CovidChloroV1, Main, Corpus, bibRecord, 000913

Impact of COVID-19 pandemic on rheumatoid arthritis from a Multi-Centre patient-reported questionnaire survey: influence of gender, rural-urban gap and north-south gradient.

Identifieur interne : 000913 ( Main/Corpus ); précédent : 000912; suivant : 000914

Impact of COVID-19 pandemic on rheumatoid arthritis from a Multi-Centre patient-reported questionnaire survey: influence of gender, rural-urban gap and north-south gradient.

Auteurs : Esam Abualfadl ; Faten Ismail ; Rawhya R El Shereef ; Eman Hassan ; Samar Tharwat ; Eman F. Mohamed ; Essam A. Abda ; Ahmed R. Radwan ; Rasha M. Fawzy ; Abdel Hafeez Moshrif ; Rasha Abdel Noor ; Soha Senara ; Mervat I Abd Elazim ; Nouran M. Abaza ; Hala A. Raafat ; Iman I. El-Gazzar ; Dina H. El-Hammady ; Nevin Hammam ; Tamer A. Gheita ; Reem El-Mallah

Source :

Rheumatology international [ 1437-160X ] ; 2021.

RBID : pubmed:33130920

English descriptors

KwdEn :
- Adult (MeSH), Arthritis, Rheumatoid (psychology), Arthritis, Rheumatoid (therapy), COVID-19 (psychology), Egypt (MeSH), Female (MeSH), Health Services Accessibility (statistics & numerical data), Health Status Disparities (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Patient Reported Outcome Measures (MeSH), SARS-CoV-2 (MeSH).
MESH :
- geographic : Egypt.
- psychology : Arthritis, Rheumatoid, COVID-19.
- statistics & numerical data : Health Services Accessibility.
- therapy : Arthritis, Rheumatoid.
- Adult, Female, Health Status Disparities, Humans, Male, Middle Aged, Pandemics, Patient Reported Outcome Measures, SARS-CoV-2.

Abstract

During the coronavirus disease-2019 (COVID-19) pandemic there were several barriers to treatment access and medication adherence in rheumatoid arthritis (RA) patients. There is no information regarding the RA patient health status in Egypt during the COVID-19. Thus,the aim of this work was to study the impact of the pandemic on RA patients through a patient-reported questionnaire and to determine the influence of gender, geographic regions. This multi-centre study initiated by the Egyptian College of Rheumatology (ECR) was conducted on 1037 RA patients attending rheumatology clinics from 10 governorates. The questionnaire provided covered socio-demographic data, health/disease status, information/knowledge about COVID-19 and medical/family history of the infection. Patients mean age was 44.2 ± 12.3 years;855 females and 182 males; 539(52%) from rural and 497(48%) from urban areas. 41.8% reported a striking difficulty to obtain hydroxychloroquine during the pandemic. The majority (70%) considered maintaining a regular visit to the rheumatologist in addition to remote contact mainly by phone (44.4%) or via WhatsApp (33.1%), in particular among male and urban patients. Urban patients were more likely to be infected by COVID-19 (12.9% vs 6.2%; p < 0.0001) than rural. Northern cities had more patients with suspected COVID-19 (13.9% vs 6.1%; p < 0.0001); was significantly associated with more disease flares (30.8% vs 5.8%) with subsequent change in the RA treatment (20.9% vs 6.4%; p < 0.0001). Patients with RA faced remarkable difficulty to obtain their medications with subsequent change in their disease status. The challenges of the pandemic have hastened changes in the way we deliver health care.

DOI: 10.1007/s00296-020-04736-9
PubMed: 33130920
PubMed Central: PMC7603433

Links to Exploration step

pubmed:33130920

Le document en format XML

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<author><name sortKey="Abda, Essam A" sort="Abda, Essam A" uniqKey="Abda E" first="Essam A" last="Abda">Essam A. Abda</name>
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<author><name sortKey="Radwan, Ahmed R" sort="Radwan, Ahmed R" uniqKey="Radwan A" first="Ahmed R" last="Radwan">Ahmed R. Radwan</name>
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</affiliation>
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<author><name sortKey="Fawzy, Rasha M" sort="Fawzy, Rasha M" uniqKey="Fawzy R" first="Rasha M" last="Fawzy">Rasha M. Fawzy</name>
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</affiliation>
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<author><name sortKey="Moshrif, Abdel Hafeez" sort="Moshrif, Abdel Hafeez" uniqKey="Moshrif A" first="Abdel Hafeez" last="Moshrif">Abdel Hafeez Moshrif</name>
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<author><name sortKey="Noor, Rasha Abdel" sort="Noor, Rasha Abdel" uniqKey="Noor R" first="Rasha Abdel" last="Noor">Rasha Abdel Noor</name>
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</affiliation>
</author>
<author><name sortKey="Senara, Soha" sort="Senara, Soha" uniqKey="Senara S" first="Soha" last="Senara">Soha Senara</name>
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</author>
<author><name sortKey="Elazim, Mervat I Abd" sort="Elazim, Mervat I Abd" uniqKey="Elazim M" first="Mervat I Abd" last="Elazim">Mervat I Abd Elazim</name>
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</affiliation>
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<author><name sortKey="Abaza, Nouran M" sort="Abaza, Nouran M" uniqKey="Abaza N" first="Nouran M" last="Abaza">Nouran M. Abaza</name>
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</affiliation>
</author>
<author><name sortKey="Raafat, Hala A" sort="Raafat, Hala A" uniqKey="Raafat H" first="Hala A" last="Raafat">Hala A. Raafat</name>
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</affiliation>
</author>
<author><name sortKey="El Gazzar, Iman I" sort="El Gazzar, Iman I" uniqKey="El Gazzar I" first="Iman I" last="El-Gazzar">Iman I. El-Gazzar</name>
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</affiliation>
</author>
<author><name sortKey="El Hammady, Dina H" sort="El Hammady, Dina H" uniqKey="El Hammady D" first="Dina H" last="El-Hammady">Dina H. El-Hammady</name>
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</affiliation>
</author>
<author><name sortKey="Hammam, Nevin" sort="Hammam, Nevin" uniqKey="Hammam N" first="Nevin" last="Hammam">Nevin Hammam</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.</nlm:affiliation>
</affiliation>
<affiliation><nlm:affiliation>Rheumatology Department, University of San Francisco, San Francisco, California, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Gheita, Tamer A" sort="Gheita, Tamer A" uniqKey="Gheita T" first="Tamer A" last="Gheita">Tamer A. Gheita</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt. gheitamer@hotmail.com.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="El Mallah, Reem" sort="El Mallah, Reem" uniqKey="El Mallah R" first="Reem" last="El-Mallah">Reem El-Mallah</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Impact of COVID-19 pandemic on rheumatoid arthritis from a Multi-Centre patient-reported questionnaire survey: influence of gender, rural-urban gap and north-south gradient.</title>
<author><name sortKey="Abualfadl, Esam" sort="Abualfadl, Esam" uniqKey="Abualfadl E" first="Esam" last="Abualfadl">Esam Abualfadl</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Sohag University, Sohag, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ismail, Faten" sort="Ismail, Faten" uniqKey="Ismail F" first="Faten" last="Ismail">Faten Ismail</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Minia University, Minia, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Shereef, Rawhya R El" sort="Shereef, Rawhya R El" uniqKey="Shereef R" first="Rawhya R El" last="Shereef">Rawhya R El Shereef</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Minia University, Minia, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Hassan, Eman" sort="Hassan, Eman" uniqKey="Hassan E" first="Eman" last="Hassan">Eman Hassan</name>
<affiliation><nlm:affiliation>Internal Medicine Department, Rheumatology Unit, Faculty of Medicine, Alexandria University, Alexandria, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Tharwat, Samar" sort="Tharwat, Samar" uniqKey="Tharwat S" first="Samar" last="Tharwat">Samar Tharwat</name>
<affiliation><nlm:affiliation>Internal Medicine Department, Rheumatology Unit, Faculty of Medicine, Mansoura University, Dakahlia, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mohamed, Eman F" sort="Mohamed, Eman F" uniqKey="Mohamed E" first="Eman F" last="Mohamed">Eman F. Mohamed</name>
<affiliation><nlm:affiliation>Internal Medicine Department, Rheumatology Unit, Faculty of Medicine (Girls), Al-Azhar University, Cairo, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Abda, Essam A" sort="Abda, Essam A" uniqKey="Abda E" first="Essam A" last="Abda">Essam A. Abda</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Radwan, Ahmed R" sort="Radwan, Ahmed R" uniqKey="Radwan A" first="Ahmed R" last="Radwan">Ahmed R. Radwan</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Sohag University, Sohag, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Fawzy, Rasha M" sort="Fawzy, Rasha M" uniqKey="Fawzy R" first="Rasha M" last="Fawzy">Rasha M. Fawzy</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Benha University, Kalyoubia, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Moshrif, Abdel Hafeez" sort="Moshrif, Abdel Hafeez" uniqKey="Moshrif A" first="Abdel Hafeez" last="Moshrif">Abdel Hafeez Moshrif</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Noor, Rasha Abdel" sort="Noor, Rasha Abdel" uniqKey="Noor R" first="Rasha Abdel" last="Noor">Rasha Abdel Noor</name>
<affiliation><nlm:affiliation>Internal Medicine Department, Rheumatology Unit, Faculty of Medicine, Tanta University, Gharbia, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Senara, Soha" sort="Senara, Soha" uniqKey="Senara S" first="Soha" last="Senara">Soha Senara</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Elazim, Mervat I Abd" sort="Elazim, Mervat I Abd" uniqKey="Elazim M" first="Mervat I Abd" last="Elazim">Mervat I Abd Elazim</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Abaza, Nouran M" sort="Abaza, Nouran M" uniqKey="Abaza N" first="Nouran M" last="Abaza">Nouran M. Abaza</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Raafat, Hala A" sort="Raafat, Hala A" uniqKey="Raafat H" first="Hala A" last="Raafat">Hala A. Raafat</name>
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</affiliation>
</author>
<author><name sortKey="El Gazzar, Iman I" sort="El Gazzar, Iman I" uniqKey="El Gazzar I" first="Iman I" last="El-Gazzar">Iman I. El-Gazzar</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="El Hammady, Dina H" sort="El Hammady, Dina H" uniqKey="El Hammady D" first="Dina H" last="El-Hammady">Dina H. El-Hammady</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Helwan University, Cairo, Egypt.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Hammam, Nevin" sort="Hammam, Nevin" uniqKey="Hammam N" first="Nevin" last="Hammam">Nevin Hammam</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.</nlm:affiliation>
</affiliation>
<affiliation><nlm:affiliation>Rheumatology Department, University of San Francisco, San Francisco, California, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Gheita, Tamer A" sort="Gheita, Tamer A" uniqKey="Gheita T" first="Tamer A" last="Gheita">Tamer A. Gheita</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt. gheitamer@hotmail.com.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="El Mallah, Reem" sort="El Mallah, Reem" uniqKey="El Mallah R" first="Reem" last="El-Mallah">Reem El-Mallah</name>
<affiliation><nlm:affiliation>Rheumatology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.</nlm:affiliation>
</affiliation>
</author>
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<series><title level="j">Rheumatology international</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Arthritis, Rheumatoid (psychology)</term>
<term>Arthritis, Rheumatoid (therapy)</term>
<term>COVID-19 (psychology)</term>
<term>Egypt (MeSH)</term>
<term>Female (MeSH)</term>
<term>Health Services Accessibility (statistics & numerical data)</term>
<term>Health Status Disparities (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Patient Reported Outcome Measures (MeSH)</term>
<term>SARS-CoV-2 (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Egypt</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Arthritis, Rheumatoid</term>
<term>COVID-19</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Services Accessibility</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Arthritis, Rheumatoid</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Female</term>
<term>Health Status Disparities</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pandemics</term>
<term>Patient Reported Outcome Measures</term>
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<front><div type="abstract" xml:lang="en">During the coronavirus disease-2019 (COVID-19) pandemic there were several barriers to treatment access and medication adherence in rheumatoid arthritis (RA) patients. There is no information regarding the RA patient health status in Egypt during the COVID-19. Thus,the aim of this work was to study the impact of the pandemic on RA patients through a patient-reported questionnaire and to determine the influence of gender, geographic regions. This multi-centre study initiated by the Egyptian College of Rheumatology (ECR) was conducted on 1037 RA patients attending rheumatology clinics from 10 governorates. The questionnaire provided covered socio-demographic data, health/disease status, information/knowledge about COVID-19 and medical/family history of the infection. Patients mean age was 44.2 ± 12.3 years;855 females and 182 males; 539(52%) from rural and 497(48%) from urban areas. 41.8% reported a striking difficulty to obtain hydroxychloroquine during the pandemic. The majority (70%) considered maintaining a regular visit to the rheumatologist in addition to remote contact mainly by phone (44.4%) or via WhatsApp (33.1%), in particular among male and urban patients. Urban patients were more likely to be infected by COVID-19 (12.9% vs 6.2%; p < 0.0001) than rural. Northern cities had more patients with suspected COVID-19 (13.9% vs 6.1%; p < 0.0001); was significantly associated with more disease flares (30.8% vs 5.8%) with subsequent change in the RA treatment (20.9% vs 6.4%; p < 0.0001). Patients with RA faced remarkable difficulty to obtain their medications with subsequent change in their disease status. The challenges of the pandemic have hastened changes in the way we deliver health care.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">33130920</PMID>
<DateCompleted><Year>2021</Year>
<Month>02</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised><Year>2021</Year>
<Month>02</Month>
<Day>04</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1437-160X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>41</Volume>
<Issue>2</Issue>
<PubDate><Year>2021</Year>
<Month>02</Month>
</PubDate>
</JournalIssue>
<Title>Rheumatology international</Title>
<ISOAbbreviation>Rheumatol Int</ISOAbbreviation>
</Journal>
<ArticleTitle>Impact of COVID-19 pandemic on rheumatoid arthritis from a Multi-Centre patient-reported questionnaire survey: influence of gender, rural-urban gap and north-south gradient.</ArticleTitle>
<Pagination><MedlinePgn>345-353</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00296-020-04736-9</ELocationID>
<Abstract><AbstractText>During the coronavirus disease-2019 (COVID-19) pandemic there were several barriers to treatment access and medication adherence in rheumatoid arthritis (RA) patients. There is no information regarding the RA patient health status in Egypt during the COVID-19. Thus,the aim of this work was to study the impact of the pandemic on RA patients through a patient-reported questionnaire and to determine the influence of gender, geographic regions. This multi-centre study initiated by the Egyptian College of Rheumatology (ECR) was conducted on 1037 RA patients attending rheumatology clinics from 10 governorates. The questionnaire provided covered socio-demographic data, health/disease status, information/knowledge about COVID-19 and medical/family history of the infection. Patients mean age was 44.2 ± 12.3 years;855 females and 182 males; 539(52%) from rural and 497(48%) from urban areas. 41.8% reported a striking difficulty to obtain hydroxychloroquine during the pandemic. The majority (70%) considered maintaining a regular visit to the rheumatologist in addition to remote contact mainly by phone (44.4%) or via WhatsApp (33.1%), in particular among male and urban patients. Urban patients were more likely to be infected by COVID-19 (12.9% vs 6.2%; p < 0.0001) than rural. Northern cities had more patients with suspected COVID-19 (13.9% vs 6.1%; p < 0.0001); was significantly associated with more disease flares (30.8% vs 5.8%) with subsequent change in the RA treatment (20.9% vs 6.4%; p < 0.0001). Patients with RA faced remarkable difficulty to obtain their medications with subsequent change in their disease status. The challenges of the pandemic have hastened changes in the way we deliver health care.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Abualfadl</LastName>
<ForeName>Esam</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Rheumatology Department, Faculty of Medicine, Sohag University, Sohag, Egypt.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ismail</LastName>
<ForeName>Faten</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Rheumatology Department, Faculty of Medicine, Minia University, Minia, Egypt.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Shereef</LastName>
<ForeName>Rawhya R El</ForeName>
<Initials>RRE</Initials>
<AffiliationInfo><Affiliation>Rheumatology Department, Faculty of Medicine, Minia University, Minia, Egypt.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hassan</LastName>
<ForeName>Eman</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Internal Medicine Department, Rheumatology Unit, Faculty of Medicine, Alexandria University, Alexandria, Egypt.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tharwat</LastName>
<ForeName>Samar</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Internal Medicine Department, Rheumatology Unit, Faculty of Medicine, Mansoura University, Dakahlia, Egypt.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mohamed</LastName>
<ForeName>Eman F</ForeName>
<Initials>EF</Initials>
<AffiliationInfo><Affiliation>Internal Medicine Department, Rheumatology Unit, Faculty of Medicine (Girls), Al-Azhar University, Cairo, Egypt.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Abda</LastName>
<ForeName>Essam A</ForeName>
<Initials>EA</Initials>
<AffiliationInfo><Affiliation>Rheumatology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Radwan</LastName>
<ForeName>Ahmed R</ForeName>
<Initials>AR</Initials>
<AffiliationInfo><Affiliation>Rheumatology Department, Faculty of Medicine, Sohag University, Sohag, Egypt.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fawzy</LastName>
<ForeName>Rasha M</ForeName>
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Impact of COVID-19 pandemic on rheumatoid arthritis from a Multi-Centre patient-reported questionnaire survey: influence of gender, rural-urban gap and north-south gradient.

Impact of COVID-19 pandemic on rheumatoid arthritis from a Multi-Centre patient-reported questionnaire survey: influence of gender, rural-urban gap and north-south gradient.

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