Evidence mapPaperPMID 32893293Full record

ArticleRheumatology (Oxford, England)2021

Telemedicine in rheumatology: a reliable approach beyond the pandemic.

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

Abstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Article
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  9. Article
  10. Digital Approaches for Myositis.Current rheumatology reports · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Telemedicine in the COVID-19 Era: A Narrative Review Based on Current Evidence.International journal of environmental research and public health · 2022
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lorenzo CavagnaDivision of Rheumatology, University and IRCCS Policlinico S. Matteo, Pavia.
Giovanni ZanframundoDivision of Rheumatology, University and IRCCS Policlinico S. Matteo, Pavia.
Veronica CodulloDivision of Rheumatology, University and IRCCS Policlinico S. Matteo, Pavia.
Maria Grazia PisuAssociazione Lombarda Malati Reumatici, ALOMAR, c/o Hospital G. Pini-CTO.
Roberto CaporaliRheumatology Division, Hospital G. Pini-CTO, University of Milan, Milan, Italy.
Carlomaurizio MontecuccoDivision of Rheumatology, University and IRCCS Policlinico S. Matteo, Pavia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe 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.

methodsWe 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.

resultsA 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).

conclusionTelemedicine 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.

Indexed as

COVID-19Patient Acceptance of Health CarePatient PreferenceRheumatologyTelemedicineAdolescentAdultAgedAged, 80 and overAge FactorsAmbulatory CareConnective Tissue DiseasesEducational StatusEmploymentFeasibility StudiesFemaleconnective tissue diseasesCOVID-19idiopathic inflammatory myopathiesSARS-CoV-2systemic lupus erythematosussystemic sclerosistelemedicinetele-rheumatology

Identifiers

PMID32893293
PMCPMC7499691

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.