Impact of the COVID-19 pandemic on treat-to-target strategies and physical consultations in >7000 patients with inflammatory arthritis
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| Název: | Impact of the COVID-19 pandemic on treat-to-target strategies and physical consultations in >7000 patients with inflammatory arthritis |
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| Autoři: | Mikkel Østergaard, Heidi Lausten Munk, Connie Ziegler, Merete Lund Hetland, Jens Kristian Pedersen, Ada Colic, Lene Terslev, Sara Engel, Bente Glintborg, Dorte Vendelbo Jensen, Kamilla Danebod, Thomas Adelsten, Anne Gitte Loft, René Drage Østgård, S. H. Rasmussen, Mogens Pfeiffer Jensen, Malene Kildemand, Niels Steen Krogh, Jette Nørgaard Agerbo, Christian Møller Sørensen, Oliver Hendricks |
| Zdroj: | Glintborg, B, Jensen, D V, Terslev, L, Jensen, M P, Hendricks, O, Østergaard, M, Engel, S, Rasmussen, S H, Adelsten, T, Colic, A, Danebod, K, Kildemand, M, Loft, A G, Munk, H L, Pedersen, J K, Østgård, R D, Sørensen, C M, Krogh, N S, Agerbo, J N, Ziegler, C & Hetland, M L 2021, ' Impact of the COVID-19 pandemic on treat to target strategies and physical consultations in > 7000 patients with inflammatory arthritis ', Rheumatology, vol. 60, no. SI, pp. SI3-SI12 . https://doi.org/10.1093/rheumatology/keab500 Glintborg, B, Jensen, D V, Terslev, L, Pfeiffer Jensen, M, Hendricks, O, Østergaard, M, Engel, S, Horskjær Rasmussen, S, Adelsten, T, Colic, A, Danebod, K, Kildemand, M, Loft, A G, Munk, H L, Pedersen, J K, Østgård, R D, Møller Sørensen, C, Krogh, N S, Nørgaard Agerbo, J, Ziegler, C & Hetland, M L 2021, 'Impact of the COVID-19 pandemic on treat-to-target strategies and physical consultations in >7000 patients with inflammatory arthritis', Rheumatology (Oxford, England), vol. 60, no. SI, pp. SI3-SI12. https://doi.org/10.1093/rheumatology/keab500 |
| Informace o vydavateli: | Oxford University Press (OUP), 2021. |
| Rok vydání: | 2021 |
| Témata: | Adult, Male, Spondylarthritis/therapy, treat-to-target, Arthritis, Psoriatic/therapy, Patient Acceptance of Health Care/statistics & numerical data, Denmark, Severity of Illness Index, Health Services Accessibility, Arthritis, Rheumatoid, outcome measures, 03 medical and health sciences, 0302 clinical medicine, CANCER CARE, Arthritis, Rheumatoid/therapy, Spondylarthritis, Humans, Patient Reported Outcome Measures, Prospective Studies, Registries, 10. No inequality, Referral and Consultation, Aged, SARS-CoV-19, SARS-CoV-2, Health Services Accessibility/statistics & numerical data, Arthritis, Psoriatic, Remission Induction, COVID-19, axial spondyloarthritis, Middle Aged, Patient Acceptance of Health Care, observational research, 3. Good health, Treatment Outcome, Referral and Consultation/statistics & numerical data, Female, RA |
| Popis: | Objectives To explore the impact of the COVID-19 pandemic on treat-to-target strategies (disease activity, remission rates) and access to physical consultations in patients with inflammatory rheumatic disease, as well as to explore characteristics of patients with/without physical consultations in the clinic and the impact of early vs established disease. Methods Patients with RA, PsA or axial SpA (axSpA) prospectively followed in the nationwide DANBIO registry answered online questionnaires and reported patient-reported outcomes (PROs) in June and November 2020. Patient characteristics, disease activity and physical consultations in the clinic before and during the pandemic were identified in DANBIO [all patients and subgroups with early disease (disease duration ≤2 years)]. In individual patients, changes in PROs before and during the pandemic were calculated. Characteristics of patients with/without physical consultations were described (age, gender, education level, comorbidities, disease duration, treatment). Results We included 7836 patients (22% of eligible patients), 12% of which had early disease. PROs were stable before and during the pandemic, with median changes approximating zero, as well as in patients with early disease. Remission rates were stable. The relative decrease in the number of patients with physical consultations was 21–72%, which was highest in axSpA. Characteristics of patients with/without physical consultations were similar. Self-reported satisfaction with treatment options and access was >70%; the preferred contact form was physical consultation (66%). Conclusion In this nationwide study performed during the first 8 months of the pandemic, patient satisfaction was high and the PROs and remission rates remained stable despite the remarkable reduction in physical consultations, as well as in patients with early disease. Characteristics of patients with/without physical consultations appeared similar. |
| Druh dokumentu: | Article |
| Jazyk: | English |
| ISSN: | 1462-0332 1462-0324 |
| DOI: | 10.1093/rheumatology/keab500 |
| Přístupová URL adresa: | https://academic.oup.com/rheumatology/article-pdf/60/SI/SI3/40544562/keab500.pdf https://pubmed.ncbi.nlm.nih.gov/34146099 https://pure-portal.regsj.dk/en/publications/impact-of-the-covid-19-pandemic-on-treat-to-target-strategies-and http://academic.oup.com/rheumatology/article/60/SI/SI3/6306422 https://europepmc.org/article/MED/34146099 https://search.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/es/covidwho-1276229 https://portal.findresearcher.sdu.dk/da/publications/impact-of-the-covid-19-pandemic-on-treat-to-target-strategies-and https://pubmed.ncbi.nlm.nih.gov/34146099/ https://portal.findresearcher.sdu.dk/da/publications/911c6d61-3d12-4a89-b8c2-55d4ce57e991 https://pure.au.dk/portal/en/publications/bd39b087-5ede-4e0d-92f3-c532bbdbd917 http://www.scopus.com/inward/record.url?scp=85118285880&partnerID=8YFLogxK https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8344418/pdf/keab500.pdf https://doi.org/10.1093/rheumatology/keab500 |
| Rights: | OUP Standard Publication Reuse |
| Přístupové číslo: | edsair.doi.dedup.....0a3c47492093563e0d2c0011adbaa914 |
| Databáze: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Objectives To explore the impact of the COVID-19 pandemic on treat-to-target strategies (disease activity, remission rates) and access to physical consultations in patients with inflammatory rheumatic disease, as well as to explore characteristics of patients with/without physical consultations in the clinic and the impact of early vs established disease. Methods Patients with RA, PsA or axial SpA (axSpA) prospectively followed in the nationwide DANBIO registry answered online questionnaires and reported patient-reported outcomes (PROs) in June and November 2020. Patient characteristics, disease activity and physical consultations in the clinic before and during the pandemic were identified in DANBIO [all patients and subgroups with early disease (disease duration ≤2 years)]. In individual patients, changes in PROs before and during the pandemic were calculated. Characteristics of patients with/without physical consultations were described (age, gender, education level, comorbidities, disease duration, treatment). Results We included 7836 patients (22% of eligible patients), 12% of which had early disease. PROs were stable before and during the pandemic, with median changes approximating zero, as well as in patients with early disease. Remission rates were stable. The relative decrease in the number of patients with physical consultations was 21–72%, which was highest in axSpA. Characteristics of patients with/without physical consultations were similar. Self-reported satisfaction with treatment options and access was >70%; the preferred contact form was physical consultation (66%). Conclusion In this nationwide study performed during the first 8 months of the pandemic, patient satisfaction was high and the PROs and remission rates remained stable despite the remarkable reduction in physical consultations, as well as in patients with early disease. Characteristics of patients with/without physical consultations appeared similar. |
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| ISSN: | 14620332 14620324 |
| DOI: | 10.1093/rheumatology/keab500 |