SARS-CoV-2 ; Surveys and Questionnaires ; Telemedicine ; Young Adult
Keywords	covid19
Language	English
Publishing date	2020-09-07
Publishing country	England
Document type	Journal Article
ZDB-ID	1464822-2
ISSN	1462-0332 ; 1462-0324
ISSN (online)	1462-0332
ISSN	1462-0324
DOI	10.1093/rheumatology/keaa554
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Impact of the COVID-19 pandemic on rheumatology nursing consultation.

Fernández Sánchez, Susana P / Rodríguez Muñoz, Fermín / Laiz, Ana / Castellví, Ivan / Magallares, Berta / Corominas, Héctor

Reumatologia clinica

2021 Volume 18, Issue 4, Page(s) 231–235

Abstract: ... 31.1%).: Conclusions: The first wave of COVID-19 brought to rheumatology nursing consultation ... Objective: The COVID-19 pandemic has brought major changes to the model of patient care ... spondyloarthropathies. Scheduled face-to-face visits decreased during COVID-19 (46.5% versus 1.6%), with an increased ...

Abstract	Objective: The COVID-19 pandemic has brought major changes to the model of patient care in Rheumatology. Our aim was to compare the change in the care delivered in a rheumatology nursing consultation before and during the pandemic. Material and methods: Descriptive and observational study. Patient care was registered before and during the COVID-19 outbreak. The variables collected were age, sex, prevalent rheumatic disease, type of visit and reason for consultation. Results: 254 consecutive patients were included before the COVID-19 pandemic for 20 days and 251 patients during COVID-19 for 10 working days. The mean age was 61 years before and 57 during the pandemic. Of both groups, 74% were women. The most frequently attended pathologies before and during COVID-19 were rheumatoid arthritis and spondyloarthropathies. Scheduled face-to-face visits decreased during COVID-19 (46.5% versus 1.6%), with an increased number of phone scheduled visits (2.8% versus 52.2%) and spontaneous consultations either by phone or e-mail (28.3% versus 45%). The type of scheduled visits during COVID-19 were for stable diseases (20% versus 37%) and monitoring (12% versus 38%). The reason for spontaneous consultation increased during COVID-19 and were mainly doubts regarding prevention measures and treatment optimization (13.8% versus 31.1%). Conclusions: The first wave of COVID-19 brought to rheumatology nursing consultation a global increase in all activities in the number of visits per day, in the number of stable patient controls, in monitoring and answering patient concerns.
MeSH term(s)	COVID-19/epidemiology ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; Referral and Consultation ; Rheumatic Diseases/epidemiology ; Rheumatology
Language	English
Publishing date	2021-06-02
Publishing country	Spain
Document type	Case Reports ; Observational Study
ISSN	2173-5743
ISSN (online)	2173-5743
DOI	10.1016/j.reumae.2021.02.001
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Tele-Rheumatology during the COVID-19 pandemic.

Tornero-Molina, Jesús / Sánchez-Alonso, Fernando / Fernández-Prada, Manuel / Bris-Ochaita, María-Luisa / Sifuentes-Giraldo, Alberto / Vidal-Fuentes, Javier

Reumatologia clinica

2021 Volume 18, Issue 3, Page(s) 157–163

Abstract: Introduction: During the Covid-19 pandemic strategies to prevent transmission ... 10/05/2020 all successive consultations in our unit were performed in virtual rheumatology ... care activity to TC with a considerable degree of satisfaction for both the patient and the doctor. ...

Abstract	Introduction: During the Covid-19 pandemic strategies to prevent transmission of the viral infection obliged our hospital to promote virtual consultations. Objetive: The objective of this study is to describe the results obtained with the previous strategy of transferring activity to teleconsultation during the period of maximum impact of the pandemic. Material and methods: Between 16/03 and 10/05/2020 all successive consultations in our unit were performed in virtual rheumatology teleconference (RTC) format. The socio-demographic, geo-functional and clinical characteristics of all patients were collected; a numeric verbal scale (NVS) (where 0 = very dissatisfied to 10 = fully satisfied) was applied to assess the degree of satisfaction of the doctor/patient with the RTC. Results: 469 TC were included. Most patients seen by RTC were women, mean age: 60,83 years. Only 16% had university education. The mean distance travelled for face-to face consultation is 33 Km with a mean total time of 2 h. Most individuals were diagnosed with osteoarthritis/soft tissue rheumatic diseases and/or osteoporosis; 21% had rheumatoid arthritis. The mean length of the TC was 9.64 min. We find more patient satisfaction with the TC when their level of education is higher (OR = 4.12); doctor satisfaction was higher when the individual was better able to manage the Internet (OR = 3.01). Conclusion: It is possible to transfer rheumatological care activity to TC with a considerable degree of satisfaction for both the patient and the doctor.
MeSH term(s)	COVID-19/epidemiology ; Female ; Humans ; Pandemics/prevention & control ; Rheumatology ; SARS-CoV-2 ; Telemedicine/methods
Language	English
Publishing date	2021-06-02
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5743
ISSN (online)	2173-5743
DOI	10.1016/j.reumae.2020.10.002
Database	MEDical Literature Analysis and Retrieval System OnLINE

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