Comment on: Telemedicine in the management of rheumatoid arthritis: maintaining disease control with less health-care utilization

Benavent, D.; Fernández-Luque, Luis; Navarro-Compán, Victoria; Balsa, Alejandro; Plasencia, C.

doi:10.1093/rap/rkab032

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…However, around two-thirds of the patients were non-adherent to the solution at six months. The gathering of high frequency data in real-time for monitoring clinical outcomes could form the cornerstone for the future rheumatology care, although it would require the participation of both healthcare professionals and patients [27]. Our findings suggest that, while ePROs can be effective for tracking the activity and treatment of RA and SpA, the involvement of patients and proper training on self-assessment is crucial for successful evaluation of their health status and successful implementation of this mobile health technology in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

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

Benavent,

Fernández-Luque,

Sanz-Jardón

et al. 2023

BMC Rheumatol

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Objectives Rheumatic 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. Methods Adult 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. Results Of 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. Conclusion The 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.

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Section: Discussionmentioning

confidence: 99%

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

Benavent,

Fernández-Luque,

Sanz-Jardón

et al. 2023

BMC Rheumatol

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Artritis reumatoide y telemedicina en tiempos de COVID-19

et al. 2022

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La artritis reumatoide es una afección autoinmune, crónica y multisistémica que requiere manejo multidisciplinar, siendo la supervisión continua fundamental para controlar su progresión. Tanto la artritis como el tratamiento generan un estado inmunosupresor que predispone a sufrir infecciones. Por la actual emergencia sanitaria ocasionada por el Sars-Cov2, los pacientes con estas enfermedades crónicas e inmunológicas son más susceptibles de contagio, por ello se ha requerido el uso de nuevas tecnologías como la telemedicina, que en los años previos a la pandemia venía incrementándose su uso, para permitir el control de patologías crónicas. El objetivo del presente estudio es revisar qué implicaciones ha tenido el uso de la telemedicina en el manejo de la artritis reumatoide durante la actual pandemia COVID-19 y cuál ha sido la importancia de la implementación de estas tecnologías en la enfermedad.

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Comment on: Telemedicine in the management of rheumatoid arthritis: maintaining disease control with less health-care utilization

Cited by 2 publications

References 12 publications

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

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

Artritis reumatoide y telemedicina en tiempos de COVID-19

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