Evidence map›Paper›PMID 33559727›Full record

ArticleRheumatology international2021

The impact of COVID-19 on rheumatology patients in a large UK centre using an innovative data collection technique: prevalence and effect of social shielding.

N Cleaton, S Raizada, N Barkham, S Venkatachalam, T P Sheeran, T Adizie, H Sapkota, B M Singh, J Bateman

Abstract read
In one paragraph

Article in Rheumatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

N CleatonDepartments of Rheumatology, Royal Wolverhampton NHS Trust, Wolverhampton, UK.ORCID 0000-0001-7077-1853
S RaizadaDepartments of Rheumatology, Royal Wolverhampton NHS Trust, Wolverhampton, UK.
N BarkhamDepartments of Rheumatology, Royal Wolverhampton NHS Trust, Wolverhampton, UK.
S VenkatachalamDepartments of Rheumatology, Royal Wolverhampton NHS Trust, Wolverhampton, UK.
T P SheeranDepartments of Rheumatology, Royal Wolverhampton NHS Trust, Wolverhampton, UK.
T AdizieDepartments of Rheumatology, Royal Wolverhampton NHS Trust, Wolverhampton, UK.
H SapkotaDepartments of Rheumatology, Royal Wolverhampton NHS Trust, Wolverhampton, UK.
B M SinghDiabetes and Endocrinology, Royal Wolverhampton NHS Trust, Wolverhampton, UK.
J BatemanDepartments of Rheumatology, Royal Wolverhampton NHS Trust, Wolverhampton, UK. jamesbateman@nhs.net.ORCID 0000-0003-1952-2821

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe sought to gain insight into the prevalence of COVID-19 and the impact stringent social distancing (shielding) has had on a large cohort of rheumatology (RD) follow-up patients from a single large UK centre.

methodsWe linked COVID-19-related deaths, screening and infection rates to our RD population (1.2.20-1.5.20) and audited active rheumatology follow-up patients through survey data communicated via a linked mobile phone SMS message. We assessed epidemiology, effect of stringent social distancing (shielding) and quality of life (HRQoL) by Short Form 12 (SF12).

resultsThere were 10,387 active follow-up patients, 7911 had linked mobile numbers. 12/10,387 RD patients died from COVID-19 (0.12%); local population 4131/7,415,149 (0.12%). For patients with mobile phones, 1693/7911 (21%) responded and of these, 1605 completed the SF12. Inflammatory arthritis predominated 1174/1693 (69%); 792/1693 (47%) were shielding. Advice on shielding/distancing was followed by 1372/1693(81%). 61/1693 (4%) reported COVID-19 (24/61 shielding); medication distribution was similar in COVID and non-COVID patients. Mental SF12 (MCS) but not physical (PCS) component scores were lower in COVID (60) vs. non-COVID (1545), mean differences: MCS, - 3.3; 95% CI - 5.2 to - 1.4, P < 0.001; PCS, - 0.4; 95% CI, - 2.1 to 1.3). In 1545 COVID-negative patients, those shielding had lower MCS (- 2.1; 95% CI - 2.8 to - 1.4) and PCS (- 3.1, 95% CI - 3.7 to - 2.5), both P < 0.001.

conclusionsOur full RD cohort had no excess of COVID deaths compared to the general local population. Our survey data suggest that shielding adversely affects both mental and physical health in RD. These data broaden our understanding of shielding, indicating need for further study.

Indexed as

Physical DistancingRheumatologySARS-CoV-2AgedCOVID-19Data CollectionFemaleHumansMaleMiddle AgedPrevalenceCOVID-19Health care deliveryHealth service researchQuality improvementQuality of life indicatorsRheumatic disease

Identifiers

PMID33559727
PMCPMC7871319

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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.