ACR Meeting Abstracts

ACR Meeting Abstracts

  • Home
  • Meetings Archive
    • ACR Convergence 2022
    • ACR Convergence 2021
    • ACR Convergence 2020
    • 2020 ACR/ARP PRSYM
    • 2019 ACR/ARP Annual Meeting
    • 2018 ACR/ARHP Annual Meeting
    • 2017-2009 Meetings
    • Download Abstracts
  • Keyword Index
  • Advanced Search
  • Your Favorites
    • Favorites
    • Login
    • View and print all favorites
    • Clear all your favorites
  • Meeting Resource Center

Abstract Number: 1066

Evaluation of a Non-Face to Face Multidisciplinary Health Care Model in a Population with Rheumatoid ArthritisVulnerable to Covid-19 in a Health Emergency Situation

Pedro Santos-Moreno1, Rosangela Casanova2, Gabriel-Santiago Rodríguez-Vargas2, Laura Villareal1, Jaime-Andrés Rubio2, Josefina Chávez-Chávez2, Diana Patricia Rivera-Triana2, Ruth Alexandra Castiblanco-Montañez2, Sandra Milena Hernández-Zambrano2 and Adriana Rojas-Villarraga2, 1BIOMAB IPS, Bogotá, Colombia, 2Fundación Universitaria de Ciencias de la Salud-FUCS, Bogotá, Colombia

Meeting: ACR Convergence 2021

Keywords: COVID-19, rheumatoid arthritis, telemedicine

  • Tweet
  • Email
  • Print
Session Information

Date: Monday, November 8, 2021

Session Title: Health Services Research Poster II: Care Models and Innovation (1061–1082)

Session Type: Poster Session C

Session Time: 8:30AM-10:30AM

Background/Purpose: The COVID-19 pandemic impacted everyday practice pattern of health care in rheumatoid arthritis (RA) patients. The objective was to evaluate the implementation of a tele-consultation program in adult population with RA

Methods: This was an analytical observational study-prospective cohort (Clinical trials NCT04768413) that evaluated the effectiveness of a teleconsultation model compared with a face-to-face consultation model in RA adult patients. Patients were followed 12 weeks (Jul-Oct 2020) at a RA center of excellence in Colombia. Simple random sampling was done. Two groups were included: Group A, patients who assisted to tele-consultation care and Group B, those who wish to continue with the usual face-to-face consultation. Data regarding activity of disease (Week 0,6,12) [Patient Activity Scale (PAS) in both groups and DAS28 in group B], and Quality of life [EQ-5D-3L], disability [Health Assessment Questionnaire (HAQ)], therapeutic adherence [Morisky-Green Adherence Scale (MGLS)] and self-care capacity [Appraisal of Self-care Agency Scale -Revised (ASA-R)] was evaluated (weeks 0-12). Outcomes regarding COVID-19 were evaluated. Bivariate analysis was done (StataV-13; P-value< 0.05)

Results: 218 adults were included: (109 in Group A and 109 in Group B). The groups did not differ in general characteristics (See Figure-Table). In Group A: (n=71), no statistically significant differences were observed in the median scores of VAS global, VAS pain, PAS, HAQ, EQ-5D and ASA-R, while increase in adherence was demonstrated (MGLS, without statistical significance), during follow-up. In Group B: (n=18), a significant decrease in adherence (MGLS, p= 0,019) and increase in self-care (ASA-R, p= 0,0077) were found, no other differences were found (including DAS-28). A third group was conformed by patients (n=129) that transited between the two models during follow-up (See figure). An increase in in self-care (ASA-R) was demonstrated in the group presential >remote >presential (p=0,0001), the same result was documented in the group presential >remote >presential, with a decrease in adherence (p=0,033). 7 patients developed COVID-19 (one patient hospitalized/group A and one patient died/mixed model)

Conclusion: The teleconsultation model favors that patients remain without deteriorating their commitment to RA, without major differences compared to the face-to-face model. It is important to know these results due to the impact they have given the changes that will follow in the care of RA patients due the current pandemic. Studies with a longer follow-up period are required to corroborate the results

NI: No Information


Disclosures: P. Santos-Moreno, None; R. Casanova, None; G. Rodríguez-Vargas, None; L. Villareal, None; J. Rubio, None; J. Chávez-Chávez, None; D. Rivera-Triana, None; R. Castiblanco-Montañez, None; S. Hernández-Zambrano, None; A. Rojas-Villarraga, None.

To cite this abstract in AMA style:

Santos-Moreno P, Casanova R, Rodríguez-Vargas G, Villareal L, Rubio J, Chávez-Chávez J, Rivera-Triana D, Castiblanco-Montañez R, Hernández-Zambrano S, Rojas-Villarraga A. Evaluation of a Non-Face to Face Multidisciplinary Health Care Model in a Population with Rheumatoid ArthritisVulnerable to Covid-19 in a Health Emergency Situation [abstract]. Arthritis Rheumatol. 2021; 73 (suppl 9). https://acrabstracts.org/abstract/evaluation-of-a-non-face-to-face-multidisciplinary-health-care-model-in-a-population-with-rheumatoid-arthritisvulnerable-to-covid-19-in-a-health-emergency-situation/. Accessed January 27, 2023.
  • Tweet
  • Email
  • Print

« Back to ACR Convergence 2021

ACR Meeting Abstracts - https://acrabstracts.org/abstract/evaluation-of-a-non-face-to-face-multidisciplinary-health-care-model-in-a-population-with-rheumatoid-arthritisvulnerable-to-covid-19-in-a-health-emergency-situation/

Advanced Search

Your Favorites

You can save and print a list of your favorite abstracts during your browser session by clicking the “Favorite” button at the bottom of any abstract. View your favorites »

ACR Pediatric Rheumatology Symposium 2020

© COPYRIGHT 2023 AMERICAN COLLEGE OF RHEUMATOLOGY

Wiley

  • Home
  • Meetings Archive
  • Advanced Search
  • Meeting Resource Center
  • Online Journal
  • Privacy Policy
  • Permissions Policies
  • Cookie Preferences