PT - JOURNAL ARTICLE AU - Jérôme Avouac AU - Anna Molto AU - Camélia Frantz AU - Sarah Wanono AU - Elise Descamps AU - Olivier Fogel AU - Alice Combier AU - Lucile Poiroux AU - Corinne Miceli-Richard AU - Yannick Allanore TI - Evaluation of patients with rheumatoid arthritis in teleconsultation during the first wave of the COVID-19 pandemic AID - 10.3899/jrheum.220073 DP - 2022 Jun 15 TA - The Journal of Rheumatology PG - jrheum.220073 4099 - http://www.jrheum.org/content/early/2022/06/09/jrheum.220073.short 4100 - http://www.jrheum.org/content/early/2022/06/09/jrheum.220073.full AB - Objective To describe which parameters were collected by rheumatologists to monitor patients with rheumatoid arthritis (RA) during teleconsultation and identify which ones have more impact on clinician intervention. Methods Retrospective monocentric routine care cross-sectional study including RA patients seen in teleconsultation between March and September 2020. Available parameters assessing disease status were collected in teleconsultation files. Clinician intervention was defined by treatment escalation and/or the need for a rapid face-to-face consultation or day hospitalization. Results 143 RA patients were included (117 females, mean age of 58±16 years, mean disease duration of 14±11 years). The presence or absence of patient self-reported RA flares was mentioned in all medical files, followed by the presence and/or the number of tender joints (76%), the duration of morning stiffness (66%), the number of pain-related nocturnal awakenings (66%) and the CRP value (54%). Teleconsultation led to a clinician intervention in 22/143 patients (14%), representing 51% of patients with self-reported flares (22/43 patients). Therapeutic escalation was necessary in 13 patients and/or face-to-face consultation or day hospitalization were organized for 10 patients. Multivariate analysis identified RA flares (Odds Ratio, OR: 15.6 95% CI 3.37-68.28) and CRP values >10 mg/L (OR: 3.32, 95% CI % 1.12-13.27) as the variables independently associated with clinician intervention. Conclusion Our study identified patient reported RA flares and increased CRP values as 2 red flags in teleconsultation, independently associated with therapeutic modification and/or the need for a rapid face-to-face consultation. These indicators may help clinician's decision making in teleconsultation.