PMID- 35792677
OWN - NLM
STAT- MEDLINE
DCOM- 20230529
LR  - 20230602
IS  - 2151-4658 (Electronic)
IS  - 2151-464X (Linking)
VI  - 75
IP  - 6
DP  - 2023 Jun
TI  - Does Higher Quality of Care in Systemic Lupus Erythematosus Improve Quality of 
      Life?
PG  - 1198-1205
LID - 10.1002/acr.24979 [doi]
AB  - OBJECTIVE: To study the association between high quality of care (QOC) and 
      quality of life (QOL) and nonroutine health care use (HCU) in systemic lupus 
      erythematosus. METHODS: Data were derived from 814 participants from the Lupus 
      Outcomes Study sample. Data on sociodemographic information, disease status, 
      medications, and health care variables were collected through annual interviews. 
      QOC was measured at baseline on 13 quality indices amenable to self-report. 
      Follow-up QOL was measured using the Short Form 36 health survey (SF-36) 2 years 
      later. Univariate and multivariate regression analyses assessed the relationship 
      between QOC and SF-36 scores at baseline, and logistic regression analyses 
      evaluated QOC at baseline as a predictor of minimal clinically important 
      difference (MCID) improvements in SF-36 scores, emergency room (ER) visits, and 
      hospitalizations at follow-up. RESULTS: Higher QOC was associated with worse 
      scores on SF-36 domains on univariate analysis at baseline, which was mediated by 
      comorbidities and high disease activity. QOC and the number of years in high QOC 
      were not predictive of MCID improvements in SF-36 scores at follow-up, which were 
      driven by baseline SF-36 scores, disease activity, and nonroutine HCU. A similar 
      pattern was noted for ER visits and hospitalizations, for which disease activity, 
      damage, and glucocorticoid dose were significant predictors and not QOC. 
      CONCLUSION: High QOC at baseline and the number of years with high QOC are not 
      associated with MCID improvement in SF-36 scores and nonroutine HCU on follow-up. 
      High QOC, as determined by currently defined criteria, serves as a surrogate of 
      greater disease activity, morbidity, and nonroutine HCU.
CI  - (c) 2022 American College of Rheumatology.
FAU - Arora, Shilpa
AU  - Arora S
AUID- ORCID: 0000-0003-4744-1615
AD  - Rush University Medical Center, Chicago, Illinois.
FAU - Katz, Patricia
AU  - Katz P
AUID- ORCID: 0000-0002-8146-2519
AD  - University of California, San Francisco.
FAU - Nika, Ailda
AU  - Nika A
AD  - Rush University Medical Center, Chicago, Illinois.
FAU - Sequeira, Winston
AU  - Sequeira W
AD  - Rush University Medical Center, Chicago, Illinois.
FAU - Block, Joel A
AU  - Block JA
AD  - Rush University Medical Center, Chicago, Illinois.
FAU - Yazdany, Jinoos
AU  - Yazdany J
AUID- ORCID: 0000-0002-3508-4094
AD  - University of California, San Francisco.
FAU - Yelin, Ed
AU  - Yelin E
AUID- ORCID: 0000-0002-9229-9980
AD  - University of California, San Francisco.
FAU - Jolly, Meenakshi
AU  - Jolly M
AUID- ORCID: 0000-0001-8460-2751
AD  - Rush University Medical Center, Chicago, Illinois.
LA  - eng
PT  - Journal Article
DEP - 20230201
PL  - United States
TA  - Arthritis Care Res (Hoboken)
JT  - Arthritis care & research
JID - 101518086
SB  - IM
CIN - Arthritis Care Res (Hoboken). 2023 Jun;75(6):1194-1195. PMID: 36576028
MH  - Humans
MH  - *Quality of Life
MH  - Surveys and Questionnaires
MH  - *Lupus Erythematosus, Systemic/diagnosis/therapy
MH  - Self Report
MH  - Quality of Health Care
EDAT- 2022/07/07 06:00
MHDA- 2023/05/29 06:42
CRDT- 2022/07/06 10:23
PHST- 2022/06/21 00:00 [revised]
PHST- 2022/01/14 00:00 [received]
PHST- 2022/06/30 00:00 [accepted]
PHST- 2023/05/29 06:42 [medline]
PHST- 2022/07/07 06:00 [pubmed]
PHST- 2022/07/06 10:23 [entrez]
AID - 10.1002/acr.24979 [doi]
PST - ppublish
SO  - Arthritis Care Res (Hoboken). 2023 Jun;75(6):1198-1205. doi: 10.1002/acr.24979. 
      Epub 2023 Feb 1.