Skip to main content
Top
Published in: Clinical Rheumatology 11/2020

01-11-2020 | COVID-19 | Editorial

Rheumatologists in the COVID-19 era: will there be a new role for the rheumatologist in the care of rheumatic patients?

Authors: Jorge Morales-Torres, Francisco Javier Aceves-Ávila

Published in: Clinical Rheumatology | Issue 11/2020

Login to get access

Excerpt

The global disease burden of coronavirus disease 2019 (COVID-19) has risen to unprecedented levels never seen in this generation. A World Health Organization (WHO) situation report on July 4, 2020, presented a global figure of 10,992,324 cases, 523,011 deaths, and 212,326 new cases in the previous 24 h, with the Americas on the top of both confirmed and new cases as well as new deaths. Its distribution between countries and regions show big differences. While new cases and deaths have decreased sharply in countries like China and tend to decrease notably in some other countries (like Spain, Italy, and Germany), they are still high in several regions [1]. It is hard to foresee a near end for this ordeal, and one possible scenario is that COVID-19 will become an endemic condition [2]. Therefore, sociopolitical and daily life adaptations will be required, and the society will need to find ways to coexist with it, until a vaccine or cure become available. …
Literature
9.
go back to reference Matsumoto Y, Sada K, Takano M et al (2011) Risk factors for infection in patients with remitted rheumatic diseases treated with glucocorticoids. Acta Med Okayama 65:329–334PubMed Matsumoto Y, Sada K, Takano M et al (2011) Risk factors for infection in patients with remitted rheumatic diseases treated with glucocorticoids. Acta Med Okayama 65:329–334PubMed
11.
go back to reference Grijalva CG, Chen L, Delzell E, Baddley JW, Beukelman T, Winthrop KL, Griffin MR, Herrinton LJ, Liu L, Ouellet-Hellstrom R, Patkar NM, Solomon DH, Lewis JD, Xie F, Saag KG, Curtis JR (2011) Initiation of tumor necrosis factor-α antagonists and the risk of hospitalization for infection in patients with autoimmune diseases. JAMA 306:2331–2339. https://doi.org/10.1001/jama.2011.1692CrossRefPubMedPubMedCentral Grijalva CG, Chen L, Delzell E, Baddley JW, Beukelman T, Winthrop KL, Griffin MR, Herrinton LJ, Liu L, Ouellet-Hellstrom R, Patkar NM, Solomon DH, Lewis JD, Xie F, Saag KG, Curtis JR (2011) Initiation of tumor necrosis factor-α antagonists and the risk of hospitalization for infection in patients with autoimmune diseases. JAMA 306:2331–2339. https://​doi.​org/​10.​1001/​jama.​2011.​1692CrossRefPubMedPubMedCentral
12.
go back to reference Furer V, Rondaan C, Heijstek M, van Assen S, Bijl M, Agmon-Levin N, Breedveld FC, D'Amelio R, Dougados M, Kapetanovic MC, van Laar JM, Ladefoged de Thurah A, Landewé R, Molto A, Müller-Ladner U, Schreiber K, Smolar L, Walker J, Warnatz K, Wulffraat NM, Elkayam O (2019) Incidence and prevalence of vaccine preventable infections in adult patients with autoimmune inflammatory rheumatic diseases (AIIRD): a systemic literature review informing the 2019 update of the EULAR recommendations for vaccination in adult patients with AIIRD. RMD Open 5(2):e001041. https://doi.org/10.1136/rmdopen-2019-001041CrossRefPubMedPubMedCentral Furer V, Rondaan C, Heijstek M, van Assen S, Bijl M, Agmon-Levin N, Breedveld FC, D'Amelio R, Dougados M, Kapetanovic MC, van Laar JM, Ladefoged de Thurah A, Landewé R, Molto A, Müller-Ladner U, Schreiber K, Smolar L, Walker J, Warnatz K, Wulffraat NM, Elkayam O (2019) Incidence and prevalence of vaccine preventable infections in adult patients with autoimmune inflammatory rheumatic diseases (AIIRD): a systemic literature review informing the 2019 update of the EULAR recommendations for vaccination in adult patients with AIIRD. RMD Open 5(2):e001041. https://​doi.​org/​10.​1136/​rmdopen-2019-001041CrossRefPubMedPubMedCentral
17.
go back to reference Quartuccio L, Valent F, Pasut E, Tascini C, DeVita S (2020) Prevalence of COVID-19 among patients with chronic inflammatory rheumatic diseases treated with biologic agents or small molecules: a population-based study in the first two months of COVID-19 outbreak in Italy. Joint Bone Spine. https://doi.org/10.1016/j.jbspin.2020.05.003 Quartuccio L, Valent F, Pasut E, Tascini C, DeVita S (2020) Prevalence of COVID-19 among patients with chronic inflammatory rheumatic diseases treated with biologic agents or small molecules: a population-based study in the first two months of COVID-19 outbreak in Italy. Joint Bone Spine. https://​doi.​org/​10.​1016/​j.​jbspin.​2020.​05.​003
18.
go back to reference Favalli EG, Mont S, Ingegnoli F, Balduzzi S, Caporalli R, Montecucco C (2020) Incidence of COVID-19 in patients with rheumatic diseases treated with targeted immunosuppressive drugs: what can we learn from observational data? Arthritis Rheum. https://doi.org/10.1002/art.41388 Favalli EG, Mont S, Ingegnoli F, Balduzzi S, Caporalli R, Montecucco C (2020) Incidence of COVID-19 in patients with rheumatic diseases treated with targeted immunosuppressive drugs: what can we learn from observational data? Arthritis Rheum. https://​doi.​org/​10.​1002/​art.​41388
19.
go back to reference Sanchez-Piedra C, Diaz-Torne C, Manero J, Pego-Reigosa JM, Rúa-Figueroa Í, Gonzalez-Gay MA, Gomez-Reino J, Alvaro-Gracia JM, BIOBADASER study group (2020) Clinical features and outcomes of COVID-19 in patients with rheumatic diseases treated with biological and synthetic targeted therapies. Ann Rheum Dis 79:988–990. https://doi.org/10.1136/annrheumdis-2020-217948CrossRefPubMed Sanchez-Piedra C, Diaz-Torne C, Manero J, Pego-Reigosa JM, Rúa-Figueroa Í, Gonzalez-Gay MA, Gomez-Reino J, Alvaro-Gracia JM, BIOBADASER study group (2020) Clinical features and outcomes of COVID-19 in patients with rheumatic diseases treated with biological and synthetic targeted therapies. Ann Rheum Dis 79:988–990. https://​doi.​org/​10.​1136/​annrheumdis-2020-217948CrossRefPubMed
21.
go back to reference Mathian A, Mahevas M, Rohmer J, Roumier M, Cohen-Aubart F, Amador-Borrero B, Barrelet A, Chauvet C, Chazal T, Delahousse M, Devaux M, Euvrard R, Fadlallah J, Florens N, Haroche J, Hié M, Juillard L, Lhote R, Maillet T, Richard-Colmant G, Palluy JB, Pha M, Perard L, Remy P, Rivière E, Sène D, Sève P, Morélot-Panzini C, Viallard JF, Virot JS, Benameur N, Zahr N, Yssel H, Godeau B, Amoura Z (2020) Clinical course of coronavirus disease 2019 (COVID-19) in a series of 17 patients with systemic lupus erythematosus under long-term treatment with hydroxychloroquine. Ann Rheum Dis 79:837–839. https://doi.org/10.1136/annrheumdis-2020-217566CrossRefPubMed Mathian A, Mahevas M, Rohmer J, Roumier M, Cohen-Aubart F, Amador-Borrero B, Barrelet A, Chauvet C, Chazal T, Delahousse M, Devaux M, Euvrard R, Fadlallah J, Florens N, Haroche J, Hié M, Juillard L, Lhote R, Maillet T, Richard-Colmant G, Palluy JB, Pha M, Perard L, Remy P, Rivière E, Sène D, Sève P, Morélot-Panzini C, Viallard JF, Virot JS, Benameur N, Zahr N, Yssel H, Godeau B, Amoura Z (2020) Clinical course of coronavirus disease 2019 (COVID-19) in a series of 17 patients with systemic lupus erythematosus under long-term treatment with hydroxychloroquine. Ann Rheum Dis 79:837–839. https://​doi.​org/​10.​1136/​annrheumdis-2020-217566CrossRefPubMed
25.
go back to reference Gianfrancesco MA, Hyrich KL, Gossec L, Strangfeld A, Carmona L, Mateus EF, Sufka P, Grainger R, Wallace Z, Bhana S, Sirotich E, Liew J, Hausmann JS, Costello W, Robinson P, Machado PM, Yazdany J, COVID-19 Global Rheumatology Alliance Steering Committee (2020) Rheumatic disease and COVID-19: initial data from the COVID-19 Global Rheumatology Alliance provider registries. Lancet Rheumatol 2:e250–e253. https://doi.org/10.1016/s2665-9913(20)30095-3CrossRefPubMedPubMedCentral Gianfrancesco MA, Hyrich KL, Gossec L, Strangfeld A, Carmona L, Mateus EF, Sufka P, Grainger R, Wallace Z, Bhana S, Sirotich E, Liew J, Hausmann JS, Costello W, Robinson P, Machado PM, Yazdany J, COVID-19 Global Rheumatology Alliance Steering Committee (2020) Rheumatic disease and COVID-19: initial data from the COVID-19 Global Rheumatology Alliance provider registries. Lancet Rheumatol 2:e250–e253. https://​doi.​org/​10.​1016/​s2665-9913(20)30095-3CrossRefPubMedPubMedCentral
26.
28.
go back to reference Fragoulis GE, Evangelatos G, Arida A, Bournia VK, Fragiadaki K, Karamanakos A, Kravvariti E, Laskari K, Panopoulos S, Pappa M, Tektonidou MG, Sfikakis PP (2020) Treatment adherence of patients with systemic rheumatic diseases in COVID-19 pandemic. Ann Rheum. https://doi.org/10.1136/annrheumdis-2020-217935 annrheumdis-2020-217935 Fragoulis GE, Evangelatos G, Arida A, Bournia VK, Fragiadaki K, Karamanakos A, Kravvariti E, Laskari K, Panopoulos S, Pappa M, Tektonidou MG, Sfikakis PP (2020) Treatment adherence of patients with systemic rheumatic diseases in COVID-19 pandemic. Ann Rheum. https://​doi.​org/​10.​1136/​annrheumdis-2020-217935 annrheumdis-2020-217935
29.
go back to reference Schulze-Koops H, Krueger K, Specker C (2020) No advice to discontinue antirheumatic therapy for non-medical reasons in light of SARS-CoV- 2. Response to: ‘Treatment adherence of patients with systemic rheumatic diseases in COVID-19 pandemic’ by Fragoulis et al. Ann Rheum Dis. https://doi.org/10.1136/annrheumdis-2020-217987 annrheumdis-2020-217987 Schulze-Koops H, Krueger K, Specker C (2020) No advice to discontinue antirheumatic therapy for non-medical reasons in light of SARS-CoV- 2. Response to: ‘Treatment adherence of patients with systemic rheumatic diseases in COVID-19 pandemic’ by Fragoulis et al. Ann Rheum Dis. https://​doi.​org/​10.​1136/​annrheumdis-2020-217987 annrheumdis-2020-217987
30.
36.
go back to reference Sarzi-Puttini P, Ventura D, Antivalle M et al (2020) What did COVID-19 do to the organization of Italian rheumatology? The examples of Luigi Sacco University Hospital and the local health district of ATS Sardegna: the two faces of the same coin. Beyond Rheumatol 2(#37) Sarzi-Puttini P, Ventura D, Antivalle M et al (2020) What did COVID-19 do to the organization of Italian rheumatology? The examples of Luigi Sacco University Hospital and the local health district of ATS Sardegna: the two faces of the same coin. Beyond Rheumatol 2(#37)
37.
go back to reference Thwaites G, Taviner M, Gant V (1997) The English sweating sickness, 1485 to 1551. N Engl J Med 336:580–582CrossRefPubMed Thwaites G, Taviner M, Gant V (1997) The English sweating sickness, 1485 to 1551. N Engl J Med 336:580–582CrossRefPubMed
40.
go back to reference van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, Tamin A, Harcourt JL, Thornburg NJ, Gerber SI, Lloyd-Smith JO, de Wit E, Munster VJ (2020) Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med 382:1564–1567. https://doi.org/10.1056/NEJMc2004973CrossRefPubMed van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, Tamin A, Harcourt JL, Thornburg NJ, Gerber SI, Lloyd-Smith JO, de Wit E, Munster VJ (2020) Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med 382:1564–1567. https://​doi.​org/​10.​1056/​NEJMc2004973CrossRefPubMed
44.
go back to reference Baricco A (2019) The game. Editorial Anagrama S.A. 1st. ed. Barcelona Baricco A (2019) The game. Editorial Anagrama S.A. 1st. ed. Barcelona
45.
go back to reference Shorter E (1985).Bedside manners. The troubled history of doctors and patients. Simon and Schuster, 1st. ed. New York Shorter E (1985).Bedside manners. The troubled history of doctors and patients. Simon and Schuster, 1st. ed. New York
47.
go back to reference Heegaard C, Dreyer L, Egsmose C, Madsen OR (2013) Test–retest reliability of the Disease Activity Score 28 CRP (DAS28-CRP), the Simplified Disease Activity Index (SDAI) and the Clinical Disease Activity Index (CDAI) in rheumatoid arthritis when based on patient self-assessment of tender and swollen joints. Clin Rheumatol 32:1493–1500. https://doi.org/10.1007/s10067-013-2300-9CrossRefPubMed Heegaard C, Dreyer L, Egsmose C, Madsen OR (2013) Test–retest reliability of the Disease Activity Score 28 CRP (DAS28-CRP), the Simplified Disease Activity Index (SDAI) and the Clinical Disease Activity Index (CDAI) in rheumatoid arthritis when based on patient self-assessment of tender and swollen joints. Clin Rheumatol 32:1493–1500. https://​doi.​org/​10.​1007/​s10067-013-2300-9CrossRefPubMed
Metadata
Title
Rheumatologists in the COVID-19 era: will there be a new role for the rheumatologist in the care of rheumatic patients?
Authors
Jorge Morales-Torres
Francisco Javier Aceves-Ávila
Publication date
01-11-2020
Publisher
Springer International Publishing
Keyword
COVID-19
Published in
Clinical Rheumatology / Issue 11/2020
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-020-05380-1

Other articles of this Issue 11/2020

Clinical Rheumatology 11/2020 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.