POS1205 THE IMPACT OF COVID-19 ON PATIENT MANAGEMENT AND PRESCRIBING STRATEGY ACROSS THE EU AND US: A REAL-WORLD SURVEY OF RHEUMATOLOGISTS, DERMATOLOGISTS, AND GASTROENTEROLOGISTS

Background: The COVID-19 pandemic is expected to have impacted patient management on a global level. However, the degree of impact and prescribing strategy in fields rheumatology, dermatology gastroenterology unclear. Objectives: Assess across EU US, as described by rheumatologists, dermatologists, gastroenterologists. Methods: Data were drawn from physician surveys France, Germany, Italy, Spain, UK US between July December 2020. Physicians completed an online or telephone survey assessing how has type frequency consultations; choice prescription medication. Results: 847 physicians took part; 355 200 dermatologists (Germany, UK, only), 282 As result COVID-19, most stated they moved at least some patients video consultations (70% rheumatologists; 55% dermatologists; 60% gastroenterologists) reduced overall with (59% 64% 51% (Table 1). 35% 22% 14% gastroenterologists changing way choose prescribe medication, differences observed countries (Figure Of those who made medication changes, rheumatologists self-administration (62%) not starting new advanced therapy (biologic DMARD targeted synthetic DMARD) (58%) frequent. Dermatologists changes include treatment more COVID-appropriate (71%) repeat prescriptions regularly without consultation (56%). Gastroenterologists (55%) longer course (48%). Comparing countries, for all specialties, greatest followed Germany Italy. Conclusion: There been process healthcare delivered, although was lesser extent than frequency. This varies geographies, which may be due reported prevalence COVID-19. Differences are also specialities, guidance received specialty bodies. It unknown what long-term will outcomes, satisfaction, engagement adherence, further research needed. Table 1. Rheumatologist, Dermatologist, Gastroenterologist management, country Global (n=847 ) France (n=90 (n=168 Italy (n=122 Spain (n=161 (n=133 (n=163 Rheumatologists n=365 n=50 n=58 n=59 n=57 n=81 Moving video/telephone 70% 36% 47% 86% 94% 84% Fewer visits individual (reduced visiting schedule) 59% 80% 0% 41% 96% 76% 65% n=200 - 40% 58% 66% 56% 54% 72% n=282 n=40 n=60 n=63 n=54 n=33 n=32 63% 18% 83% 100% 69% 43% 79% Figure Proportion reporting Disclosure Interests: None declared.