Evidence map›Paper›PMID 33604501›Full record

ArticleRheumatology advances in practice2021

The impact of the COVID-19 pandemic on the medical care and health-care behaviour of patients with lupus and other systemic autoimmune diseases: a mixed methods longitudinal study.

Melanie Sloan, Caroline Gordon, Rupert Harwood, Elliott Lever, Chris Wincup, Michael Bosley, James Brimicombe, Mark Pilling, Stephen Sutton, Lynn Holloway and 1 more

Abstract read
In one paragraph

Article in Rheumatology advances in practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

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

  1. Pooled it
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  4. Understanding the Psychological Impacts of Shielding From COVID-19 for Immunocompromised Individuals.Health expectations : an international journal of public participation in health care and health policy · 2026
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  13. The Mental Health Impact of the COVID-19 Pandemic Second Wave on Shielders and Their Family Members.International journal of environmental research and public health · 2022
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  14. Trust in Healthcare during COVID-19 in Europe: vulnerable groups trust the least.Zeitschrift fur Gesundheitswissenschaften = Journal of public health · 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

11 authors.

Melanie SloanDepartment of Public Health and Primary Care, School of Clinical Medicine, University of Cambridge, Cambridge.
Caroline GordonRheumatology Research Group, Institute of Inflammation and Ageing, College of Medical and Dental Science, University of Birmingham, Birmingham.
Rupert HarwoodPatient and Public Involvement in Lupus Research Group, Institute of Public Health, University of Cambridge, Cambridge.
Elliott LeverRheumatology Department, University College London Hospital.
Chris WincupRheumatology Department, University College London Hospital.ORCID 0000-0002-8742-8311
Michael BosleyPatient and Public Involvement in Lupus Research Group, Institute of Public Health, University of Cambridge, Cambridge.
James BrimicombeDepartment of Public Health and Primary Care, School of Clinical Medicine, University of Cambridge, Cambridge.
Mark PillingDepartment of Public Health and Primary Care, School of Clinical Medicine, University of Cambridge, Cambridge.
Stephen SuttonDepartment of Public Health and Primary Care, School of Clinical Medicine, University of Cambridge, Cambridge.
Lynn HollowayPatient and Public Involvement in Lupus Research Group, Institute of Public Health, University of Cambridge, Cambridge.
David D'CruzLouise Coote Lupus Unit, Guys' and St Thomas' NHS foundation Trust, London, UK.

Funding

Versus Arthritis 21992
6 · The paper itself

Abstract

objectiveThe aim was to explore the self-reported impact of the COVID-19 pandemic on changes to care and behaviour in UK patients with systemic autoimmune rheumatic diseases, to help ensure that patient experiences are considered in future pandemic planning.

methodsThis was a longitudinal mixed methods study, with a cohort completing baseline surveys in March 2020 and follow-up surveys in June 2020 (

resultsCancellations of routine care and difficulties in accessing medical support contributed to some participants deteriorating physically, including reports of hospitalizations. The majority of participants reported that fear of COVID-19 and disruptions to their medical care had also adversely impacted their mental health. Feeling medically supported during the pandemic was correlated with multiple measures of mental health and perceptions of care, including the Warwick-Edinburgh mental well-being score (

conclusionThe diversion of resources away from chronic disease care was perceived by many participants to have caused adverse outcomes. Fear about increased vulnerability to COVID-19 was high, contributing to health-care-avoidant behaviours. This study also highlights the influence of clinician accessibility and patients feeling medically supported on multiple measures of physical and mental health.

Indexed as

COVID-19lupuspandemicpatient behaviourpatient carepsychologyrheumatologySLEsystemic autoimmune rheumatic diseases

Identifiers

PMID33604501
PMCPMC7798562

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.