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Outcomes and Quality of Care in Rheumatoid Arthritis With or Without Video Telemedicine Follow‐Up Visits

Objective Telemedicine has been proposed to improve access to care in rheumatology, but few studies of telerheumatology have been published. The objective of this study was to evaluate outcomes and quality of care for rheumatoid arthritis (RA) in patients seen by video telemedicine follow‐up compare...

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Published in:Arthritis care & research (2010) 2022-03, Vol.74 (3), p.484-492
Main Authors: Ferucci, Elizabeth D., Day, Gretchen M., Choromanski, Tammy L., Freeman, Sarah L.
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description Objective Telemedicine has been proposed to improve access to care in rheumatology, but few studies of telerheumatology have been published. The objective of this study was to evaluate outcomes and quality of care for rheumatoid arthritis (RA) in patients seen by video telemedicine follow‐up compared to in‐person only. Methods Individuals in the Alaska Tribal Health System with a diagnosis of RA were recruited when seeing a rheumatologist either in‐person or by video telemedicine, both of which were offered as part of usual follow‐up care. At baseline, participants completed the Routine Assessment of Patient Index Data 3 (RAPID3) questionnaire and a telemedicine perception survey and agreed to medical record review. Participants repeated surveys by telephone at 6 and 12 months, and medical record ion was performed at 12 months for quality measures. Results At the 12‐month outcome assessment, 63 of 122 RA patients (52%) had ever used telemedicine for RA. In univariate analysis, functional status improved over 12 months in the telemedicine group. In multivariate analysis, RAPID3 score and functional status were associated with telemedicine group (higher), with no statistically significant change over the 12‐month period. The only quality measure that differed between groups at 12 months in univariate analysis was the proportion of visits in which disease activity was documented (higher in the in‐person group, 40% versus 25%; P = 0.02), but this was not significant after multivariate analysis. Conclusion In short‐term follow‐up, there was no significant difference in most outcome and quality measures in patients with RA who incorporated telemedicine follow‐up in their care compared to in‐person only.
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The objective of this study was to evaluate outcomes and quality of care for rheumatoid arthritis (RA) in patients seen by video telemedicine follow‐up compared to in‐person only. Methods Individuals in the Alaska Tribal Health System with a diagnosis of RA were recruited when seeing a rheumatologist either in‐person or by video telemedicine, both of which were offered as part of usual follow‐up care. At baseline, participants completed the Routine Assessment of Patient Index Data 3 (RAPID3) questionnaire and a telemedicine perception survey and agreed to medical record review. Participants repeated surveys by telephone at 6 and 12 months, and medical record ion was performed at 12 months for quality measures. Results At the 12‐month outcome assessment, 63 of 122 RA patients (52%) had ever used telemedicine for RA. In univariate analysis, functional status improved over 12 months in the telemedicine group. In multivariate analysis, RAPID3 score and functional status were associated with telemedicine group (higher), with no statistically significant change over the 12‐month period. The only quality measure that differed between groups at 12 months in univariate analysis was the proportion of visits in which disease activity was documented (higher in the in‐person group, 40% versus 25%; P = 0.02), but this was not significant after multivariate analysis. Conclusion In short‐term follow‐up, there was no significant difference in most outcome and quality measures in patients with RA who incorporated telemedicine follow‐up in their care compared to in‐person only.</description><identifier>ISSN: 2151-464X</identifier><identifier>EISSN: 2151-4658</identifier><identifier>DOI: 10.1002/acr.24485</identifier><identifier>PMID: 33053261</identifier><language>eng</language><publisher>Boston, USA: Wiley Periodicals, Inc</publisher><subject>Alaska - epidemiology ; Alaska Natives ; Arthritis, Rheumatoid - therapy ; Female ; Health care access ; Humans ; Longitudinal Studies ; Male ; Medical records ; Multivariate analysis ; Outcome Assessment, Health Care ; Patients ; Quality of care ; Rheumatoid arthritis ; Rheumatology ; Rheumatology - methods ; Rheumatology - standards ; Statistical analysis ; Surveys and Questionnaires ; Telemedicine ; Telemedicine - standards ; Telemedicine - statistics &amp; numerical data</subject><ispartof>Arthritis care &amp; research (2010), 2022-03, Vol.74 (3), p.484-492</ispartof><rights>2020 American College of Rheumatology</rights><rights>2020 American College of Rheumatology.</rights><rights>2022 American College of Rheumatology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4445-d6c3b4f3ea6e856803a5222f1abec9b26f4bb0689f9a9307b4490c5dc177a3883</citedby><cites>FETCH-LOGICAL-c4445-d6c3b4f3ea6e856803a5222f1abec9b26f4bb0689f9a9307b4490c5dc177a3883</cites><orcidid>0000-0003-0478-8205</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33053261$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferucci, Elizabeth D.</creatorcontrib><creatorcontrib>Day, Gretchen M.</creatorcontrib><creatorcontrib>Choromanski, Tammy L.</creatorcontrib><creatorcontrib>Freeman, Sarah L.</creatorcontrib><title>Outcomes and Quality of Care in Rheumatoid Arthritis With or Without Video Telemedicine Follow‐Up Visits</title><title>Arthritis care &amp; research (2010)</title><addtitle>Arthritis Care Res (Hoboken)</addtitle><description>Objective Telemedicine has been proposed to improve access to care in rheumatology, but few studies of telerheumatology have been published. The objective of this study was to evaluate outcomes and quality of care for rheumatoid arthritis (RA) in patients seen by video telemedicine follow‐up compared to in‐person only. Methods Individuals in the Alaska Tribal Health System with a diagnosis of RA were recruited when seeing a rheumatologist either in‐person or by video telemedicine, both of which were offered as part of usual follow‐up care. At baseline, participants completed the Routine Assessment of Patient Index Data 3 (RAPID3) questionnaire and a telemedicine perception survey and agreed to medical record review. Participants repeated surveys by telephone at 6 and 12 months, and medical record ion was performed at 12 months for quality measures. Results At the 12‐month outcome assessment, 63 of 122 RA patients (52%) had ever used telemedicine for RA. In univariate analysis, functional status improved over 12 months in the telemedicine group. In multivariate analysis, RAPID3 score and functional status were associated with telemedicine group (higher), with no statistically significant change over the 12‐month period. The only quality measure that differed between groups at 12 months in univariate analysis was the proportion of visits in which disease activity was documented (higher in the in‐person group, 40% versus 25%; P = 0.02), but this was not significant after multivariate analysis. 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numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferucci, Elizabeth D.</creatorcontrib><creatorcontrib>Day, Gretchen M.</creatorcontrib><creatorcontrib>Choromanski, Tammy L.</creatorcontrib><creatorcontrib>Freeman, Sarah L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Arthritis care &amp; research (2010)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferucci, Elizabeth D.</au><au>Day, Gretchen M.</au><au>Choromanski, Tammy L.</au><au>Freeman, Sarah L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes and Quality of Care in Rheumatoid Arthritis With or Without Video Telemedicine Follow‐Up Visits</atitle><jtitle>Arthritis care &amp; research (2010)</jtitle><addtitle>Arthritis Care Res (Hoboken)</addtitle><date>2022-03</date><risdate>2022</risdate><volume>74</volume><issue>3</issue><spage>484</spage><epage>492</epage><pages>484-492</pages><issn>2151-464X</issn><eissn>2151-4658</eissn><abstract>Objective Telemedicine has been proposed to improve access to care in rheumatology, but few studies of telerheumatology have been published. The objective of this study was to evaluate outcomes and quality of care for rheumatoid arthritis (RA) in patients seen by video telemedicine follow‐up compared to in‐person only. Methods Individuals in the Alaska Tribal Health System with a diagnosis of RA were recruited when seeing a rheumatologist either in‐person or by video telemedicine, both of which were offered as part of usual follow‐up care. At baseline, participants completed the Routine Assessment of Patient Index Data 3 (RAPID3) questionnaire and a telemedicine perception survey and agreed to medical record review. Participants repeated surveys by telephone at 6 and 12 months, and medical record ion was performed at 12 months for quality measures. Results At the 12‐month outcome assessment, 63 of 122 RA patients (52%) had ever used telemedicine for RA. In univariate analysis, functional status improved over 12 months in the telemedicine group. In multivariate analysis, RAPID3 score and functional status were associated with telemedicine group (higher), with no statistically significant change over the 12‐month period. The only quality measure that differed between groups at 12 months in univariate analysis was the proportion of visits in which disease activity was documented (higher in the in‐person group, 40% versus 25%; P = 0.02), but this was not significant after multivariate analysis. Conclusion In short‐term follow‐up, there was no significant difference in most outcome and quality measures in patients with RA who incorporated telemedicine follow‐up in their care compared to in‐person only.</abstract><cop>Boston, USA</cop><pub>Wiley Periodicals, Inc</pub><pmid>33053261</pmid><doi>10.1002/acr.24485</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0478-8205</orcidid><oa>free_for_read</oa></addata></record>
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subjects Alaska - epidemiology
Alaska Natives
Arthritis, Rheumatoid - therapy
Female
Health care access
Humans
Longitudinal Studies
Male
Medical records
Multivariate analysis
Outcome Assessment, Health Care
Patients
Quality of care
Rheumatoid arthritis
Rheumatology
Rheumatology - methods
Rheumatology - standards
Statistical analysis
Surveys and Questionnaires
Telemedicine
Telemedicine - standards
Telemedicine - statistics & numerical data
title Outcomes and Quality of Care in Rheumatoid Arthritis With or Without Video Telemedicine Follow‐Up Visits
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