Impact of isolation and adherence to treatment of argentine patients with rheumatic diseases in pandemic

ABSTRACT

Objectives: To evaluate adherence to treatment and the impact of isolation in patients with rheumatic diseases Methods: Observational and cross-sectional study, using an electronic survey (Google form®) in participants of the virtual congress of patients in 2020 over 18 years of age. Demographic data, diagnosis and factors associated with the life of the people in this period of restriction were recorded. Results: 558 patients answered the survey (95.34%women). 494 patients from Argentina (164 were from the province of Buenos Aires). 75 of the survey participants were between 40 and 70 years old. Most of the patients had rheumatoid arthritis 45%, Fibromyalgia 31%and Osteoarthritis 16%. 70% were followed in the private environment. 65% considered themselves within the risk group of suffering from COVID-19 and 23% were unsure of their risk. The majority of the population knew the necessary measures of prevention. 83% were able to connect with their doctor during this period, the most common way was in person and via Whats App, only 18% had access through tele consultation. 79.2% continued with the treatment for their disease, 14.2% had difficulties and 6.4% did not succeed. Of these two groups, lack of access to medication and lack of communication with their doctor was the cause. During this period, 50% were able to do physical activity at home. Of the surveyed population, 35 people (6.4%) had a diagnosis of COVID-19;of these only 6 (15%) required hospitalization, the rest only isolation at home. Anxiety 63% anguish 48% and sadness 42.6%were the emotions that predominated in the vast majority of people with rheumatic diseases. Regarding vaccines, 51% thought that they would be vaccinated if recommended by their rheumatologist and 28 .6% had doubts. Only 9% would not be vaccinated. These data are depincted in Figures 1 and 2. Conclusion: From this survey, we obtained information on how the pandemic impacted people's daily lives during the restriction. Although the vast majority were able to comply with their treatment and indications, a percentage could not comply with their treatment and did not have access to their rheumatologist. There is a great emotional impact from the restrictions on this group of people. Additionally, patients expressed trust in their rheumatologist, and the recommendation for COVID-19 vaccination.