Correspondence on ‘Influence of COVID-19 pandemic on decisions for the management of people with inflammatory rheumatic and musculoskeletal diseases: a survey among EULAR countries’

Nokhatha, Shamma Al; MacEoin, Neil; Conway, Richard

doi:10.1136/annrheumdis-2021-219847

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…Although influenza vaccination in Denmark is recommended routinely to patients with IRD and provided free of charge to risk groups (including IRD), penetration, as in other countries, has been low. (31)(32)(33)(34) Interestingly we found higher influenza vaccination rates during winter 2020-21 compared to the previous year. The skepticism towards influenza vaccination side-effects was considerably lower than towards SARS-CoV-2 vaccination.…”

Section: Discussionmentioning

confidence: 42%

Long-term Behavioral Changes During the COVID-19 Pandemic and Impact of Vaccination in Patients With Inflammatory Rheumatic Diseases

et al. 2022

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Objective To explore anxiety and self-isolation 15 months into the COVID-19 pandemic including attitudes towards and impact of SARS-CoV-2 vaccination in patients with inflammatory rheumatic disease (IRD). Methods Nationwide online survey at three time points (May 2020, November 2020, May 2021). Patients with IRD followed in the Danish DANBIO registry were asked about the impact of the pandemic (SARS-CoV-2-infection, behavior, anxiety, concerns). The May 2021-survey included attitudes towards vaccination (SARS-CoV-2, influenza). Characteristics associated with self-isolation in May 2021 were explored with adjusted logistic-regression analyses including patient characteristics and SARS-CoV-2-vaccination status. Results Respondents to survey 1, 2 and 3 were 12789, 14755 and 13921 patients, respectively (64% rheumatoid arthritis, 63% female). Anxiety and concerns were highest in May 2020 and decreased to stable levels in November 2020 and May 2021 (86%, 50% and 52% reported self-isolation, respectively). In May 2021, self-reported previous SARS-CoV-2-infection was 4%. SARS-CoV-2 vaccine acceptance was 86%, and proportions of influenza-vaccinated patients had increased (50% winter 2019-20 to 64% in 2020-21). Proportions with anxiety appeared similar in SARS-CoV-2 vaccinated and unvaccinated. In multivariable analyses, being unvaccinated, female gender, receiving biologicals, and poor quality of life were independently associated with self-isolation. Conclusion Levels of anxiety and self-isolation decreased after the initial lock-down period in patients with IRD. Half of patients reported self-isolation in May 2021, -a phase with wide-spread re-opening of society and large-scale vaccination. Lack of pre-pandemic data prevented a full understanding of the long-term impact of the pandemic on anxiety and self-isolation in IRDs.

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Section: Discussionmentioning

confidence: 42%

Long-term Behavioral Changes During the COVID-19 Pandemic and Impact of Vaccination in Patients With Inflammatory Rheumatic Diseases

et al. 2022

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“…A recent survey among European Alliance of Associations for Rheumatology (formerly European League Against Rheumatism) countries showed that measures related to containment of the COVID-19 pandemic led to a perceived delay between symptom onset and a first rheumatological visit, postponement of treatment decisions, and shortage of hydroxychloroquine and tocilizumab, thereby negatively impacting early treatment and treat-to-target strategies. 13 Another study performed in Latin America revealed that patients with inflammatory rheumatic diseases were negatively affected by the COVID-19 pandemic, characterized by an increase in self-rated disease activity, a reduction in medication adherence, and hurdles to medical follow-up. 14 To ensure continuous care of these patients, teleconsultation may represent a valid alternative to in-person visits during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Patients With Rheumatoid Arthritis in Teleconsultation During the First Wave of the COVID-19 Pandemic

et al. 2022

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Objective To describe which parameters were collected by rheumatologists to monitor patients with rheumatoid arthritis (RA) during teleconsultation and identify which ones have more impact on clinician intervention. Methods Retrospective monocentric routine care cross-sectional study including RA patients seen in teleconsultation between March and September 2020. Available parameters assessing disease status were collected in teleconsultation files. Clinician intervention was defined by treatment escalation and/or the need for a rapid face-to-face consultation or day hospitalization. Results 143 RA patients were included (117 females, mean age of 58±16 years, mean disease duration of 14±11 years). The presence or absence of patient self-reported RA flares was mentioned in all medical files, followed by the presence and/or the number of tender joints (76%), the duration of morning stiffness (66%), the number of pain-related nocturnal awakenings (66%) and the CRP value (54%). Teleconsultation led to a clinician intervention in 22/143 patients (14%), representing 51% of patients with self-reported flares (22/43 patients). Therapeutic escalation was necessary in 13 patients and/or face-to-face consultation or day hospitalization were organized for 10 patients. Multivariate analysis identified RA flares (Odds Ratio, OR: 15.6 95% CI 3.37-68.28) and CRP values >10 mg/L (OR: 3.32, 95% CI % 1.12-13.27) as the variables independently associated with clinician intervention. Conclusion Our study identified patient reported RA flares and increased CRP values as 2 red flags in teleconsultation, independently associated with therapeutic modification and/or the need for a rapid face-to-face consultation. These indicators may help clinician's decision making in teleconsultation.

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“…Al Nokhatha et al noted that there are some barriers to receive influenza vaccination that might also be relevant for ongoing vaccination against SARS-CoV-2: peoples' fear of adverse reactions, perceived good health, personal lack of belief in the vaccine effectiveness, a reported history of side effects, a lack of recommendation from healthcare workers or lack of access to the vaccine. 1 The authors of this correspondence have experienced some additional obstacles during COVID-19 pandemic such as patients' fear to enter health service structures, lack of manpower to adequately organise and conduct vaccination, lack of vaccine and patients' fear that influenza vaccination might lower the defence against COVID-19.…”

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confidence: 99%

Response to: ‘Correspondence on ‘Influence of COVID-19 pandemic on decisions for the management of people with inflammatory rheumatic and musculoskeletal diseases: a survey among EULAR countries’ by Nokhatha et al

Dejaco

Bijlsma

Buttgereit

2021

Annals of the Rheumatic Diseases

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Correspondence on ‘Influence of COVID-19 pandemic on decisions for the management of people with inflammatory rheumatic and musculoskeletal diseases: a survey among EULAR countries’

Cited by 4 publications

References 10 publications

Long-term Behavioral Changes During the COVID-19 Pandemic and Impact of Vaccination in Patients With Inflammatory Rheumatic Diseases

Long-term Behavioral Changes During the COVID-19 Pandemic and Impact of Vaccination in Patients With Inflammatory Rheumatic Diseases

Evaluation of Patients With Rheumatoid Arthritis in Teleconsultation During the First Wave of the COVID-19 Pandemic

Response to: ‘Correspondence on ‘Influence of COVID-19 pandemic on decisions for the management of people with inflammatory rheumatic and musculoskeletal diseases: a survey among EULAR countries’ by Nokhatha et al

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