Evidence map›Paper›PMID 33011680›Full record

ArticleRMD open2020

Impact of COVID-19 on vulnerable patients with rheumatic disease: results of a worldwide survey.

Bella Mehta, Deanna Jannat-Khah, Mark Alan Fontana, Carine J Moezinia, Carol A Mancuso, Anne R Bass, Vinicius C Antao, Allan Gibofsky, Susan M Goodman, Said Ibrahim

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 7% of its field
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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Article
  4. Article
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  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Opportunities and Barriers of Telemedicine in Rheumatology: A Participatory, Mixed-Methods Study.International journal of environmental research and public health · 2021
    Article
  16. Article
  17. Telerheumatology: A Narrative Review.Rheumatology and immunology research · 2021
    Review
  18. Article
  19. Digital Health Transition in Rheumatology: A Qualitative Study.International journal of environmental research and public health · 2021
    Article
  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

10 authors at 2 institutions in 1 country.

Bella MehtaHospital for Special Surgery, New York, New York, USA drbellamehta@gmail.com.ORCID 0000-0003-4646-1446
Deanna Jannat-KhahHospital for Special Surgery, New York, New York, USA.
Mark Alan FontanaHospital for Special Surgery, New York, New York, USA.
Carine J MoeziniaHospital for Special Surgery, New York, New York, USA.ORCID 0000-0002-5421-355X
Carol A MancusoHospital for Special Surgery, New York, New York, USA.
Anne R BassHospital for Special Surgery, New York, New York, USA.ORCID 0000-0002-3225-8351
Vinicius C AntaoHospital for Special Surgery, New York, New York, USA.
Allan GibofskyHospital for Special Surgery, New York, New York, USA.
Susan M GoodmanHospital for Special Surgery, New York, New York, USA.ORCID 0000-0003-1197-7864
Said IbrahimWeill Cornell Medical College, New York, New York, USA.
Hospital for Special Surgery · USCornell University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere is emerging evidence that COVID-19 disproportionately affects people from racial/ethnic minority and low socioeconomic status (SES) groups. Many physicians across the globe are changing practice patterns in response to the COVID-19 pandemic. We sought to examine the practice changes among rheumatologists and what they perceive the impact to be on their most vulnerable patients.

methodsWe administered an online survey to a convenience sample of rheumatologists worldwide during the initial height of the pandemic (between 8 April and 4 May 2020) via social media and group emails. We surveyed rheumatologists about their opinions regarding patients from low SES and racial/ethnic minority groups in the context of the COVID-19 pandemic. Mainly, what their specific concerns were, including the challenges of medication access; and about specific social factors (health literacy, poverty, food insecurity, access to telehealth video) that may be complicating the management of rheumatologic conditions during this time.

results548 rheumatologists responded from 64 countries and shared concerns of food insecurity, low health literacy, poverty and factors that preclude social distancing such as working and dense housing conditions among their patients. Although 82% of rheumatologists had switched to telehealth video, 17% of respondents estimated that about a quarter of their patients did not have access to telehealth video, especially those from below the poverty line. The majority of respondents believed these vulnerable patients, from racial/ethnic minorities and from low SES groups, would do worse, in terms of morbidity and mortality, during the pandemic.

conclusionIn this sample of rheumatologists from 64 countries, there is a clear shift in practice to telehealth video consultations and widespread concern for socially and economically vulnerable patients with rheumatic disease.

Indexed as

BetacoronavirusEthnicityMinority GroupsPovertyRacial GroupsAutoimmune DiseasesCoronavirus InfectionsCOVID-19Food SupplyHealth LiteracyHousingHumansPandemicsPneumonia, ViralRheumatic DiseasesRheumatologistsAutoimmune DiseasesEpidemiologyQualitative research

Identifiers

PMID33011680
PMCPMC7722380
OpenAlexW3089418473

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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 OpenQuestion graph.