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Changing Patterns of Medical Visits and Factors Associated with No-show in Patients with Rheumatoid Arthritis during COVID-19 Pandemic

Journal of Korean Medical Science 2020년 35권 48호 p.423 ~ 423
김예나, 안은영, 이승근, 임두호, 김아란, 이성근, 소민욱,
소속 상세정보
김예나 ( Kim Ye-Na ) - Pusan National University Yangsan Hospital Department of Nursing
안은영 ( Ahn Eun-Young ) - Pusan National University Yangsan Hospital Department of Internal Medicine
이승근 ( Lee Sung-Gun ) - Inje University College of Medicine Haeundae Paik Hospital Department of Internal Medicine
임두호 ( Lim Doo-Ho ) - University of Ulsan College of Medicine Ulsan University Hospital Department of Internal Medicine
김아란 ( Kim A-Ran ) - Pusan National University School of Medicine Pusan National University Hospital Department of Internal Medicine
이성근 ( Lee Seung-Geun ) - Pusan National University School of Medicine Pusan National University Hospital Department of Internal Medicine
소민욱 ( So Min-Wook ) - Pusan National University Yangsan Hospital Department of Internal Medicine

Abstract


Background: The main barrier to the effective rheumatoid arthritis (RA) therapy is poor adherence. Coronavirus disease 2019 (COVID-19) pandemic have led to a significant change in the pattern and the number of medical visits. We assessed changing patterns of medical visits and no-show, and identified factors associated with no-show in patients with RA during COVID-19 pandemic.

Methods: RA patients treated with disease-modifying antirheumatic drugs at least 6 months who had been in remission or those with mild disease activity were observed for 6 months from February to July 2020. No-show was defined as a missed appointment that was not previously cancelled by the patient and several variables that might affect no-show were examined.

Results: A total of 376 patients and 1,189 appointments were evaluated. Among 376 patients, 164 patients (43.6%) missed appointment more than one time and no-show rate was 17.2% during COVID-19 pandemic. During the observation, face-to-face visits gradually increased and no-show gradually decreased. The logistic regression analysis identified previous history of no-show (adjusted odds ratio [OR], 2.225; 95% confidence interval [CI], 1.422?3.479; P < 0.001) and fewer numbers of comorbidities (adjusted OR, 0.749; 95% CI, 0.584?0.961; P = 0.023) as the independent factors associated with no-show.

Conclusion: Monthly analysis showed that the no-show rate and the pattern of medical visits gradually changed in patients with RA during COVID-19 pandemic. Moreover, we found that previous history of no-show and fewer numbers of comorbidities as the independent factors associated with no-show.

키워드

COVID-19; No-show Patients; Rheumatoid Arthritis

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