Evidence map›Paper›PMID 33688619›Full record

ArticleRheumatology advances in practice2021

Telemedicine in the management of rheumatoid arthritis: maintaining disease control with less health-care utilization.

Wieland D Müskens, Sanne A A Rongen-van Dartel, Carine Vogel, Anita Huis, Eddy M M Adang, Piet L C M van Riel

Open access · goldAbstract 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 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
6.8field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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  8. Engagement and retention with remote monitoring in psoriasis: Findings from the mySkin study.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
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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

6 authors at 2 institutions in 2 countries.

Wieland D MüskensRadboud Institute for Health Sciences, Radboud University Medical Center, Scientific Institute for Quality of Healthcare, Nijmegen.ORCID 0000-0002-5893-9171
Sanne A A Rongen-van DartelRadboud Institute for Health Sciences, Radboud University Medical Center, Scientific Institute for Quality of Healthcare, Nijmegen.ORCID 0000-0002-2536-0024
Carine VogelDepartment of Rheumatology, Bernhoven, Uden.
Anita HuisRadboud Institute for Health Sciences, Radboud University Medical Center, Scientific Institute for Quality of Healthcare, Nijmegen.ORCID 0000-0003-1144-163X
Eddy M M AdangRadboud Institute for Health Sciences, Radboud University Medical Center, Scientific Department of Health Evidence, Nijmegen, The Netherlands.ORCID 0000-0002-4773-6176
Piet L C M van RielRadboud Institute for Health Sciences, Radboud University Medical Center, Scientific Institute for Quality of Healthcare, Nijmegen.ORCID 0000-0001-7719-8906
Radboud University Nijmegen · NLZiekenhuis Bernhoven · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aimed to evaluate the use of an eHealth platform and a self-management outpatient clinic in patients with RA in a real-world setting. The effects on health-care utilization and disease activity were studied.

methodsUsing hospital data of patients with RA between 2014 and 2019, the use of an eHealth platform and participation in a self-management outpatient clinic were studied. An interrupted time series analysis compared the period before and after the introduction of the eHealth platform. The change in trend (relative to the pre-interruption trend) for the number of outpatient clinic visits and the DAS for 28 joints (DAS28) were determined for several scenarios.

resultsAfter implementation of the platform in April 2017, the percentage of patients using it was stable at ∼37%. On average, the users of the platform were younger, more highly educated and had better health outcomes than the total RA population. After implementation of the platform, the mean number of quarterly outpatient clinic visits per patient decreased by 0.027 per quarter (95% CI: -0.045, -0.08,

conclusionThe implementation of remote patient monitoring has a positive effect on health-care utilization, while maintaining low disease activity. This should encourage the use of this type of telemedicine in the management of RA, especially while many routine outpatient clinic visits are cancelled owing to COVID-19.

Indexed as

disease activityeHealthhealth-care utilizationremote monitoringrheumatologyself-managementtelemedicine

Identifiers

PMID33688619
PMCPMC7928564
OpenAlexW3120294007

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.