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Deutscher Rheumatologiekongress 2021, 49. Kongress der Deutschen Gesellschaft für Rheumatologie (DGRh), 35. Jahrestagung der Deutschen Gesellschaft für Orthopädische Rheumatologie (DGORh), Wissenschaftliche Herbsttagung der Gesellschaft für Kinder- und Jugendrheumatologie (GKJR)

15.09. - 18.09.2021, virtuell

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“Aspine” technology for remote monitoring the condition of patients with axial spondyloarthritis: the experience of rheumatologist in the COVID-19 pandemic

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  • Daria Rumiantceva - V.A. Nasonova Research Institute of Rheumatology, Laboratory of Spondyloarthritis and Psoriatic Arthritis, Moscow
  • Alexandr Lila - V.A. Nasonova Research Institute of Rheumatology, Moscow
  • Shandor Erdes - V.A. Nasonova Research Institute of Rheumatology, Laboratory of Spondyloarthritis and Psoriatic Arthritis, Moscow

Deutsche Gesellschaft für Rheumatologie. Deutsche Gesellschaft für Orthopädische Rheumatologie. Gesellschaft für Kinder- und Jugendrheumatologie. Deutscher Rheumatologiekongress 2021, 49. Kongress der Deutschen Gesellschaft für Rheumatologie (DGRh), 35. Jahrestagung der Deutschen Gesellschaft für Orthopädische Rheumatologie (DGORh), Wissenschaftliche Herbsttagung der Gesellschaft für Kinder- und Jugendrheumatologie (GKJR). sine loco [digital], 15.-18.09.2021. Düsseldorf: German Medical Science GMS Publishing House; 2021. DocCO.14

doi: 10.3205/21dgrh014, urn:nbn:de:0183-21dgrh0145

Veröffentlicht: 14. September 2021

© 2021 Rumiantceva et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

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Introduction: During the pandemic of the new coronavirus infection COVID-19, the work in the “ASpine” technology in real clinical practice was most relevant for both the rheumatologist and for patients (pts) with axial spondyloarthritis (axSpA).

Aim: The aim is to analyze the work of a rheumatologist in “ASpine” technology for pts with axSpA during the COVID-19 pandemic.

Methods: The “ASpine” consists of two parts: a mobile app for pts and a website for rheumatologists. In the mobile app, pts fill indexes BASDAI, BASFI, ASDAS CRP, import their laboratory, instrumental tests, note which drugs they take, and watch videos of daily physical therapy sessions. The doctor has an opportunity to observe the dynamics of his pts disease activity online. Also, the patient and the doctor have the opportunity to communicate in the form of text messages and file sharing. In this study, we present an example of the work of 1 rheumatologist during the pandemic from March 2020 to February 2021.

Results: In total, the rheumatologist during the entire period of work with the “ASpine” technology remotely observed 71 pts with axSpA, of which 47 (66.1%) patients were assigned during the pandemic from March to November 2020. The average age of all pts attached to the doctor was 37.4 (9.5), the distribution of men (42.3%) and women (57.7%) was almost equal (p<0,05), 47 (66.1%) patients were positive for HLA B27. In 26 (36.6%) a high activity of axSpA was recorded. Notifications about messages from pts came daily during a pandemic in an amount from 1 to 16. Examination and response by a doctor to 1 treatment took, on average, 5 minutes, that is, no more than 30 minutes were allocated daily for replies from pts at any convenient working time of a specialist. Many of the pts’ questions related to organizational issues, for example, where to go for specialized help due to pandemic time.

Conclusion: The “Aspine” technology allows a rheumatologist to remotely monitoring the health status of a large number of pts in a short time period.

Disclosures: no