Kahveci Abdulvahap, Gümüştepe Alper, Güven Nurhan, Sunar İsmihan, Ataman Şebnem
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Ankara University Faculty of Medicine, Ankara, Türkiye.
Arch Rheumatol. 2023 Feb 16;38(4):611-619. doi: 10.46497/ArchRheumatol.2023.9957. eCollection 2023 Dec.
This study aimed to analyze the research, publication activities, and perspectives on clinical practices of rheumatology practitioners during the coronavirus disease 2019 (COVID-19) pandemic.
The survey-based cross-sectional study was designed online and included 24 closed-ended questions. After performing a pilot test and validation of survey, it was conducted among clinicians between September 2021 and December 2021.
One-hundred fifteen clinicians (54 males, 61 females; 78.1% in rheumatology practice for at least five years) responded to the survey. The respondents indicated that they worked in coronavirus-related departments, comprising inpatient service (50.4%), consultancy (42.6%), and outpatient clinic (27.8%). Around 40% of clinicians stated they spent less time on scientific research (43.1%) and clinical learning activities (43.2%), while almost the same proportion of them spent more (41.1% and 45.0%, respectively). This study revealed that 53.5% published at least one paper covering mostly COVID-19 in the scientific citation index (SCI) or SCI-expanded (SCI-E) indexed journals. However, nearly half of them did not have any papers published in the SCI/SCI-E (46.5%) or non-SCI/SCI-E indexed (44.6%) journals. Regarding the perspectives of clinicians about clinical practices, they considered fewer biological (57.0%) and nonbiological (55.0%) drug usage, reported fewer outpatient clinic visits (88.2%), more newly diagnosed rheumatic diseases (62.5%), and more disease exacerbations (31.2%). Most of the clinicians (range, 76.2 to 86.3%) thought they accurately managed their patients during the COVID-19 pandemic.
Clinicians published mostly coronavirus-related papers in the pandemic era, and in the self-assessment, clinicians thought that they correctly manage their patients. In addition, this study reflected the frequency of academic publications and clinicians' work routines during the pandemic.
本研究旨在分析2019冠状病毒病(COVID-19)大流行期间风湿病从业者的研究、发表活动以及临床实践观点。
这项基于调查的横断面研究通过在线方式设计,包含24个封闭式问题。在对调查进行预试验和验证后,于2021年9月至2021年12月期间在临床医生中开展。
115名临床医生(54名男性,61名女性;78.1%从事风湿病临床工作至少五年)对调查做出了回应。受访者表示他们在与冠状病毒相关的科室工作,包括住院服务(50.4%)、咨询(42.6%)和门诊(27.8%)。约40%的临床医生表示他们花在科研(43.1%)和临床学习活动(43.2%)上的时间减少,而几乎相同比例的医生花在这些方面的时间增多(分别为41.1%和45.0%)。本研究显示,53.5%的人在科学引文索引(SCI)或SCI扩展版(SCI-E)索引期刊上发表了至少一篇主要涉及COVID-19的论文。然而,近一半的人没有在SCI/SCI-E(46.5%)或非SCI/SCI-E索引(44.6%)期刊上发表过任何论文。关于临床医生对临床实践的观点,他们认为生物制剂(57.0%)和非生物制剂(55.0%)的使用减少,门诊就诊次数减少(88.2%),新诊断的风湿病增多(62.5%),疾病加重情况增多(31.2%)。大多数临床医生(76.2%至86.3%)认为他们在COVID-19大流行期间对患者进行了准确的管理。
临床医生在大流行时代发表的大多是与冠状病毒相关的论文,且在自我评估中,临床医生认为他们正确地管理了患者。此外,本研究反映了大流行期间学术发表的频率和临床医生的工作日常。