Evidence map›Paper›PMID 37749656›Full record

ArticleBMC rheumatology2023

Implementation of a hybrid healthcare model in rheumatic musculoskeletal diseases: 6-months results of the multicenter Digireuma study.

D Benavent, L Fernández-Luque, M Sanz-Jardón, I Bilionis, M Novella-Navarro, V Navarro-Compán, P L González-Sanz, E Calvo, L Lojo, A Balsa and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC rheumatology, 2023. 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
1.0field-weighted citation impact, top 22% 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, 4 citations in OpenAlex.

  1. Pooled it
  2. Observational
  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

11 authors at 2 institutions in 1 country.

D BenaventDepartment of Rheumatology, Hospital Universitario La Paz, IdiPaz, Madrid, Spain. d_benavent@hotmail.com.
L Fernández-LuqueAdheraHealth Inc., Santa Cruz, CA, USA.
M Sanz-JardónDepartment of Rheumatology, Hospital Universitario Infanta Leonor, Madrid, Spain.
I BilionisAdheraHealth Inc., Santa Cruz, CA, USA.
M Novella-NavarroDepartment of Rheumatology, Hospital Universitario La Paz, IdiPaz, Madrid, Spain.
V Navarro-CompánDepartment of Rheumatology, Hospital Universitario La Paz, IdiPaz, Madrid, Spain.
P L González-SanzAdheraHealth Inc., Santa Cruz, CA, USA.
E CalvoDepartment of Rheumatology, Hospital Universitario Infanta Leonor, Madrid, Spain.
L LojoDepartment of Rheumatology, Hospital Universitario Infanta Leonor, Madrid, Spain.
A BalsaDepartment of Rheumatology, Hospital Universitario La Paz, IdiPaz, Madrid, Spain.
Ch Plasencia-RodríguezDepartment of Rheumatology, Hospital Universitario La Paz, IdiPaz, Madrid, Spain.
Hospital Universitario La Paz · ESHospital Universitario Infanta Leonor · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRheumatic and musculoskeletal diseases (RMDs) require a tailored follow-up that can be enhanced by the implementation of innovative tools. The Digireuma study aimed to test the feasibility of a hybrid follow-up utilizing an electronic patient reported outcomes (ePROs)-based monitoring strategy in patients with RMDs.

methodsAdult patients with rheumatoid arthritis (RA) and spondyloarthritis (SpA) were recruited for a 6-month bicentric prospective follow-up consisting of face-to-face and digital assessments. Patients were asked to report disease-specific ePROs on a pre-established basis, and could also report flares, medication changes, and recent infections at any time. Four rheumatologists monitored these outcomes and contacted patients for interventions when deemed necessary. Results from face-to-face and digital assessments were described.

resultsOf 56 recruited patients, 47 (84%) submitted any ePROs to the digital platform. Most patients with RA were female (74%, median age of 47 years), while 48% of patients with SpA were female (median age 40.4 years). A total of 3,800 platform visits were completed, with a median of 57 and 29 visits in patients with RA and SpA, respectively. Among 52 reported alerts, 47 (90%) needed contact, of which 36 (77%) were managed remotely. Adherence rates declined throughout the study, with around half of patients dropping out during the 6 months follow-up.

conclusionThe implementation of a hybrid follow-up in clinical practice is feasible. Digital health solutions can provide granular knowledge of disease evolution and enable more informed clinical decision making, leading to improved patient outcomes. Further research is needed to identify target patient populations and engagement strategies.

Indexed as

Digital healthMobile solutionRheumatoid arthritisSpondyloarthritis

Identifiers

PMID37749656
PMCPMC10518964
OpenAlexW4387023378

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.