Artritis reumatoide y telemedicina en tiempos de COVID-19

Rheumatoid Arthritis and Telemedicine in times of COVID-19 times

Contenido principal del artículo

Gabriel Santiago Rodríguez-Vargas
Paula Daniela Nieto-Zambrano
Jaime Andrés Rubio-Rubio
Pedro Santos-Moreno
Adriana Rojas-Villarraga

Resumen

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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Biografía del autor/a

Gabriel Santiago Rodríguez-Vargas, Fundación Universitaria de Ciencias de la Salud

Servicio Social Obligatorio. Vicerrectoría de Investigaciones, Fundación Universitaria de Ciencias de la Salud.

Adriana Rojas-Villarraga, Fundación Universitaria de Ciencias de la Salud

Profesora Titular, Investigadora del Instituto de Investigaciones. Fundación Universitaria de Ciencias de la Salud.

Referencias

Chevallard M, Belloli L, Ughi N, Adinolfi A, Casu C, Di Cicco M, et al. Use of telemedicine during the COVID-19 pandemic in patients with inflammatory arthritis: a retrospective study on feasibility and impact on patient-reported outcomes in a real-life setting. Rheumatol Int. 2021;41(7):1253–61. https://doi.org/10.1007/s00296-021-04863-x DOI: https://doi.org/10.1007/s00296-021-04863-x

Kim Y, Ahn E, Lee S, Lim DH, Kim A, Lee SG, et al. Changing Patterns of Medical Visits and Factors Associated with No-show in Patients with Rheumatoid Arthritis during COVID-19 Pandemic. J Korean Med Sci. 2020;35(48):e423. doi: 10.3346/jkms.2020.35.e423 DOI: https://doi.org/10.3346/jkms.2020.35.e423

Favalli EG, Ingegnoli F, De Lucia O, Cincinelli G, Cimaz R, Caporali R. COVID-19 infection and rheumatoid arthritis: Faraway, so close!. Autoimmun Rev. 2020;19(5):102523. https://doi.org/10.1016/j.autrev.2020.102523 DOI: https://doi.org/10.1016/j.autrev.2020.102523

Zhao S, Chen H. Effectiveness of health education by telephone follow-up on self-efficacy among discharged patients with rheumatoid arthritis: A randomised control trial. J Clin Nurs. 2019;28(21–22):3840–7. doi: 10.1111/jocn.15002. Epub 2019 Aug 1 DOI: https://doi.org/10.1111/jocn.15002

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382(8):727–33. doi: 10.1056/NEJMoa2001017 DOI: https://doi.org/10.1056/NEJMoa2001017

Duan G. Intuition on virology, epidemiology, pathogenesis, and control of COVID-19. Nov Res Microbiol J. 2020;4(5):955–67. https://dx.doi.org/10.21608/nrmj.2020.118446 DOI: https://doi.org/10.21608/nrmj.2020.118446

Kumar M, Al Khodor S. Pathophysiology and treatment strategies for COVID-19. J Transl Med. 2020;18(1):1–9. https://doi.org/10.1186/s12967-020-02520-8 DOI: https://doi.org/10.1186/s12967-020-02520-8

Wiersinga WJ, Rhodes A, Cheng AC, Peacock SJ, Prescott HC. Pathophysiology, Transmission, Diagnosis, and Treatment of Coronavirus Disease 2019 (COVID-19): A Review. JAMA. 2020;324(8):782–93. doi: 10.1001/jama.2020.12839 DOI: https://doi.org/10.1001/jama.2020.12839

Galanopoulos M, Gkeros F, Doukatas A, Karianakis G, Pontas C, Tsoukalas N, et al. COVID-19 pandemic: Pathophysiology and manifestations from the gastrointestinal tract. World J Gastroenterol. 2020;26(31):4579–88. doi: 10.3748/wjg.v26.i31.4579 DOI: https://doi.org/10.3748/wjg.v26.i31.4579

Myrstad M, Ihle-Hansen H, Tveita AA, Andersen EL, Nygård S, Tveit A, et al. National Early Warning Score 2 (NEWS2) on admission predicts severe disease and in-hospital mortality from Covid-19 - A prospective cohort study. Scand J Trauma Resusc Emerg Med. 2020;28(1):1–8. doi: 10.1186/s13049-020-00764-3 DOI: https://doi.org/10.1186/s13049-020-00764-3

Asano T, Immunol S, Asano T, Boisson B, Onodi F, Matuozzo D, et al. X-linked recessive TLR7 deficiency in ~ 1 % of men under 60 years old with life-threatening COVID-19. Sci Immunol. 2021;6(62):eabl4348. doi: 10.1126/sciimmunol.abl4348 DOI: https://doi.org/10.1126/sciimmunol.abl4348

World Health Organization. Alocución de apertura del Director General de la OMS en la rueda de prensa sobre la COVID-19 celebrada el 11 de marzo de 2020 [Internet]. World Health Organization newsletter. 2020 [citedo 2021 Jul 23]. Available from: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020

Ruiz Gomez F. Ministerio de Salud y protección social - Resolucion 385 del 12 de marzo del 2020 [Internet]. Colombia; 2020 p. 1–5. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/resolucion-385-de-2020.pdf

Coomes EA, Leis JA, Gold WL. Quarantine. CMAJ. 2020;192(13):E338. DOI: https://doi.org/10.1503/cmaj.200393

Parmet W, Sinha M. Covid 19-The Law and Limits of Quarant. NEJM. 2020;382(15):e28. doi: 10.1056/NEJMp2004211 DOI: https://doi.org/10.1056/NEJMp2004211

Ruiz Gomez F. Ministerio de Salud y protección social - Resolución 464 de 2020 [Internet]. Colombia; 202AD p. 1–3. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/resolucion-464-de-2020.pdf

Ministerio de Salud y Protección Social. Coronavirus Colombia [Internet]. 2021. p. 1. Available from: https://coronaviruscolombia.gov.co/Covid19/index.html

Ministerio de Salud y Protección Social. Vacunación contra COVID-19 [Internet]. 2021. p. 1. Available from: https://www.minsalud.gov.co/salud/publica/Vacunacion/Paginas/Vacunacion-covid-19.aspx

Díaz-Rojas JA, Dávila-Ramírez FA, Quintana-López G, Aristizábal-Gutiérrez F, Brown P. Prevalencia de artritis reumatoide en Colombia: una aproximación basada en la carga de la enfermedad durante el año 2005. Rev Colomb Reumatol. 2016;23(1):11–6. doi: 10.1016/j.rcreu.2015.12.004 DOI: https://doi.org/10.1016/j.rcreu.2015.12.004

Londoño J, Peláez I, Cuervo F, Angarita I, Londo J, Giraldo R, et al. Prevalencia de la enfermedad reumática en Colombia , según estrategia COPCORD-Asociación prevalencia de enfermedad reumática en población colombiana mayor de 18 años. Rev Colomb Reumatol. 2018;5(4):245–56. Doi: 10.1016/j.rcreu.2018.08.003 DOI: https://doi.org/10.1016/j.rcreu.2018.08.003

Aletaha D, Smolen JS. Diagnosis and Management of Rheumatoid Arthritis: A Review. JAMA. 2018;320(13):1360-1372. doi: 10.1001/jama.2018.13103 DOI: https://doi.org/10.1001/jama.2018.13103

Mäkinen H, Kautiainen H, Hannonen P, Möttönen T, Korpela M, Leirisalo-Repo M, et al. Disease activity score 28 as an instrument to measure disease activity in patients with early rheumatoid arthritis. J Rheumatol. 2007;34(10):1987-1991

Maldonado G, Mieles M, Orellana P, Gratzia Ordoñez M, Valencia M, Paredes C, et al. Índices de evolucion de la ar. In: Curso Internacional de Reumatología y Rehabilitación del Pacífico IX Manta. 2014.

Poggenborg RP, Madsen OR, Dreyer L, Bukh G, Hansen A. Patient-controlled outpatient follow-up on demand for patients with rheumatoid arthritis: a 2-year randomized controlled trial. Clin Rheumatol. 2021;40(9):3599-3604. doi: 10.1007/s10067-021-05674-y DOI: https://doi.org/10.1007/s10067-021-05674-y

Chatzidionysiou K, Emamikia S, Nam J, Ramiro S, Smolen J, Van Der Heijde D, et al. Efficacy of glucocorticoids, conventional and targeted synthetic disease-modifying antirheumatic drugs: A systematic literature review informing the 2016 update of the EULAR recommendations for the management of rheumatoid arthritis. Ann Rheum Dis. 2017;76(6):1102–1107. doi: 10.1136/annrheumdis-2016-210711 DOI: https://doi.org/10.1136/annrheumdis-2016-210711

Cáceres-Méndez Edwars A, Castro-Díaz Sergio M, Gómez-Restrepo C, Puyana JC. Telemedicina: historia, aplicaciones y nuevas herramientas en el aprendizaje. Univ Médica. 2011;52(1):11-35. DOI: https://doi.org/10.11144/Javeriana.umed52-1.than

Zundel KM. Telemedicine: History, applications, and impact on librarianship. Bull Med Libr Assoc. 1996;84(1):71–9.

Lovett JE, Bashshur RL. Telemedicine in the USA. An overview. Telecomm Policy. 1979;3(1):3–14. DOI: https://doi.org/10.1016/0308-5961(79)90019-3

Springs P. Innovative New Technologies to Identify. 2010;16(3):373–81. DOI: https://doi.org/10.1089/tmj.2010.0009

Social Ministerio de Salud y Protección. Resolución No. 2654 del 2019. 2019 [citado 2021 Jul 23]. Available from: https://www.minsalud.gov.co/Normatividad_Nuevo/Forms/DispForm.aspx?ID=5754

Secretaria Distrital de Salud B. Circular 015-Modificación Operativa Servicio Ambulatorio [Internet]. Secretaria distrital de salud. 2020 [citedo 2021 Jul 23]. Available from: http://www.saludcapital.gov.co/Paginas2/Coronavirus-documentos.aspx

Viceministerio de Salud Publica. Resolución 521 Procedimiento para atención de Población en aislamiento Preventivo Énfasis en población adulta mayor. [Internet]. 2020 [citedo 2021 Jul 23]. Available from: https://www.minsalud.gov.co/RID/resolucion-521-de-2020.pdf

World Health Organization. Global Observatory for eHealth Vol 2 Telemedicine: Opportunity and developments in Member States. World Heal Organ. 2010;2:96.

Portnoy J, Waller M, Elliott T. Portnoy J, Waller M, Elliott T. Telemedicine in the Era of COVID-19. J Allergy Clin Immunol Pract. 2020;8(5):1489-1491. doi: 10.1016/j.jaip.2020.03.008 DOI: https://doi.org/10.1016/j.jaip.2020.03.008

Elera-Fitzcarrald C, Ugarte-Gil MF, Alarcón GS. COVID-19 and Its Potential Effect on Patients with Rheumatic Diseases in Latin America. J Clin Rheumatol. 2020;26(6):215–7. doi: 10.1097/RHU.0000000000001493 DOI: https://doi.org/10.1097/RHU.0000000000001493

Laskowski ER, Johnson SE, Shelerud RA, Lee JA, Rabatin AE, Driscoll SW, et al. The Telemedicine Musculoskeletal Examination. Mayo Clin Proc. 2020 Aug;95(8):1715-1731. doi: 10.1016/j.mayocp.2020.05.026 DOI: https://doi.org/10.1016/j.mayocp.2020.05.026

Tornero-Molina J, Sánchez-Alonso F, Fernández-Prada M, Bris-Ochaita ML, Sifuentes-Giraldo A, Vidal-Fuentes J. Tele-Rheumatology During the COVID-19 Pandemic. Reumatol Clin (Engl Ed). 2021;S2173-5743(21)00117-9. doi: 10.1016/j.reumae.2020.10.002 DOI: https://doi.org/10.1016/j.reumae.2020.10.002

de Thurah A, Stengaard-Pedersen K, Axelsen M, Fredberg U, Schougaard LMV, Hjollund NHI, et al. Tele-Health Followup Strategy for Tight Control of Disease Activity in Rheumatoid Arthritis: Results of a Randomized Controlled Trial. Arthritis Care Res. 2018;70(3):353–60. doi: 10.1002/acr.23280 DOI: https://doi.org/10.1002/acr.23280

Piga M, Cangemi I, Mathieu A, Cauli A. Telemedicine for patients with rheumatic diseases: Systematic review and proposal for research agenda. Semin Arthritis Rheum. 2017;47(1):121–8. http://dx.doi.org/10.1016/j.semarthrit.2017.03.014 DOI: https://doi.org/10.1016/j.semarthrit.2017.03.014

Knudsen LR, de Thurah A, Lomborg K. Experiences With Telehealth Followup in Patients With Rheumatoid Arthritis: A Qualitative Interview Study. Arthritis Care Res (Hoboken). 2018;70(9):1366–72. doi: 10.1002/acr.23483 DOI: https://doi.org/10.1002/acr.23483

Taylor PC. Adopting PROs in virtual and outpatient management of RA. Nat Rev Rheumatol. 2020;16(9):477–478. doi: 10.1038/s41584-020-0449-6 DOI: https://doi.org/10.1038/s41584-020-0449-6

Wood PR, Caplan L. Outcomes, Satisfaction, and Costs of a Rheumatology Telemedicine Program: A Longitudinal Evaluation. J Clin Rheumatol. 2019;25(1):41–4. doi: 10.1097/RHU.0000000000000778 DOI: https://doi.org/10.1097/RHU.0000000000000778

Ciurea A, Papagiannoulis E, Bürki K, Von Loga I, Micheroli R, Möller B, et al. Impact of the COVID-19 pandemic on the disease course of patients with inflammatory rheumatic diseases: results from the Swiss Clinical Quality Management cohort. Ann Rheum Dis. 2021;80(2):238–241. doi: 10.1136/annrheumdis-2020-218705 DOI: https://doi.org/10.1136/annrheumdis-2020-218705

Ziadé N, Hmamouchi I, el Kibbi L, Abdulateef N, Halabi H, Abutiban F, et al. The impact of COVID-19 pandemic on rheumatology practice: a cross-sectional multinational study. Clin Rheumatol. 2020;39(11):3205–3213. doi: 10.1007/s10067-020-05428-2 DOI: https://doi.org/10.1007/s10067-020-05428-2

Sauver JLS, Warner DO, Yawn BP, Jacobson J, Gree MEM, Pankratz JJ, et al. Why patients visit their doctors: assessing the most prevalent conditions in a defined US population. 2014;88(1):56–67. doi: 10.1016/j.mayocp.2012.08.020 DOI: https://doi.org/10.1016/j.mayocp.2012.08.020

Ingegnoli F, Cincinelli G, Luppino AF, Favalli EG, Orenti A, Boracchi P, et al. Ensuring tight control in patients with rheumatoid arthritis treated with targeted therapies during the COVID-19 pandemic using a telehealth strategy. Ann Rheum Dis. 2021;80(9):1243–1245. doi: 10.1136/annrheumdis-2021-220142 DOI: https://doi.org/10.1136/annrheumdis-2021-220142

Piga M, Floris A, Congia M, Chessa E, Cangemi I, Cauli A. Telemedicine in rheumatology: high specificity and sensitivity of follow-up virtual video consultations during COVID-19 pandemic. Rheumatology (Oxford). 2021;keab632. doi: 10.1093/rheumatology/keab632 DOI: https://doi.org/10.1093/rheumatology/keab632

Benavent D, Fernández-Luque L, Navarro-Compán V, Balsa A, Plasencia C. Comment on: Telemedicine in the management of rheumatoid arthritis: maintaining disease control with less health-care utilization. Rheumatol Adv Pract. 2021;5(2):rkab032. doi: 10.1093/rap/rkab032 DOI: https://doi.org/10.1093/rap/rkab032

López-Medina C, Escudero A, Collantes-Estevez E. COVID-19 pandemic: An opportunity to assess the utility of telemedicine in patients with rheumatic diseases. Ann Rheum Dis. 2021;annrheumdis-2020-218008. doi: 10.1136/annrheumdis-2020-218008 DOI: https://doi.org/10.1136/annrheumdis-2020-218008

Thiele T, Beider S, Kühl H, Mielke G, Holz A, Hirsch S, et al. Care of rheumatology patients during the lockdown in early 2020: Telemedicine, delegation, patient satisfaction and vaccination behavior. Z Rheumatol. 2021; 1-6. doi: 10.1007/s00393-021-01005-3 DOI: https://doi.org/10.1007/s00393-021-01005-3

Maheswaranathan M, Chu P, Johannemann A, Criscione-Schreiber L, Clowse M, Leverenz DL. The Impact of the COVID-19 Pandemic and Telemedicine Implementation on Practice Patterns and Electronic Health Record Utilization in an Academic Rheumatology Practice. J Clin Rheumatol. 2021;Ah(00):1–4. doi: 10.1097/RHU.0000000000001751 DOI: https://doi.org/10.1097/RHU.0000000000001751

Figueroa-Parra G, Aguirre-Garcia GM, Gamboa-Alonso CM, Camacho-Ortiz A, Galarza-Delgado DA. Are my patients with rheumatic diseases at higher risk of COVID-19? . Ann Rheum Dis. 2020;79(6):839-840. doi: 10.1136/annrheumdis-2020-21732 DOI: https://doi.org/10.1136/annrheumdis-2020-217322

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