Evidence map›Paper›PMID 33130920›Full record

Observational studyRheumatology international2021

Impact of COVID-19 pandemic on rheumatoid arthritis from a Multi-Centre patient-reported questionnaire survey: influence of gender, rural-urban gap and north-south gradient.

Esam Abualfadl, Faten Ismail, Rawhya R El Shereef, Eman Hassan, Samar Tharwat, Eman F Mohamed, Essam A Abda, Ahmed R Radwan, Rasha M Fawzy, Abdel Hafeez Moshrif and 11 more

Abstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Rheumatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

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

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  15. 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
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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

21 authors.

Esam AbualfadlRheumatology Department, Faculty of Medicine, Sohag University, Sohag, Egypt.
Faten IsmailRheumatology Department, Faculty of Medicine, Minia University, Minia, Egypt.
Rawhya R El ShereefRheumatology Department, Faculty of Medicine, Minia University, Minia, Egypt.
Eman HassanInternal Medicine Department, Rheumatology Unit, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Samar TharwatInternal Medicine Department, Rheumatology Unit, Faculty of Medicine, Mansoura University, Dakahlia, Egypt.
Eman F MohamedInternal Medicine Department, Rheumatology Unit, Faculty of Medicine (Girls), Al-Azhar University, Cairo, Egypt.
Essam A AbdaRheumatology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Ahmed R RadwanRheumatology Department, Faculty of Medicine, Sohag University, Sohag, Egypt.
Rasha M FawzyRheumatology Department, Faculty of Medicine, Benha University, Kalyoubia, Egypt.
Abdel Hafeez MoshrifRheumatology Department, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.
Rasha Abdel NoorInternal Medicine Department, Rheumatology Unit, Faculty of Medicine, Tanta University, Gharbia, Egypt.
Soha SenaraRheumatology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Mervat I Abd ElazimRheumatology Department, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.
Nouran M AbazaRheumatology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Hala A RaafatRheumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Iman I El-GazzarRheumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Dina H El-HammadyRheumatology Department, Faculty of Medicine, Helwan University, Cairo, Egypt.
Nevin HammamRheumatology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Tamer A GheitaRheumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt. gheitamer@hotmail.com.ORCID 0000-0002-1155-9729
Reem El-MallahRheumatology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
ECR COVID19-Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the coronavirus disease-2019 (COVID-19) pandemic there were several barriers to treatment access and medication adherence in rheumatoid arthritis (RA) patients. There is no information regarding the RA patient health status in Egypt during the COVID-19. Thus,the aim of this work was to study the impact of the pandemic on RA patients through a patient-reported questionnaire and to determine the influence of gender, geographic regions. This multi-centre study initiated by the Egyptian College of Rheumatology (ECR) was conducted on 1037 RA patients attending rheumatology clinics from 10 governorates. The questionnaire provided covered socio-demographic data, health/disease status, information/knowledge about COVID-19 and medical/family history of the infection. Patients mean age was 44.2 ± 12.3 years;855 females and 182 males; 539(52%) from rural and 497(48%) from urban areas. 41.8% reported a striking difficulty to obtain hydroxychloroquine during the pandemic. The majority (70%) considered maintaining a regular visit to the rheumatologist in addition to remote contact mainly by phone (44.4%) or via WhatsApp (33.1%), in particular among male and urban patients. Urban patients were more likely to be infected by COVID-19 (12.9% vs 6.2%; p < 0.0001) than rural. Northern cities had more patients with suspected COVID-19 (13.9% vs 6.1%; p < 0.0001); was significantly associated with more disease flares (30.8% vs 5.8%) with subsequent change in the RA treatment (20.9% vs 6.4%; p < 0.0001). Patients with RA faced remarkable difficulty to obtain their medications with subsequent change in their disease status. The challenges of the pandemic have hastened changes in the way we deliver health care.

Indexed as

Health Status DisparitiesPatient Reported Outcome MeasuresAdultArthritis, RheumatoidCOVID-19EgyptFemaleHealth Services AccessibilityHumansMaleMiddle AgedPandemicsSARS-CoV-2Coronavirus Disease 2019 (COVID-19)InfectionMulti-centreNorth-south gradientPatient-reported questionnaireRheumatoid arthritis

Identifiers

PMID33130920
PMCPMC7603433

What OpenQuestion 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 OpenQuestion graph.