Abstract
Objectives:Maximally quickly identify the exacerbation of the disease and timely strengthen the therapy, for more rapid achievement of remission or low disease activity.Methods:The authors created an interactive web portal for self-monitoring of RA activity. The patient management model using this method is that a patient conducts a monthly self-evaluation of the disease activity and transmits this information to his treating doctor in a remote manner via the web portal. In case of worsening and in the absence of any dynamics, according to the patient, he was invited to the center, where this information was verified by a doctor. If, in the patient’s opinion, there was an improvement, he did not come to clinic, but continued therapy. Currently, 30 women with RA, age 57 (38; 71), who completed the 6-month treatment period, are included in the study. 20 women included in the control group, average age 60.5(40; 77).Results:During 6 months, there was a positive dynamic of the course of the disease, the activity of the RA by DAS 28 decreased. Initially, 5 patients (16.7%) had high DAS activity, 24 — moderate (80%), 1low (3.3%). After 6 months of treatment 8 patients (26.7%) had low activity, 22 (73.3%) achieved remission. The mean value of the DAS 28 index at the time of inclusion was 3.99 (2.46; 5.78) and after 6 months of management 2.175 (0.79; 4.31), a statistically significant decrease (Wilcoxon T-test = 5). The DAS 28 index at the time of control group was 4,1 (2.46; 5.78) and after 6 months of management 3,9 (0.79; 4.31), a statistically significant decrease (Wilcoxon T-test = 5). Analysis of clinical and laboratory parameters did not reveal statistically significant deviations.Conclusions:The 6-month period of patient management via the Internet portal for self-monitoring of rheumatoid arthritis activity proved the possibility of achieving remission and low disease activity in all patients.
Highlights
The patient management model using this method is that a patient conducts a monthly self-evaluation of the disease activity and transmits this information to his treating doctor in a remote manner via the web portal
In case of worsening and in the absence of any dynamics, according to the patient, he was invited to the center, where this information was verified by a doctor
In the patient’s opinion, there was an improvement, he did not come to clinic
Summary
1 — ФГБОУ ВО РязГМУ Минздрава России, Рязань, Россия 2 — ГБУ РО ОККД, Рязань, Россия. Цель: максимально быстро выявить обострение ревматоидного артрита и своевременно усилить проводимую терапию, для ускорения достижения ремиссии или низкой активности заболевания. При этом врач максимально быстро получает информацию о состоянии здоровья пациента. По мнению пациента, наблюдается улучшение состояния, то он не приходит на визит к врачу, а продолжает проводимую терапию. Отмечается положительная динамика течения заболевания: среднее значение индекса активности заболевания DAS 28 на момент включения и после 6 месяцев наблюдения составляет 3,99 (2,46; 5,78) и 2,175 (0,79;4,31) (Т-критерий Вилкоксона = 5). Ведение больных посредством Интернетпортала самоконтроля активности ревматоидного артрита позволяет максимально быстро выявить обострение заболевания и своевременно усилить проводимую терапию, что приводит к ускоренному достижению ремиссии или низкой активности заболевания. Ключевые слова: Интернет-портал, ревматоидный артрит, самооценка активности заболевания Для цитирования: Багирова Г.Г., Лыгина Е.В., Якушин С.С., Козьминская М.И. АРТРИТОМ ПРИ ПОМОЩИ ИНТЕРНЕТ-ПОРТАЛА САМОКОНТРОЛЯ АКТИВНОСТИ ЗАБОЛЕВАНИЯ.
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