Impact of COVID-19 Pandemic and Resultant Lockdown in India on Patients with Chronic Rheumatic Diseases: An Online Survey

Ganapati, Arvind; Padiyar, Shivraj; Nair, Aiswarya R; Mahasampath, Gowri; Kachroo, Upasana; Nair, Aswin; Priya, Sangeetha; Mathew, John

doi:10.4103/injr.injr_231_20

Cited by 5 publications

(9 citation statements)

References 1 publication

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“…Almost 53% of the patients in our study responded that they were experiencing mental stress because of this pandemic, a finding consistent with the result of a study done in Italy in patients with rheumatic diseases showed that 44.2 % patients had shown some worsening in their mental wellbeing ever since the pandemic began. 27 Similar findings were observed in India where 64% of the rheumatic disease patients had some degree of mental stress. 28 At the time that this survey was being conducted, there was intense research going on in the world regarding development of effective vaccine against COVID-19 virus.…”

Section: % a G E S O F S Y M P T O M S I N C O V I D -19supporting

confidence: 64%

Knowledge, attitude and practices study regarding current COVID-19 pandemic in patients presenting to rheumatology clinic of a Tertiary Care Hospital

Khaliq

Shah

Saleem

et al. 2021

JSTMU

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Introduction: The most important step in controlling the spread of any communicable disease is to stick to preventive measures and COVID-19 pandemic is no exception. Keeping this in mind, a KAP study was performed in the rheumatology unit of a tertiary care hospital of Islamabad. The main idea was to know the level of understanding of rheumatologic patients with respect to COVID-19 pandemic and its preventive measures. Objective: The objective of the study was to understand the knowledge, attitude and practices of rheumatologic patients towards COVID-19 pandemic. Methodology: A descriptive cross-sectional study in which consecutive, non-probability sampling technique was used. Results: There were 37 males and 73 females in the study group, with mean age of 38.75±13.9 years. The total knowledge score was 17 points. It was found that 12 (10.9%) participants had poor knowledge regarding COVID-19, whereas 27 (24.5%) and 71 (64.5%) had good and excellent knowledge respectively. The total attitude score of study participants 7 points. It was found that 11 (10.0%) participants had poor attitude, whereas 72 (65.5%) and 27 (24.5%) had good and excellent attitude. The total practice score was 11 points. It was calculated that 30 (27.3%) study participants had poor practices regarding COVID-19 prevention, whereas 78 (70.9%) had good practices and only 2 (1.8%) had excellent practices. Conclusion: Overall, it was noted that KAP of our rheumatologic patients towards COVID-19 infection was reasonable, however, there is always room for improvement.

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Section: % a G E S O F S Y M P T O M S I N C O V I D -19supporting

confidence: 64%

Knowledge, attitude and practices study regarding current COVID-19 pandemic in patients presenting to rheumatology clinic of a Tertiary Care Hospital

Khaliq

Shah

Saleem

et al. 2021

JSTMU

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“…The overall non-adherence rate among all included studies was 4-46% of patients [16,26,[29][30][31][32]43]. High rates of nonadherence were reported by four studies [20,21,24,33], with the highest level (46% of patients) reported from India [20].…”

Section: (B) Non-adherence To Medicationmentioning

confidence: 90%

“…The highest levels with 86% of patients unwilling to attend the hospital were reported from Turkey [30]. An inability to communicate with or to see the rheumatologist was also frequently reported by 7% [21] to 39% [20] of patients [17,20,21,25,30].…”

Section: Influences On Healthcare Deliverymentioning

confidence: 99%

“…Seventeen studies were from Europe [15,16,18,19,21,22,24,[28][29][30][31]37,39,41,42,46,47], three from Africa [14,17,34], ten from North America [23,[25][26][27]33,35,36,38,45,48,49] and five from Asia [20,32,40,43,44]. Details of the included studies are shown in Table 1.…”

Section: Studies Originmentioning

confidence: 99%

“…The non-availability of rheumatic medication was a prevalent issue, important examples being hydroxychloroquine (HCQ) and tocilizumab. Shortages or difficulties in the availability of HCQ was an issue in 16-69% of patients [14,15,17,20,23,30,47], with the highest level reported from India [20]. Shortages of tocilizumab was reported in 14% of patients [45,47].…”

Section: Influence On the Medical Management Of Imrmds (A) Non-availa...mentioning

confidence: 99%

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Influence of the COVID-19 Pandemic on Medical Management and on Healthcare Delivery of Immune-Mediated Rheumatic and Musculoskeletal Diseases during the First Pandemic Period February to July 2020: A Systematic Review

Schlegel,

Bachmann

2024

Medicina

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(1) Background and Objectives: The COVID-19 pandemic influenced the management of patients with immune-mediated rheumatic and musculoskeletal diseases (imRMDs) in various ways. The goal of our systematic review was to determine the influence of the first period of the COVID-19 pandemic (February 2020 to July 2020) on the management of imRMDs regarding the availability of drugs, adherence to therapy and therapy changes and on healthcare delivery. (2) Materials and Methods: We conducted a systematic literature search of PubMed, Cochrane and Embase databases (carried out 20–26 October 2021), including studies with adult patients, on the influence of the COVID-19 pandemic on the management of imRMDs. There were no restrictions regarding to study design except for systematic reviews and case reports that were excluded as well as articles on the disease outcomes in case of SARS-CoV-2 infection. Two reviewers screened the studies for inclusion, and in case of disagreement, a consensus was reached after discussion. (3) Results: A total of 5969 potentially relevant studies were found, and after title, abstract and full-text screening, 34 studies were included with data from 182,746 patients and 2018 rheumatologists. The non-availability of drugs (the impossibility or increased difficulty to obtain a drug), e.g., hydroxychloroquine and tocilizumab, was frequent (in 16–69% of patients). Further, medication non-adherence was reported among patients with different imRMDs and between different drugs in 4–46% of patients. Changes to preexisting medication were reported in up to 33% of patients (e.g., reducing the dose of steroids or the cessation of biological disease-modifying anti-rheumatic drugs). Physical in-office consultations and laboratory testing decreased, and therefore, newly implemented remote consultations (particularly telemedicine) increased greatly, with an increase of up to 80%. (4) Conclusions: The COVID-19 pandemic influenced the management of imRMDs, especially at the beginning. The influences were wide-ranging, affecting the availability of pharmacies, adherence to medication or medication changes, avoidance of doctor visits and laboratory testing. Remote and telehealth consultations were newly implemented. These new forms of healthcare delivery should be spread and implemented worldwide to routine clinical practice to be ready for future pandemics. Every healthcare service provider treating patients with imRMDs should check with his IT provider how these new forms of visits can be used and how they are offered in daily clinical practice. Therefore, this is not only a digitalization topic but also an organization theme for hospitals or outpatient clinics.

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Assessment of a novel ophthalmology tele-triage system during the COVID-19 pandemic

et al. 2021

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Background In response to the COVID-19 pandemic, a web-based tele-triage system was created to prioritize in-person clinic visits and ensure safety at the University of Illinois at Chicago Department of Ophthalmology and Visual Sciences during a statewide shelter-in-place order. The aim of this study is to evaluate the impact of the tele-triage system on urgent visit volume and explore the characteristics of acute visit requests at a tertiary referral eye center. Methods This retrospective study analyzed acute visit requests between April 6, 2020 and June 6, 2020. Descriptive statistics, chi-square tests, ANOVA, and bivariate logistic regression were used to compare variables with a p-value of 0.05. Results Three hundred fifty-eight surveys were completed. Mean age was 49.7 ± 18.8 years (range 2–91). The majority of requests were determined as urgent (63.0%) or emergent (0.8%). Forty-nine patients had recent eye trauma (13.7%), and the most common reported symptoms were new onset eye pain (25.7%) and photophobia (22.9%). Most patients were self-referred (63.7%), though provider referral was more common in patients with symptoms of new onset lid swelling (p < 0.01), diplopia (p < 0.01), flashing lights (p = 0.02), or droopy eyelid (p < 0.01). Patients presenting with symptom onset within 48 h tended to be younger (45.8 years) versus those with symptom duration of 48 h to 1 week (49.6 years), or more than 1 week (52.6 years; p < 0.01). Conclusion This novel tele-triage system screened out one-third of acute visit requests as non-urgent, which limited in-person visits during the initial shelter-in-place period of the pandemic. Tele-triage systems should be implemented in eye care practices for future emergency preparedness.

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Impact of COVID-19 Pandemic and Resultant Lockdown in India on Patients with Chronic Rheumatic Diseases: An Online Survey

Cited by 5 publications

References 1 publication

Knowledge, attitude and practices study regarding current COVID-19 pandemic in patients presenting to rheumatology clinic of a Tertiary Care Hospital

Knowledge, attitude and practices study regarding current COVID-19 pandemic in patients presenting to rheumatology clinic of a Tertiary Care Hospital

Influence of the COVID-19 Pandemic on Medical Management and on Healthcare Delivery of Immune-Mediated Rheumatic and Musculoskeletal Diseases during the First Pandemic Period February to July 2020: A Systematic Review

Assessment of a novel ophthalmology tele-triage system during the COVID-19 pandemic

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