Rheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Int J Rheum Dis. 2024 Jan;27(1):e15007. doi: 10.1111/1756-185X.15007.
Nowadays, the use of telemedicine diagnosis and treatment of various diseases has been considered by physicians, especially in such diseases as rheumatoid arthritis (RA), where patients have more weakness and inability to move. This systematic review aimed to evaluate the extent of measurable and nonmeasurable factors in patients with RA and their satisfaction with this method of care.
The articles published by March 3, 2022, were searched in four databases, including Web of Sciences, Medline, PubMed, and Scopus. This research was conducted using the seven steps of the Cochrane Handbook as a guide. The searched keywords included telemedicine, tele-rheumatoid, rheumatoid arthritis, and immune diseases.
A total of 18 articles were included in the present study. In most of these studies, physicians and patients were satisfied with this approach. Nonetheless, there was a dearth of studies on the measurement of evaluable and nonevaluable factors.
Studies on the benefits of telemedicine for rheumatology are still limited. The effectiveness of this new healthcare approach in diagnosing and evaluating disease activity is still unclear. Some studies demonstrated patient and physician satisfaction with this treatment. In some cases, there is a tendency to show a high risk of bias. In addition, it is unclear to what extent the use of rheumatology traps affects the establishment of medical relationships. It is recommended that more clinical trials be conducted to examine this relationship.
如今,医师们已经考虑将远程医疗用于诊断和治疗各种疾病,尤其是在类风湿关节炎(RA)等疾病中,患者的虚弱和活动能力下降更为明显。本系统评价旨在评估 RA 患者的可衡量和不可衡量因素的程度及其对这种护理方式的满意度。
本研究于 2022 年 3 月 3 日在四个数据库中检索已发表的文章,包括 Web of Sciences、Medline、PubMed 和 Scopus。本研究采用 Cochrane 手册的七步指南进行。检索的关键词包括远程医疗、远程类风湿关节炎、类风湿关节炎和免疫性疾病。
本研究共纳入 18 篇文章。在这些研究中,大多数医生和患者对这种方法都很满意。然而,关于可衡量和不可衡量因素的评估研究却很少。
关于远程医疗在风湿病学方面的益处的研究仍然有限。这种新的医疗保健方法在诊断和评估疾病活动方面的有效性尚不清楚。一些研究表明患者和医生对这种治疗方法满意。在某些情况下,存在高偏倚风险的趋势。此外,尚不清楚风湿病学陷阱的使用在多大程度上影响了医患关系的建立。建议进行更多的临床试验来检验这种关系。