NCT04557358

Brief Summary

The National Institute of Medical Sciences and Nutrition is a national reference center for rheumatic diseases that belongs to The National Institutes of Health, and has Federal founding. More than 8,000 patients with a wide variety of rheumatologic diagnosis receive medical care. On March 2020, the WHO announced COVID-19 outbreak a pandemic. The first case was registered in Mexico on February 2020. In March 2020, the Mexican Government requested that our Institution should restrict health care to exclusively COVID-19 patients; accordingly, outpatient consultations were, and up to August 2020 still, hold on. Meanwhile, when possible, the Department of Immunology and Rheumatology has implemented an "on-demand", non-organized patient´s health care, through email and phone contact; nonetheless, and due to the middle-low socioeconomic status of most of our patients and limited technical resources available at our Institution, the attempt has been challenging.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
670

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Oct 2020

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 16, 2020

Completed
5 days until next milestone

First Posted

Study publicly available on registry

September 21, 2020

Completed
10 days until next milestone

Study Start

First participant enrolled

October 1, 2020

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2021

Completed
Last Updated

September 28, 2022

Status Verified

September 1, 2022

Enrollment Period

8 months

First QC Date

September 16, 2020

Last Update Submit

September 26, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in the pattern of the usual medical care among the rheumatic disease patients

    To determinate the proportion of the rheumatic disease patients affected in their usual medical care during the COVID-19 pandemic in our Institution with the COVID-19 survey (locally development)

    At study inclusion (The first medical consultation posterior to open the external outpatient's service, post COVID-19 pandemic)

Secondary Outcomes (5)

  • Change in the patient's activity disease

    In the first medical consultation posterior to open the external outpatient's service (post COVID-19 pandemic) to 6 months follow-up

  • Change in the patient's activity disease measures by their rheumatologist

    In the first medical consultation posterior to open the external outpatient's service (post COVID-19 pandemic) to 6 months follow-up

  • Change in patient´s quality of life

    In the first medical consultation posterior to open the external outpatient's service (post COVID-19 pandemic) to 6 months follow-up

  • Change in patient´s depression and anxiety

    In the first medical consultation posterior to open the external outpatient's service (post COVID-19 pandemic) to 6 months follow-up

  • Change in patient´s posttraumatic stress

    In the first medical consultation posterior to open the external outpatient's service (post COVID-19 pandemic) to 6 months follow-up

Study Arms (1)

Rheumatic diseases outpatients

All the rheumatic diseases outpatients from the National Institute of Medical Sciences and Nutrition that will assist their usual medical care posterior of stopped it during the COVID-19 pandemic. In order to explore how the patient´s disease activity, patient´s quality of life, and psychopathology will change with the reintegration at medical care, randomization 200 rheumatic diseases outpatients that will respond RAPID-3 (disease activity/disease severity), WHOQOL-BREF instrument (quality of life), DASS-21 instrument (depression and anxiety), IER-R (posttraumatic stress)

Other: COVID-19 surveyOther: RAPID-3Other: WHOQOL-BREFOther: DASS-21 instrument (depression and anxiety)Other: IER-R (posttraumatic stress)

Interventions

A questionnaire locally developed to explore access to medical care and to medications, access to communication with their primary rheumatologist, and patients risk perception about COVID-19 disease

Rheumatic diseases outpatients
RAPID-3OTHER

The instrument measures function, pain, and patient global estimate of status, with correspond to activity disease

Rheumatic diseases outpatients

The instrument measures the patient´s quality of life (4 dimensions: physics, phycological, social, and environment)

Rheumatic diseases outpatients

The instrument measures the presence of depression and anxiety

Rheumatic diseases outpatients

The instrument measures the presence of posttraumatic stress

Rheumatic diseases outpatients

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

All the rheumatic diseases outpatients from the National Institute of Medical Sciences and Nutrition that will assist their usual medical care posterior of stopped it during the COVID-19 pandemic.

You may qualify if:

  • Patients with a rheumatic disease diagnosis according to their primary rheumatologist who agree to participate

You may not qualify if:

  • Patients with a not confirmed rheumatic disease
  • Patients lost to follow-up from the outpatient for \> 1 year period
  • Patients with pregnancy plans

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

Mexico City, Tlalpan, 14080, Mexico

Location

MeSH Terms

Conditions

Arthritis, Rheumatoid

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Study Officials

  • Virginia Pascual-Ramos, Dr.

    Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

September 16, 2020

First Posted

September 21, 2020

Study Start

October 1, 2020

Primary Completion

May 31, 2021

Study Completion

May 31, 2021

Last Updated

September 28, 2022

Record last verified: 2022-09

Data Sharing

IPD Sharing
Will not share

Locations