Evidence map›Paper›PMID 37918050›Full record

ArticleSeminars in arthritis and rheumatism2023

The impact of the COVID-19 pandemic on pediatric rheumatology practice: an international, cross-sectional survey study.

Ezgi D Batu, Fatma Gül Demirkan, Erdal Sag, Lovro Lamot, Ayodele Faleye, Edoardo Marrani, Amit Ziv, Kaveh Ardalan, Sabrina Gmuca, Joost F Swart and 1 more

Open access · greenAbstract read
In one paragraph

Article in Seminars in arthritis and rheumatism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 11 institutions in 7 countries.

Ezgi D BatuHacettepe University Faculty of Medicine, Department of Pediatrics, Division of Rheumatology, Ankara, Turkey.
Fatma Gül DemirkanDepartment of Pediatric Rheumatology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey.
Erdal SagAnkara Research and Training Hospital, Department of Pediatrics, Division of Rheumatology, University of Health Sciences, Ankara, Turkey.
Lovro LamotDepartment of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia; Department of Pediatrics, University of Zagreb School of Medicine, Zagreb, Croatia.
Ayodele FaleyePaediatric Rheumatology Unit, Department of Paediatrics, Lagos State University Teaching Hospital, Lagos, Nigeria.
Edoardo MarraniPediatric Rheumatology Unit, AOU Meyer IRCCS, Firenze, Italy.
Amit ZivPediatric Rheumatology Unit, Department of Pediatrics, Meir Medical Center, Kfar Saba, Israel.
Kaveh ArdalanDivision of Pediatric Rheumatology, Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina, United States of America.
Sabrina GmucaChildren's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, United States of America.
Joost F SwartDepartment of Pediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, UMC Utrecht, Netherlands.
Yosef UzielTel Aviv University School of Medicine, Israel and Pediatric Rheumatology Unit, Meir Medical Center, Department of Pediatrics, Kfar Saba, Tel Aviv, Israel.
Children's Hospital of Philadelphia · USDuke University · USHacettepe University · TRIstanbul University · TRLagos State University Teaching Hospital · NGMeir Medical Center · ILMeyer Children's Hospital · ITMinistry of Health · TRTel Aviv University · ILUniversity Hospital Centre Zagreb · HRWilhelmina Children's Hospital · NL

Funding

A Pilot Randomized Controlled Trial of Resilience Coaching for Adolescents with Chronic Musculoskeletal PainK23AR081409 · NIAMS · CHILDREN'S HOSP OF PHILADELPHIA · PI SABRINA ANDREA GMUCA · 2022 to 2026
$955k
NIAMS NIH HHS K23 AR081409
6 · The paper itself

Abstract

objectiveThe COVID-19 pandemic has affected patient care in general. We aimed to analyze the impact of the pandemic on pediatric rheumatology practice.

methodsAn online survey including 22 questions was created by the representatives of the Emerging RheumatoloGists and rEsearchers (EMERGE) group of the Pediatric Rheumatology European Society (PReS) on SurveyMonkey. The descriptive analysis of the responses was performed on SurveyMonkey.

resultsOverall, 469 pediatric rheumatologists (F/M: 2.9) from 70 countries completed the survey. The practice of drug prescription is not affected by the pandemic, according to 65.3 % of the respondents, while 24.3 % and 16.5 % are prescribing biologic drugs and corticosteroids less often, respectively. Over 40 % of the respondents have seen an increased number of patients with vasculitis or chilblains during the pandemic. One-third of the respondents stated no adjustments in their clinical practice after 2.5 years of COVID-19 pandemic. The rest indicated implementing various changes, with an emphasis on incorporating telemedicine. Telemedicine constitutes ≥10 % of the clinical practice for one-third of the participants. Nonetheless, 35.5 % agree that there are still delays in patient care due to the pandemic. However, most (∼90 %) think our practice is returning to the pre-pandemic routine.

conclusionThe findings of our study indicate a significant alteration in pediatric rheumatology practice due to the pandemic. This includes increased caution when prescribing anti-rheumatic drugs, a transition towards telemedicine utilization, delays in routine care, and a rise in COVID-19-related inflammatory conditions. It is imperative to address these aspects in order to improve patient care in pediatric rheumatology.

Indexed as

COVID-19RheumatologyTelemedicineChildCross-Sectional StudiesHumansPandemicsSurveys and QuestionnairesCovid-19MIS-CPandemicPediatric rheumatologySurvey

Identifiers

PMID37918050
PMCPMC11089463
OpenAlexW4388160613

What OpenQuestion holds

Textmetadata
LicenceTDM
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.