Telerheumatology during the COVID-19 pandemic: Impact on clinical practice, education, and research

Telerheumatology, the use of telemedicine in the provision of rheumatology care, has been on the periphery of rheumatology practice for several years. However, the need for remote rheumatology service has emerged during the COVID-19 pandemic in order to help prevent the spread of the virus. EULAR an...

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Main Authors: Su Ann Yeoh, Anastasia-Vasiliki Madenidou
Format: Article
Language:English
Published: SAGE Publishing 2022-01-01
Series:Indian Journal of Rheumatology
Subjects:
Online Access:http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2022;volume=17;issue=7;spage=394;epage=401;aulast=Yeoh
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author Su Ann Yeoh
Anastasia-Vasiliki Madenidou
author_facet Su Ann Yeoh
Anastasia-Vasiliki Madenidou
author_sort Su Ann Yeoh
collection DOAJ
description Telerheumatology, the use of telemedicine in the provision of rheumatology care, has been on the periphery of rheumatology practice for several years. However, the need for remote rheumatology service has emerged during the COVID-19 pandemic in order to help prevent the spread of the virus. EULAR and ACR published guidelines to address the rheumatological clinical needs safely. Synchronous and asynchronous telemedicine, including remote patient-monitoring systems, were used. The majority of telerheumatology studies focus on rheumatoid arthritis, which is reflective of the caseload in the rheumatology clinic. Connective tissue diseases are likely to pose more challenges for telemedicine use, given its multi-organ involvement and heterogeneity. The benefits of telemedicine include patient safety, minimizing travel time and time off work, and the evidence of patient satisfaction has supported this. On the other hand, the lack of clinical examination and privacy is a concern which patients might have about receiving telerheumatology care. Physicians are more comfortable providing telemedicine consultations for already-established patients, especially those with stable disease, and less with new patients. Rheumatology training has been disrupted, and rheumatology trainees were required to rapidly adapt their practices to telemedicine as outpatient clinics transitioned to virtual clinics. Tele-education and virtual rheumatology conferences have enabled education to be delivered in a more inclusive way. In conclusion, it is likely that hybrid models will be adopted for patient care after the pandemic. However, it is imperative that the patient is at the center of future telerheumatology service design.
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spelling doaj-art-2d02c986560c44749129f771c73bea862025-08-20T03:55:12ZengSAGE PublishingIndian Journal of Rheumatology0973-36980973-37012022-01-0117739440110.4103/injr.injr_229_21Telerheumatology during the COVID-19 pandemic: Impact on clinical practice, education, and researchSu Ann YeohAnastasia-Vasiliki MadenidouTelerheumatology, the use of telemedicine in the provision of rheumatology care, has been on the periphery of rheumatology practice for several years. However, the need for remote rheumatology service has emerged during the COVID-19 pandemic in order to help prevent the spread of the virus. EULAR and ACR published guidelines to address the rheumatological clinical needs safely. Synchronous and asynchronous telemedicine, including remote patient-monitoring systems, were used. The majority of telerheumatology studies focus on rheumatoid arthritis, which is reflective of the caseload in the rheumatology clinic. Connective tissue diseases are likely to pose more challenges for telemedicine use, given its multi-organ involvement and heterogeneity. The benefits of telemedicine include patient safety, minimizing travel time and time off work, and the evidence of patient satisfaction has supported this. On the other hand, the lack of clinical examination and privacy is a concern which patients might have about receiving telerheumatology care. Physicians are more comfortable providing telemedicine consultations for already-established patients, especially those with stable disease, and less with new patients. Rheumatology training has been disrupted, and rheumatology trainees were required to rapidly adapt their practices to telemedicine as outpatient clinics transitioned to virtual clinics. Tele-education and virtual rheumatology conferences have enabled education to be delivered in a more inclusive way. In conclusion, it is likely that hybrid models will be adopted for patient care after the pandemic. However, it is imperative that the patient is at the center of future telerheumatology service design.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2022;volume=17;issue=7;spage=394;epage=401;aulast=Yeohcovid-19rheumatic diseasesrheumatologytelehealthtelemedicine
spellingShingle Su Ann Yeoh
Anastasia-Vasiliki Madenidou
Telerheumatology during the COVID-19 pandemic: Impact on clinical practice, education, and research
Indian Journal of Rheumatology
covid-19
rheumatic diseases
rheumatology
telehealth
telemedicine
title Telerheumatology during the COVID-19 pandemic: Impact on clinical practice, education, and research
title_full Telerheumatology during the COVID-19 pandemic: Impact on clinical practice, education, and research
title_fullStr Telerheumatology during the COVID-19 pandemic: Impact on clinical practice, education, and research
title_full_unstemmed Telerheumatology during the COVID-19 pandemic: Impact on clinical practice, education, and research
title_short Telerheumatology during the COVID-19 pandemic: Impact on clinical practice, education, and research
title_sort telerheumatology during the covid 19 pandemic impact on clinical practice education and research
topic covid-19
rheumatic diseases
rheumatology
telehealth
telemedicine
url http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2022;volume=17;issue=7;spage=394;epage=401;aulast=Yeoh
work_keys_str_mv AT suannyeoh telerheumatologyduringthecovid19pandemicimpactonclinicalpracticeeducationandresearch
AT anastasiavasilikimadenidou telerheumatologyduringthecovid19pandemicimpactonclinicalpracticeeducationandresearch