Evidence map›Paper›PMID 34095747›Full record

ArticleRheumatology advances in practice2021

Clinical and psychosocioeconomic impact of COVID-19 pandemic on patients of the Indian Progressive Systemic Sclerosis Registry (IPSSR).

Chengappa Kavadichanda, Vineeta Shobha, Parasar Ghosh, Anupam Wakhlu, Devender Bairwa, Manju Mohanan, Ramya Janardana, Geetabali Sircar, Rasmi Ranjan Sahoo, Sneha Joseph and 3 more

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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Effect of skin phototype on quantitative nailfold capillaroscopy.Journal of scleroderma and related disorders · 2022
    Article
  3. Article
  4. 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

13 authors at 5 institutions in 2 countries.

Chengappa KavadichandaDepartment of Clinical Immunology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry.ORCID https://orcid.org/0000-0002-3643-3989
Vineeta ShobhaDepartment of Clinical Immunology and Rheumatology, St. John's Medical College Hospital, Bengaluru, Karnataka.
Parasar GhoshDepartment of Rheumatology and Clinical Immunology, Institute of Post-Graduate Medical Education & Research and S. S. K. M. Hospital, Kolkata, West Bengal.
Anupam WakhluDepartment of Clinical Immunology and Rheumatology, RALC Campus, King George's Medical University, Lucknow, Uttar Pradesh.
Devender BairwaDepartment of Clinical Immunology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry.
Manju MohananCentre for Arthritis and Rheumatism Excellence (CARE), Cochin, Kerala, India.
Ramya JanardanaDepartment of Clinical Immunology and Rheumatology, St. John's Medical College Hospital, Bengaluru, Karnataka.
Geetabali SircarDepartment of Rheumatology and Clinical Immunology, Institute of Post-Graduate Medical Education & Research and S. S. K. M. Hospital, Kolkata, West Bengal.ORCID https://orcid.org/0000-0002-8715-7726
Rasmi Ranjan SahooDepartment of Clinical Immunology and Rheumatology, RALC Campus, King George's Medical University, Lucknow, Uttar Pradesh.
Sneha JosephCentre for Arthritis and Rheumatism Excellence (CARE), Cochin, Kerala, India.
Vir Singh NegiDepartment of Clinical Immunology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry.ORCID https://orcid.org/0000-0001-8754-6417
Dinesh KhannaDivision of Rheumatology, Department of Internal Medicine, Scleroderma Program, University of Michigan, Ann Arbor, MI, USA.
Padmanabha ShenoyCentre for Arthritis and Rheumatism Excellence (CARE), Cochin, Kerala, India.
Jawaharlal Institute of Post Graduate Medical Education and Research · INInstitute of Post Graduate Medical Education and Research · INKing George's Medical University · INSt.John's Medical College Hospital · INUniversity of Michigan · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim was to determine the impact of the coronavirus disease 2019 (COVID-19) pandemic on access to health care among patients with scleroderma and to analyse the economic and psychosocial impacts and the infection prevention measures taken by them during the pandemic.

methodsA 25-item questionnaire designed to assess the components of the objectives was tele-administered between October 2020 and January 2021 to the patients enrolled in the Indian Progressive Systemic Sclerosis Registry.

resultsOf the 428 patients in the registry, 336 took part in the study. A scheduled outpatient visit was missed by 310 (92.3%) patients, and 75 (22.3%) skipped prescription drugs. During the pandemic, 75 (22.3%) had a family member lose a job. Financial difficulties were reported by 155 (46.1%), with 116 (34.5%) patients having to spend an additional INR 4000 (2000-10 000) [USD 54.9 (27.0-137.4)] to continue treatment. Although 35 patients (10.4%) had at least one symptom suggestive of COVID-19, infection was confirmed in only 4. None of them needed hospitalization or had adverse outcomes. Worsening of scleroderma was seen in 133 (39.6%) individuals, with 15 (4.5%) requiring hospitalization. Most (96%) of the patients were aware of infection prevention measures, and 91 (27.1%) had taken unproven prophylactic medications.

conclusionIndividuals with scleroderma in India have been affected during the pandemic owing to closure of hospital services, lack of transport, loss of jobs and the additional financial burden. Health-care providers should continue to educate patients to stay on their medications and encourage them to be vaccinated for COVID-19.

Indexed as

cohorthealth economicsmental healthrheumatic diseasesscleroderma

Identifiers

PMID34095747
PMCPMC8135468
OpenAlexW3165400339

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.