Please use this identifier to cite or link to this item: https://doi.org/10.1093/rheumatology/keab694
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dc.titleImpact of Teleconsultation on Subsequent Disease Activity and Flares in Patients with Systemic Lupus Erythematosus.
dc.contributor.authorAu Eong, Jonathan TW
dc.contributor.authorAISHA LATEEF
dc.contributor.authorShen L
dc.contributor.authorLim, Sandy HH
dc.contributor.authorTAY SEN HEE
dc.contributor.authorMak, A.
dc.contributor.authorCHO JIACAI
dc.date.accessioned2021-11-19T01:21:03Z
dc.date.available2021-11-19T01:21:03Z
dc.date.issued2021-09-23
dc.identifier.citationAu Eong, Jonathan TW, AISHA LATEEF, Shen L, Lim, Sandy HH, TAY SEN HEE, Mak, A., CHO JIACAI (2021-09-23). Impact of Teleconsultation on Subsequent Disease Activity and Flares in Patients with Systemic Lupus Erythematosus.. Rheumatology (Oxford). ScholarBank@NUS Repository. https://doi.org/10.1093/rheumatology/keab694
dc.identifier.issn1462-0324
dc.identifier.issn1462-0332
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/206721
dc.description.abstractOBJECTIVES: Despite the widespread adoption of teleconsultations amid the COVID-19 pandemic, its safety in systemic lupus erythematosus (SLE) patients has not been evaluated. Here, we examined subsequent disease activity and flares among SLE patients who received teleconsultation vs in-person consultation. To discern differences in physicians' prescription behavior during both forms of consultations, we compared corticosteroid dose adjustments. METHODS: We studied adult SLE patients who were seen between 1 February 2020 and 1 February 2021. At each patient-visit, rheumatologists utilized phone/video teleconsultation or physical consultation at their discretion. Disease activity was assessed with SLE Disease Activity Index 2000 (SLEDAI-2K) and flares were defined by the SELENA-SLEDAI Flare Index (SFI). We derived a propensity score for patients who were chosen for physical consultation. Multivariable generalized estimation equations were used to analyze SLEDAI-2k and flare at the next visit, adjusted for the propensity score. RESULTS: A total of 435 visits were recorded, of which 343 (78.9%) were physical visits and 92 (21.1%) were teleconsultations. The modality of consultation did not predict flare [OR for physical consultation (95% CI) 0.42 (0.04-5.04), p = 0.49] or SLEDAI-2k at the next visit [estimate of coefficient for physical consultation (95% CI) -0.19 (-0.80-0.43), p = 0.55]. Adjustments of prednisolone dosages were comparable between the two forms of visits [OR for physical consultation (95% CI) 1.34 (0.77-2.34), p = 0.30]. CONCLUSION: SLE disease activity and flares at the subsequent visit were similar between teleconsultations and physical consultations. Medication prescription behavior, determined using adjustment in corticosteroid dosages, was not different between the two forms of visits.
dc.publisherOxford University Press (OUP)
dc.sourceElements
dc.subjectCOVID-19
dc.subjectdisease activity
dc.subjectflares
dc.subjecthealth care policy
dc.subjecthealth services
dc.subjectimmunosuppression
dc.subjectsystemic lupus erythematosus
dc.subjectteleconsultation
dc.subjecttelehealth
dc.subjecttelemedicine
dc.typeArticle
dc.date.updated2021-11-18T08:10:01Z
dc.contributor.departmentDEPT OF MEDICINE
dc.description.doi10.1093/rheumatology/keab694
dc.description.sourcetitleRheumatology (Oxford)
dc.published.statePublished
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