Evidence map›Paper›PMID 34479631›Full record

ArticleAdvances in rheumatology (London, England)2021

Attitudes of patients with a rheumatic disease on drug use in the COVID-19 pandemic.

Belkıs Nihan Coskun, Burcu Yagiz, Yavuz Pehlivan, Ediz Dalkilic

Open access · diamondAbstract read
In one paragraph

Article in Advances in rheumatology (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Long COVID in autoimmune rheumatic diseases.Rheumatology international · 2023
    Review
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

4 authors at 2 institutions in 1 country.

Belkıs Nihan CoskunDivision of Rheumatology, Uludağ University Faculty of Medicine (Uludağ Üniversitesi Tıp Fakültesi Romatoloji Bilim Dalı), Görükle, Nilüfer, Bursa, 16059, Turkey. belkisnihanseniz@hotmail.com.ORCID 0000-0003-0298-4157
Burcu YagizDivision of Rheumatology, Afyonkarahisar State Hospital, Afyon, Turkey.ORCID 0000-0002-0624-1986
Yavuz PehlivanDivision of Rheumatology, Uludağ University Faculty of Medicine (Uludağ Üniversitesi Tıp Fakültesi Romatoloji Bilim Dalı), Görükle, Nilüfer, Bursa, 16059, Turkey.ORCID 0000-0002-7054-5351
Ediz DalkilicDivision of Rheumatology, Uludağ University Faculty of Medicine (Uludağ Üniversitesi Tıp Fakültesi Romatoloji Bilim Dalı), Görükle, Nilüfer, Bursa, 16059, Turkey.ORCID 0000-0001-8645-2670
Bursa Uludağ Üni̇versi̇tesi̇ · TRAfyon Kocatepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnti-rheumatic drugs can increase the predisposition to infection, and patients may be unaware of continuing their treatment during the COVID-19 pandemic.

objectiveThis study aimed to assess whether patients maintain their treatment for rheumatic conditions during the pandemic period and determine the factors responsible for discontinuation.

methodsPatients were randomly selected from the prospectively collected database of our tertiary referral center. The patients were interviewed by telephone through a standardized closed-ended questionnaire, which is targeting the continuity of the treatment plan and the considerations related to the individual choice. The patients were asked whether they hesitated to visit the hospital for follow-up or intravenous drug administration.

resultsA total of 278 patients completed the questionnaire. While 62 of the patients (22.3%) had reduced or interrupted the treatment, only 11 patients (3.9%) stopped the treatment completely. A significant difference was observed between the duration of illness and the discontinuation of treatment. (p = 0.023) There was a significant difference in disease activity between the group that stopped treatment and continued treatment. (p = 0.001) There was no statistically significant difference in other demographic characteristics. One hundred thirty-five patients (48.6%) made the treatment decision by themselves, and 80% continued the treatment. Reasons for stopping the treatment were anxiety (48.4%), not being able to go to the hospital for intravenous treatment (45.1%), and not being able to find the drug (6.5%).

conclusionSince patients with long-term illnesses were found to be significantly more likely to stop their treatment, this group of patients should be monitored.

Indexed as

Attitude to HealthPandemicsAdultAgedAntirheumatic AgentsAnxietyContinuity of Patient CareCOVID-19Databases, FactualDecision MakingFemaleHealth Services AccessibilityHumansMaleMiddle AgedRheumatic DiseasesAntirheumatic AgentsAnti-rheumatic drugsBiological treatmentsCOVID-19DiscontinuationRheumatic patients

Identifiers

PMID34479631
PMCPMC8414473
OpenAlexW3197800094

What OpenQuestion holds

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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.