Evidence map›Paper›PMID 24049101›Full record

ArticleRheumatology (Oxford, England)2013

The substantial burden of systemic lupus erythematosus on the productivity and careers of patients: a European patient-driven online survey.

Caroline Gordon, David Isenberg, Kirsten Lerstrøm, Yvonne Norton, Enkeleida Nikaï, Daphnee S Pushparajah, Matthias Schneider

Abstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Caroline GordonRheumatology Research Group, School of Immunity and Infection, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK. p.c.gordon@bham.ac.uk.
David Isenberg
Kirsten Lerstrøm
Yvonne Norton
Enkeleida Nikaï
Daphnee S Pushparajah
Matthias Schneider

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to explore the burden of SLE and its effect on patients' lives.

methodsThe Lupus European Online (LEO) survey included patient-designed questions on demographics, SLE diagnosis, and the impact of SLE on careers. Three SLE-specific patient-reported outcome (PRO) questionnaires were also completed: the Lupus Quality of Life (LupusQoL), the Fatigue Severity Scale (FSS), and the Work Productivity and Activity Impairment (WPAI)-Lupus v2.0. The survey was available online in five languages from May through August 2010. All self-identified SLE participants were eligible to respond. Survey results were analysed using descriptive statistics. Multivariate linear regression explored factors contributing to impaired productivity.

resultsOf the 2070 European SLE patients completing the survey, 93.1% were women, 86.7% were aged <50 years and 71.8% had a college or university education. More than two-thirds of respondents (69.5%) reported that SLE affected their careers; 27.7% changed careers within a year of diagnosis. All LupusQoL domains (score range 0-100) were impaired, with fatigue (median domain score 43.8) being the most affected and intimate relationships (median domain score 75.0) the least. Most patients (82.5%) reported fatigue (FSS score ≥4). Productivity was impaired across all WPAI domains, both at work and in general activities. Fatigue, an inability to plan and reduced physical health were significantly associated with impaired productivity. Patients whose careers were affected by SLE had worse health-related quality of life, more fatigue and worse productivity than patients whose careers were not affected.

conclusionLEO survey respondents reported that SLE negatively affects their daily lives, productivity and career choices.

Indexed as

Activities of Daily LivingCareer ChoiceQuality of LifeAdultAgedAnalysis of VarianceCost of IllnessEfficiencyEmploymentEuropeFatigueFemaleHumansLupus Erythematosus, SystemicMaleMiddle AgedfatigueHRQoLPROproductivitySLE

Identifiers

PMID24049101
PMCPMC3828514

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.