Across rheumatic diseases

The Use of Remote Consultations and Associated Factors in Rheumatology: A Large Retrospective Cohort Study of Follow‐Up Consultations Before, During, and After COVID‐19

Arthritis Care Res (Hoboken)Published Retrospective cohort study

Authors' conclusion

The COVID pandemic resulted in a structural increase in the use of RCs. Although several patient characteristics are associated with the type of consultation, most variance resulted from consultation characteristics compared with patients and HCPs.

Study context

Population
Follow-up consultations of patients with rheumatic diseases, January 1, 2019 to January 16, 2023, electronic health records157,028 consultations
Participants
30,215 participants
Exposure
Remote vs face-to-face follow-up consultations
Outcome
Use of remote consultations (RCs) and influence of consultation, HCP and patient characteristics on remote vs face-to-face consultation
Methodological detailsmonocenter, cross-classified multilevel logistic regression
  • Monocenter
  • Cross-classified multilevel logistic regression

Main finding

As reported in the abstract

Proportion of remote consultations (RCs) after initial COVID-19 increase, steady state

around 30%

Variance in RC use attributable to consultation level

90%

Variance attributable to patient level

4%

Variance attributable to health care provider (HCP) level

6%

Observational data: associations, not effects.

Original publication

The Use of Remote Consultations and Associated Factors in Rheumatology: A Large Retrospective Cohort Study of Follow‐Up Consultations Before, During, and After COVID‐19. Arthritis Care Res (Hoboken). Published 14 November 2023. doi:10.1002/acr.25224

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