Across rheumatic diseases

Satisfaction with telemedicine versus in-person visits in rheumatology: a noninferiority randomised controlled trial

Ann Rheum DisPublished Randomised controlled trial

Primary result · High visit satisfaction (9 or 10 on 0-10 scale)Result — go to the resultDifference 13.1% 90% CI 7.7%–18.5%

Authors' conclusion

Among a large group of diverse patients, satisfaction with telemedicine was not noninferior to in-person rheumatology visits.

Study context

Population
Rheumatology patients, multicentre500 (76.8%) in modified intent-to-treat (mITT)
Participants
651 patients
Comparison
Telemedicine visit vs in-person visit
  • Telemedicinen = 328
  • In-personn = 323reference
Primary endpoint
Proportion with high visit satisfaction (9 or 10 on a 0-10 scale)
Methodological detailsnoninferiority, multicentre, modified intent-to-treat and per-protocol analyses
  • Noninferiority
  • Multicentre
  • Modified intent-to-treat and per-protocol analyses

Primary result

High visit satisfaction (9 or 10 on 0-10 scale)

Difference

13.1%

90% CI 7.7%–18.5%

By group

In-personvs Telemedicine
difference 13.1% (90% CI 7.7%–18.5%)

As reported in the abstract

Further findings

Preference for same visit type for next visit · mITT analysis

P < 0.0001

High satisfaction in women (subgroup)

Immunosuppressant toxicity monitoring: hepatic function · per-protocol analysis

P = 0.0001

High satisfaction in men (subgroup)

Men equally satisfied with both visit types
90.0%

Original publication

Satisfaction with telemedicine versus in-person visits in rheumatology: a noninferiority randomised controlled trial. Ann Rheum Dis. Published 8 May 2025. doi:10.1016/j.ard.2025.03.003

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