Daniel Fernández

Pontificia Universidad Javeriana · Rheumatology

Introducción y objetivo: La mayoría de pacientes con enfermedad inflamatoria intestinal (EII) buscan información de su enfermedad en internet. La confiabilidad, la exhaustividad y la calidad de esta información en espanol ˜ aún no han sido estudiadas. Material y métodos: Estudio observacional analítico que incluyó videos en espanol ˜ sobre EII disp...

Introduction and aim: A large number of patients with autoimmune hepatitis (AH) seek information about their disease on the Internet. The reliability, comprehensiveness, and quality of said information in Spanish has not been studied. Our aim was to describe the characteristics of the information about AH on YouTube®. Methods: An analytic observ...

Objective Psoriatic arthritis (PsA) is chronic disease that compromise multiple domains, and might be associated with progressive joint damage, increased mortality, functional limitation, and considerably impaired quality of life. Our objective is to generate evidence-based recommendations on the management of PsA in PANLAR countries. Methods We u...

Introducción: En la práctica clínica, la sospecha de síndrome antifosfolípido (SAF) se basa en las recomendaciones de las guías sobre a quienes tomar muestras ante los factores que gene-ren riesgo de SAF. Sin embargo, estas recomendaciones se basan en el consenso de expertos, dado que no se ha cuantificado adecuadamente el peso de cada uno de esos...

Background Clinical experience has shown that a single measure is not sufficient to assess disease activity in rheumatoid arthritis (RA). Various clinimetric tools are necessary to address the many clinical situations that can arise. Methods In order to develop a comprehensive measurement tool, the Pan American League of Associations for Rheumatol...

Introduction Artificial intelligence has presented exponential growth in medicine. The ChatGPT language model has been highlighted as a possible source of patient information. This study evaluates the reliability and readability of ChatGPT-generated patient information on chronic diseases in Spanish. Methods Questions frequently asked by patients...

Introducción: No existe un análisis consolidado de la atención que recibe la información científica publicada en las revistas biomédicas colombianas en internet y redes sociales. Objetivo: Describir el impacto de los artículos publicados en dichas revistas mediante métricas alternativas. Métodos: Estudio observacional descriptivo que evalúa artícul...

Registries allow ascertaining the epidemiology of chronic diseases such as axial spondyloarthritis (axSpA). The Colombian Ministry of Health has implemented a National Health Registry (SISPRO) that collects data from each medical contact in the system, which provides close to universal coverage (around 98%). To establish the 5-year prevalence of ax...

Abstract Axial spondyloarthritis (axSpA) comprises a spectrum of chronic inflammatory manifestations affecting the axial skeleton and represents a challenge for diagnosis and treatment. Our objective was to generate a set of evidence-based recommendations for the management of axSpA for physicians, health professionals, rheumatologists and policy d...

Objective To develop the first evidence-based Pan American League of Associations for Rheumatology (PANLAR) guidelines for the treatment of Takayasu arteritis (TAK). Methods A panel of vasculitis experts developed a series of clinically meaningful questions addressing the treatment of TAK patients in the PICO (population/intervention/comparator/ou...

Background: The Delphi technique is a consensus method aiming to obtain statistical estimations from a qualitative approach, through an iterative process that leads to consensus within experts. The main characteristics of the technique include iteration, anonymity, feedback, and consensus reaching. When high-quality, quantitative evidence on a par...

Introduction and aim: The majority of patients with inflammatory bowel disease (IBD) seek information about their disease on the Internet. The reliability, comprehensiveness, and quality of said information in Spanish has not previously been studied. Materials and methods: An analytic observational study was conducted that included YouTube® vide...

Telemedicine is the delivery of health care services by health care professionals using information and communication technologies to exchange valid information for the diagnosis, treatment, and prevention of diseases. Telemedicine was further developed in Latin America during the COVID-19 (coronavirus disease 2019) pandemic, becoming the first lin...

Objective: This literature review aimed to identify the most efficacious current interventions for dactylitis and provide up-to-date scientific evidence to support the 2021 Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) recommendations on the management of psoriatic arthritis. Methods: Original articles published...

Introduction Psoriatic arthritis is an inflammatory arthritis with a wide range of manifestations. The complexity of the disease is a barrier to understanding it, however knowledge about the disease has increased considerably over time, due to advances in genetics, immunology, imaging, and a better understanding of epidemiology. The exact prevalenc...

Considerable variability exists in the way that health-care providers treat patients with giant cell arteritis in Latin America, with patients commonly exposed to excessive amounts of glucocorticoids. In addition, large health disparities prevail in this region due to socioeconomic factors, which influence access to care, including biological treat...

Características asociadas a requerimiento de hospitalización y manejo en unidad cuidado intensivo en pacientes con enfermedades reumáticas e infección por Sars-Cov-2 Resumen: Objetivo: Describir los desenlaces de los pacientes con enfermedades reumáticas e infección por SARS-CoV-2, que ingresaron por el servicio de urgencias de un hospital universi...

Since the second version of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) treatment recommendations were published in 2015, therapeutic options for psoriatic arthritis (PsA) have advanced considerably. This work reviews the literature since the previous recommendations (data published 2013–2020, including confe...

Introducción: La fibrilación auricular es la arritmia cardíaca más frecuente, es una de las causas más importantes de eventos cerebrovasculares de origen embólico y se asocia con el desarrollo de insuficiencia cardíaca y muerte súbita. En Colombia, constituye una enfermedad con altos costos para el sistema de salud; sin embargo, su prevalencia es d...

Introduction: Although patients with systemic lupus erythematosus (SLE) may benefit from health-care information in social media (SoMe), they may also be prone to misleading information. An assessment of the reliability, comprehensiveness, and quality of information uploaded to SoMe for Spanish-speaking patients with SLE is lacking. Methods: Thi...

Introduction: Osteonecrosis of the jaws is a rare, severe adverse reaction associated with the administration of drugs used to treat osteoporosis and cancer, such as bisphosphonates and denosumab. However, many professionals suspend these medications or defer the procedures until they have the referring physician's authorization. This study evaluat...

Background Axial Spondyloarthritis is a rheumatic condition affecting young patients with social and occupational consequences. Diagnosis delay is associated with functional impairment and impact on quality of life, requiring a multidisciplinary approach. Objective To develop a set of recommendations based on the best available evidence for early...

Background Axial spondyloarthritis is a rheumatic condition affecting young patients with social and occupational consequences. Diagnosis delay is associated with functional impairment and impact on quality of life, requiring a multidisciplinary approach. Objective To develop a set of recommendations based on the best available evidence for the ea...

Introducción: La hipertensión arterial es el principal factor de riesgo cardiovascular modificable y aumenta la probabilidad de mortalidad de causa cardiovascular. Las mediciones de prevalencia en Colombia han incluido ciudades principales y pequeñas regiones, pero no se dispone de información en el país. Objetivo: Describir la prevalencia de hipe...

Background Peripheral spondyloarthritis is a chronic inflammatory disease in which clinical presentation is related to the presence of arthritis, enthesitis and/or dactylitis. This term is used interchangeably with some of its subtypes such as psoriatic arthritis, reactive arthritis, and undifferentiated spondyloarthritis. Objective To develop and...

The objective of our study was to describe knowledge, attitudes and practices of Latin-American rheumatology patients regarding management and follow-up of their disease during COVID-19 pandemic. A cross-sectional observational study was conducted using a digital anonymous survey. Rheumatic patients ≥ 18 years from non-English-speaking PANLAR count...

Resumen Introducción: Se han descrito casos de patologías autoinmunes de inicio posterior a la infección por el virus SARS-CoV-2. La relación causal aún no es clara, por lo que es importante la construcción de la literatura frente a esta incógnita. Presentación de caso: reportamos el caso de una mujer de 44 años de edad quien 18 días luego de cursa...

Resumen Antecedentes La espondiloartritis axial es una enfermedad reumatológica que afecta a individuos jóvenes y tiene una gran repercusión sociolaboral. El retraso en el diagnóstico y el tratamiento se asocia con un mayor deterioro funcional y un impacto negativo en la calidad de vida, por lo que requiere un abordaje multidisciplinario. Objetiv...

Background Peripheral spondyloarthritis is a chronic inflammatory disease whose clinical presentation is related to the presence of arthritis, enthesitis and/or dactylitis. This term is used interchangeably with some of its subtypes such as psoriatic arthritis, reactive arthritis, and undifferentiated spondyloarthritis. Objective To develop and fo...

BACKGROUND: Hidradenitis suppurativa is a chronic systemic inflammatory disease with a significant morbidity due to its progressive evolution and the possibility of clini- cal and esthetic sequelae. OBJECTIVE: To describe the demographic characteristics and dermatological manifes- tations of hidradenitis suppurativa, its association with systemic e...

Resumen Antecedentes La espondiloartritis periférica es una patología inflamatoria crónica cuya presentación clínica está determinada por la presencia de artritis, entesitis y/o dactilitis. Este término se utiliza indistintamente con algunos de sus subtipos como artritis psoriásica, artritis reactiva y espondiloartritis indiferenciada. Objetivo D...

Background and objectives: Social networks are a means for disseminating scientific information. Alternative metrics assessing the impact of scientific publications on social networks have been created. Our study aims to assess the correlation between the activity of internal medicine journals on social networks and traditional metrics based on ci...

Inclusion body myositis is part of the group of inflammatory myopathies, representing 30% of this group of diseases, and is considered an orphan disease because its estimated prevalence is less than 5 per 10,000 inhabitants. It produces weakness and atrophy of the proximal and distal muscles. The pathophysiological mechanisms are mainly autoimmune,...

Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease, with a low prevalence worldwide. There is little epidemiologic information available on this disease in Latin America, including Colombia. The aim of this study was to estimate the prevalence and describe the main demographic characteristics of HS in Colombia. This was a cross-se...

Introducción. La artritis reumatoide es una enfermedad autoinmunitaria, crónica y deformante asociada con discapacidad. Quienes la padecen reciben inmunosupresores y tienen un gran riesgo de desarrollar tuberculosis. La prueba de intradermorreacción a la tuberculina se utiliza como tamización en quienes van a recibir terapia biológica. Objetivo. Ev...

Objective Using data from the Ministry of Health of Colombia, we performed an analysis of prevalence and general demographic characteristics of patients with inflammatory myopathies, with data from 2012 to 2018. Design A descriptive cross-sectional study based on data from the Ministry of Health of Colombia. We used as key terms the diagnostic cod...

Resumen Antecedentes La espondiloartritis periférica es una patología inflamatoria crónica cuya presentación clínica está determinada por la presencia de artritis, entesitis y/o dactilitis. Este término se utiliza indistintamente con algunos de sus subtipos como artritis psoriásica, artritis reactiva y espondiloartritis indiferenciada. Objetivo D...

Resumen Antecedentes La espondiloartritis axial es una enfermedad reumatológica que afecta a individuos jóvenes y tiene una gran repercusión sociolaboral. El retraso en el diagnóstico y el tratamiento se asocia con un mayor deterioro funcional y un impacto negativo en la calidad de vida, por lo que requiere un abordaje multidisciplinario. Objetiv...

Background/objective: Demand for rheumatology care has steadily increased in recent years. The number of specialists in this field, however, seems insufficient. No recent studies have diagnosed the attributes of rheumatology training in Latin America. Methods: This is a descriptive cross-sectional study. We obtained data on each country through...

Resumen Antecedentes y objetivo Las redes sociales son medios de divulgación de información científica. Se han generado métricas alternativas que evalúan el impacto de publicaciones científicas en redes sociales. Este estudio busca evaluar si existe correlación entre la actividad de las revistas de medicina interna en las redes sociales y las métr...

Objective To describe the impact of COVID-19 pandemic on Latin American rheumatologists from a professional, economic, and occupational point of view. Methods We conducted an observational cross-sectional study using an online survey sent to rheumatologists of each non-English-speaking country member of the Pan American League of Rheumatology Asso...

Background & aims. Fragility fractures are those caused by low-energy trauma or falls from standing height. The mortality after the first year of suffering a hip fracture ranges from 15 to 30%. This problem has been addressed through the creation of interdisciplinary programs for fragility fracture early diagnosis and prevention. Describing the cli...

Introduction Osteoporosis is considered a healthcare problem due to the increased risk of fractures and high cost of care. In Colombia, the Ministry of Health introduced SISPRO, a tool to collect nationwide information from the health system. The information collected from SISPRO is available for scientific analysis. This article presents an analys...

Introduction The social networks like Twitter®, Facebook® and YouTube® have become interaction media with visualisation scientific information. Alternative metrics (altmetrics) have emerged that assess the dissemination and the impact of the scientific journals in the social networks. However, it is unknown if there is a correlation between the jou...

Background There is a need to describe the demographic and clinical characteristics of people diagnosed with rheumatoid arthritis who are attended within the Colombian health system. This characterization allows prioritizing populations with specific risks, programming the use of health services, and planning the costs necessary to guarantee equita...

Introduction The use of disease modifying antirheumatic drugs (DMARDs) in patients with rheumatoid arthritis (RA) is essential in order to achieve and maintain adequate disease control, and thus preventing irreversible functional damage. However, the rate of adherence to drug therapy has been reported to be between 20% and 107%. This variability ma...

Introducción: Los conceptos y las percepciones sobre el diagnóstico y el tratamiento de la fibromialgia, entre los médicos especialistas en medicina del dolor no se conocen objetivamente, lo cual nos motivo a llevar a cabo el presente estudio. Métodos: Estudio descriptivo de corte transversal. A través de un grupo focal en el que participaron dos r...

There is a high percentage of error in the approach of patients with joint pain by primary care physicians. An algorithm can help improve this misdiagnosis problem. Our study seeks to determine the effectiveness of an algorithm when used by primary care physicians for the diagnosis of cases of joint pain patients. A randomized clinical experiment w...

RESUMEN Introducción La fibromialgia es una enfermedad crónica caracterizada por la presencia de dolor músculo esquelético, usualmente asociada a otros síntomas como depresión, fatiga, trastornos del sueño, entre otros. Los conceptos y las percepciones sobre el diagnóstico y el tratamiento de la fibromialgia, entre médicos reumatólogos no se conoc...

Introduction Osteoporosis is considered a healthcare problem due to the increased risk of fractures and high cost of care. In Colombia, the Ministry of Health introduced SISPRO, a tool to collect nationwide information from the health system. The information collected from SISPRO is available for scientific analysis. This article presents an analys...

Objective To produce recommendations for patients with rheumatological diseases receiving immunomodulatory and immunosuppressive therapies (conventional drugs, biologicals, and small molecules) during the COVID-19 pandemic. Materials and methods The recommendations were determined using the Delphi method as an agreement tool. A panel of experts wa...

Resumen Introducción Las redes sociales como Twitter®, Facebook® y YouTube® se han convertido en medios de interacción y visualización de información científica. Han surgido medidas alternativas (almetrics) que evalúan la diseminación y el impacto de las revistas científicas en las redes sociales; sin embargo, se desconoce si existe correlación en...

Background Rheumatic diseases are a reason for frequent consultation with primary care doctors. Unfortunately, there is a high percentage of misdiagnosis.Objective To design an algorithm to be used by primary care physicians to improve the diagnostic approach of the patient with joint pain, and thus improve the diagnostic capacity in four rheumatic...

Vasculitides associated with anti-neutrophil cytoplasmic antibodies are heterogeneous, systemic, low prevalence and high morbidity and mortality entities. They include granulomatosis with polyangiitis, microscopic polyangiitis and eosinophilic granulomatosis with polyangiitis. In Latin America, there are few descriptive registries of these patients...

Objective To calculate the prevalence and describe the main demographic characteristics of Sjögren's syndrome in adults in Colombia. Material and methods Descriptive cross-sectional study which utilised data from the Integral Information System of Social Protection of the Ministry of Health of the Republic of Colombia during the years 2012 to 2016...

Resumen Introducción La fibromialgia es una enfermedad crónica caracterizada por la presencia de dolor músculo esquelético, usualmente asociada a otros síntomas como depresión, fatiga, trastornos del sueño, entre otros. Los conceptos y las percepciones sobre el diagnóstico y el tratamiento de la fibromialgia, entre médicos reumatólogos, no se cono...

Resumen Objetivo: Generar las recomendaciones para la atención de pacientes con enfermedades reumáticas que reciben terapias inmunomoduladoras e inmunosupresoras (fármacos convencionales, biológicos y moléculas pequeñas) durante la pandemia por COVID-19. Materiales y métodos: Las recomendaciones se realizaron utilizando el método Delphi como herram...

Objective To produce recommendations for patients with rheumatological diseases receiving immunomodulatory and immunosuppressive therapies (conventional drugs, biologicals, and small molecules) during the COVID-19 pandemic. Materials and methods The recommendations were determined using the Delphi method as an agreement tool. A panel of experts wa...

Background Fibromyalgia is a chronic disease characterized by the presence of widespread and persistent musculoskeletal pain associated with a variety of symptoms. The concepts and perceptions around diagnosis and treatment of fibromyalgia among physicians are not objectively known. The purpose of this study is to obtain objective data through a su...

Different bibliometric indexes allow researchers to evaluate the impact of scientific journals based on the number of citations received by their publications. However, the correlation of these indexes with alternative metrics that evaluate the presence of journals on social networks has not been evaluated in nursing journals. The objective of this...

Resumen Objetivo: generar las recomendaciones para la atención de pacientes con enfermedades reumáticas que reciben terapias inmunomoduladoras e inmunosupresoras (fármacos convencionales, biológicos y moléculas pequeñas) durante la pandemia por COVID-19. Materiales y métodos: las recomendaciones se realizaron utilizando el método Delphi como herram...

Objectives: Our research seeks to examine the correlation between the presence of physical medicine and rehabilitation journals in social networks and the SJR impact factor. Methods: We carried out a correlation study. For the research, we took into account all physical medicine and rehabilitation journals included in the SCImago Journal Rank. The...

Background Rheumatic diseases are an important complaint in patients, although the incidence is low, they cause disability and impact on the health system. Currently, in Colombia, there are 198 rheumatologist, so it’s important to know how is rheumatology training in specialties related to rheumatology, which are the specialties that the patient wi...

Background The demand for rheumatology care has been steadily increasing over the last few years. However, supply seems to be insufficient, according to previous research ¹ . This situation may be at least partly explained by less physicians beginning a rheumatology residency program ² . Objectives We aim to identify baseline data, room for change...

Resumen Introducción La fibromialgia es una enfermedad crónica caracterizada por la presencia de dolor musculoesquelético, usualmente asociada a otros síntomas como depresión, fatiga y trastornos del sueño, entre otros. Los conceptos y las percepciones sobre el diagnóstico y el tratamiento de la fibromialgia, entre los médicos especialistas en med...

Introduction Registries are essential to keep track of inflammatory bowel disease (IBD) and related arthritis epidemiology, and to provide better care to patients. In Colombia, the health ministry has adopted a tool, SISPRO, to gather all information coming from the whole health system structure. Given that the information collected from SISPRO is...

Scientific journals have changed the mechanisms they use for distribution and dissemination of information. Different approaches towards determining impact have emerged and among these, metrics derived from activity on social media are an emerging trend. This article aims to assess whether a correlation exists between the traditional impact factor...

Introduction The Delphi method is a technique for reaching consensus by a group of experts that express their opinion on a particular issue. It has been widely used in different areas of knowledge, including health sciences. Rheumatology is one of the medical specialties that has most widely used this consensus technique. Objectives To review the...

Resumen Introducción Los registros son esenciales para seguir la epidemiología de la enfermedad inflamatoria intestinal (EII) y el compromiso articular asociado y brindar mejor atención a los pacientes. En Colombia, el Ministerio de Salud y de la Protección Social utiliza la herramienta SISPRO para recolectar información del sistema de salud, la c...

Introduction: The Scimago Journal Rank (SJR) impact factor is extensively used. However, as the Internet has become widely available, new metrics are coming into play. Our research aims to determine whether a correlation between the SJR impact factor and metrics reflecting social media activity does exist. Materials and methods: We have used pul...

To estimate prevalence and describe the main demographic characteristics of Behcet disease in Colombia. Cross-sectional study, based on official Ministry of Health registry data. 523 cases of Behcet disease (ICD-10 code: M352) were reported between 2012 and 2016, for a prevalence in people over 18 years old of 1.10 per 100,000 inhabitants, of which...

Introduction Systemic sclerosis is an autoimmune disease that characteristically presents with fibrosis and vasculopathy. In Latin America, the information on the epidemiology of this disease is scarce and records are essential to know its behavior in the populations. In Colombia, the Ministry of Health uses the SISPRO tool to collect information o...

Our study describes the clinical characteristics of patients with fragility fractures. It also shows there is a low knowledge about osteoporosis and its relation to fractures, in addition to the very poor adherence to medical advice and treatment. Introduction Osteoporosis is a systemic skeletal disease associated with an increased risk of fragili...

Polymyalgia rheumatica (PMR) affects elderly patients and is characterized by pain and stiffness of the shoulder girdle, pelvic girdle and cervical region, which can be associated with the presence of giant cell arteritis. Data on the epidemiology of this disease in Latin America are scarce. In Colombia, the Ministry of Health introduced SISPRO, a...