Evidence map›Paper›PMID 33058485›Full record

ArticleArthritis care & research2021

Management of Rheumatic Diseases During the COVID-19 Pandemic: A National Veterans Affairs Survey of Rheumatologists.

Jasvinder A Singh, John S Richards, Elizabeth Chang, Amy Joseph, Bernard Ng

Open access · bronzeAbstract read
In one paragraph

Article in Arthritis care & research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Impact of Perceived Stress During the SARS-CoV-2 Pandemic on Rheumatoid Arthritis Patients' Disease Activity: An Online Survey.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2022
    Article
  5. Article
  6. Remote Management of Osteoporosis.Current treatment options in rheumatology · 2022
    Review
  7. Future challenges in rheumatology - is telemedicine the solution?Therapeutic advances in musculoskeletal disease · 2022
    Review
  8. Article
  9. Article
  10. Telerheumatology: A Narrative Review.Rheumatology and immunology research · 2021
    Review
  11. Review
  12. Article
  13. 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

5 authors at 5 institutions in 1 country.

Jasvinder A SinghBirmingham Veterans Affairs Medical Center and University of Alabama at Birmingham.ORCID 0000-0003-3485-0006
John S RichardsVeterans Affairs Pittsburgh Healthcare System and University of Pittsburgh, Pittsburgh, Pennsylvania.
Elizabeth ChangPhoenix Veterans Affairs Medical Center, Phoenix, Arizona.
Amy JosephVeterans Affairs St. Louis Health Care System and Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-2200-9711
Bernard NgVeterans Affairs Puget Sound Health Care System and University of Washington, Seattle.
Phoenix VA Health Care System · USUniversity of Alabama at Birmingham · USUniversity of Pittsburgh · USUniversity of Washington · USVA St. Louis Health Care System · US

Funding

STorytelling to Improve DiseasE outcomes in GoUT: The STRIDE-GO StudyI01HX001461 · VA · BIRMINGHAM VA MEDICAL CENTER · PI SINGH, JASVINDER A · 2019 to 2020
–
HSRD VA I01 HX001461
6 · The paper itself

Abstract

objectiveTo assess the experience, views, and opinions of rheumatology providers at Veterans Affairs (VA) facilities about rheumatic disease health care issues during the COVID-19 pandemic.

methodsWe performed an anonymized cross-sectional survey, conducted from April 16 to May 18, 2020, of VA rheumatology providers. We assessed provider perspectives on COVID-19 issues and resilience.

resultsOf the 153 eligible VA rheumatologists, 103 (67%) completed the survey. A significant proportion of providers reported a ≥50% increase related to COVID-19 in visits by telephone (53%), video-based VA video connect (VVC; 44%), and clinical video telehealth with a facilitator (29%). A majority of the responders were somewhat or very comfortable with technology for providing health care to established patients during the COVID-19 pandemic using telephone (87%), VVC (64%), and in-person visits (54%). A smaller proportion were comfortable with technology providing health care to new patients. At least 65% of rheumatologists considered telephone visits appropriate for established patients with gout, osteoporosis, polymyalgia rheumatica, stable rheumatoid arthritis, stable spondyloarthritis, or osteoarthritis; 32% reported a rheumatology medication shortage. Adjusted for age, sex, and ethnicity, high provider resilience was associated with significantly higher odds ratios (ORs) of comfort with technology for telephone (OR 3.1 [95% confidence interval (95% CI) 1.1-9.7]) and VVC visits for new patients (OR 4.7 [95% CI 1.4-15.7]).

conclusionA better understanding of COVID-19 rheumatic disease health care issues using a health-system approach can better inform providers, improve provider satisfaction, and have positive effects on the care of veterans with rheumatic disease.

Indexed as

COVID-19Attitude of Health PersonnelAttitude to ComputersCross-Sectional StudiesFemaleHealth Care SurveysHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPractice Patterns, Physicians'Rheumatic DiseasesRheumatologistsRheumatologyTelemedicineTime Factors

Identifiers

PMID33058485
PMCPMC7675431
OpenAlexW3093375810

What OpenQuestion holds

Textmetadata
LicenceTDM
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.