Evidence map›Paper›PMID 40341502›Full record

ArticleRheumatology and therapy2025

In-Person and Virtual Clinic Visit Frequency to Rheumatologists for Rheumatoid Arthritis at an Academic Medical Center Before, During, and After COVID Lockdown.

Yuxuan Jiang, Robert S Rudin, Leah M Santacroce, Jamie E Collins, Jackie Stratton, Hallie Altwies, Daniel H Solomon

Abstract read
In one paragraph

Article in Rheumatology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

7 authors.

Yuxuan JiangMichael G. DeGroote School of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Robert S RudinRAND Corporation, Boston, MA, USA.
Leah M SantacroceDivision of Rheumatology, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA, USA.
Jamie E CollinsHarvard Medical School, 60 Fenwood Road, Boston, MA, USA.
Jackie StrattonDivision of Rheumatology, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA, USA.
Hallie AltwiesDivision of Rheumatology, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA, USA.
Daniel H SolomonDivision of Rheumatology, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA, USA. dsolomon@bwh.harvard.edu.ORCID http://orcid.org/0000-0001-8202-5428

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to describe outpatient visit volume in a subspecialty clinic before, during, and after COVID lockdown.

methodsWe assessed monthly in-person and virtual visit volume (telephone-only or video) of 257 patients with rheumatoid arthritis (RA) at one academic center before, during, and post COVID lockdown, November 2018 to September 2021. The primary outcome was monthly visit volume to a rheumatologist. Visit volume, visit type (in-person vs. virtual), and annual visit frequency per patient were assessed. Piecewise Poisson regression models were constructed to examine visit volume trends. Predictors of patient's visit volume before and after the lockdown were examined using multivariable linear regression.

resultsMedian patient age was 58 years; 84% were female; 82% used any disease-modifying anti-rheumatic drug (DMARD), and 62% used a targeted or biologic DMARD. Visit volume was stable 18 months prior to the COVID pandemic [slope 1.00 (95% confidence interval (CI) 0.99-1.01)] and increased at a rate of 2% per month post-lockdown [1.02 (95% CI 1.01-1.03)]. In-person visit volume was greatly reduced during the lockdown, with 61% virtual (51% video, 10% telephone). In the 18 months after lockdown, visit volume rebounded to pre-pandemic levels and continued to increase, with 11% virtual. Older age, serologic status, use of combination DMARDs, and non-steroidal anti-inflammatory drug (NSAID) use predicted greater visit volume during the pre-lockdown period. No variables predicted visit volume post-lockdown.

conclusionWhile COVID caused a huge disruption in rheumatology practice, visit volume for RA rebounded in one American academic center, with an increasing slope in visit volume after lockdown.

Indexed as

COVID pandemicRheumatoid arthritisRheumatologyVisit frequency

Identifiers

PMID40341502
PMCPMC12246326

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