Evidence map›Paper›PMID 36812651›Full record

ArticlePLOS digital health2022

Monitoring chronic inflammatory musculoskeletal diseases mixing virtual and face-to-face assessments-Results of the digireuma study.

Diego Benavent, Luis Fernández-Luque, Francisco J Núñez-Benjumea, Victoria Navarro-Compán, María Sanz-Jardón, Marta Novella-Navarro, Pedro L González-Sanz, Enrique Calvo-Aranda, Leticia Lojo, Alejandro Balsa and 1 more

Open access · goldAbstract read
In one paragraph

Article in PLOS digital health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Diego BenaventHospital Universitario La Paz, IdiPaz, Department of Rheumatology, Madrid, Spain.ORCID https://orcid.org/0000-0001-9119-5330
Luis Fernández-LuqueAdheraHealth Inc., Palo Alto, United States of America.
Francisco J Núñez-BenjumeaVirgen Macarena University Hospital, Innovation Unit, Seville, Spain.ORCID https://orcid.org/0000-0003-0292-5122
Victoria Navarro-CompánHospital Universitario La Paz, IdiPaz, Department of Rheumatology, Madrid, Spain.
María Sanz-JardónHospital Universitario La Paz, IdiPaz, Department of Rheumatology, Madrid, Spain.
Marta Novella-NavarroHospital Universitario La Paz, IdiPaz, Department of Rheumatology, Madrid, Spain.
Pedro L González-SanzAdheraHealth Inc., Palo Alto, United States of America.
Enrique Calvo-ArandaHospital Universitario Infanta Leonor, Department of Rheumatology, Madrid, Spain.
Leticia LojoHospital Universitario Infanta Leonor, Department of Rheumatology, Madrid, Spain.
Alejandro BalsaHospital Universitario La Paz, IdiPaz, Department of Rheumatology, Madrid, Spain.
Chamaida Plasencia-RodríguezHospital Universitario La Paz, IdiPaz, Department of Rheumatology, Madrid, Spain.
Hospital Universitario La Paz · ESHospital Universitario Infanta Leonor · ESHospital Universitario Virgen Macarena · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mobile health technology holds great promise for the clinical management of patients with chronic disease. However, evidence on the implementation of projects involving digital health solutions in rheumatology is scarce. We aimed to study the feasibility of a hybrid (virtual and face-to-face) monitoring strategy for personalized care in rheumatoid arthritis (RA) and spondyloarthritis (SpA). This project included the development of a remote monitoring model and its assessment. After a focus group with patients and rheumatologists, relevant concerns regarding the management of RA and SpA were raised, leading to the development of the Mixed Attention Model (MAM), which combined hybrid (virtual and face-to-face) monitoring. Then, a prospective study using the mobile solution Adhera for Rheumatology was conducted. Over a 3-month follow-up period, patients were given the opportunity to complete disease-specific electronic patient reported outcomes (ePROs) for RA and SpA with a pre-established frequency, as well as flares and changes in medication at any time. Number of interactions and alerts were assessed. The usability of the mobile solution was measured by the Net-Promoter Score (NPS) and through a 5-star Likert scale. Following the MAM development, forty-six patients were recruited to utilize the mobile solution, of whom 22 had RA and 24 SpA. There were 4,019 total interactions in the RA group, and 3,160 in the SpA group. Fifteen patients generated a total of 26 alerts, of which 24 were flares and 2 were medication-related problems; most (69%) were managed remotely. Regarding patient satisfaction, 65% of the respondents were considered to have endorsed Adhera for Rheumatology, yielding a NPS of 57 and an overall rating was 4.3 out of 5 stars. We concluded that the use of the digital health solution is feasible in clinical practice to monitor ePROs for RA and SpA. Next steps involve the implementation of this telemonitoring method in a multicentric setting.

Identifiers

PMID36812651
PMCPMC9931291
OpenAlexW4311829615

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.