Evidence map›Paper›PMID 31196083›Full record

ArticleBMC health services research2019

Lack of patient education is risk factor of disease flare in patients with systemic lupus erythematosus in China.

Le Zhang, Wei Luan, Shikai Geng, Shuang Ye, Xiaodong Wang, Liping Qian, Yang Ding, Ting Li, Anli Jiang

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03024307 (Evaluation of an Outpatient Pharmacy Clinical Services Program on Adherence and Clinical Outcomes Among Patients With Rheumatic Diseases), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% of its field
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.

NCT03024307 nacompletednot on this map

Evaluation of an Outpatient Pharmacy Clinical Services Program on Adherence and Clinical Outcomes Among Patients With Rheumatic Diseases

TypeinterventionalSponsorRenJi HospitalRan2017 to 2020Enrolled242ConditionsRheumatic DiseasesArmspharmacists involved OPCSP
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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  10. Review
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  12. Parents' satisfaction with information received on psychotropic drugs used by adolescents in a Mental Health Unit.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2022
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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

9 authors at 3 institutions in 1 country.

Le ZhangDepartment of Pharmacy, South Campus, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Wei LuanSchool of Nursing, Shanghai Second Military Medical University, Shanghai, China.
Shikai GengDepartment of Rheumatology, South Campus, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Shuang YeDepartment of Rheumatology, South Campus, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Xiaodong WangDepartment of Rheumatology, South Campus, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Liping QianDepartment of Nursing, South Campus, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No.2000 Jiangyue RD, Shanghai, 201112, China.
Yang DingDepartment of Mathematics, Applied Statistics, Shanghai Jiao tong University, Shanghai, China.
Ting LiDepartment of Rheumatology, South Campus, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. leeting007@163.com.
Anli JiangSchool of Nursing, Shanghai Second Military Medical University, Shanghai, China. aljiang00@sina.com.
Renji Hospital · CNShanghai Jiao Tong University · CNSecond Military Medical University · CN

Funding

National Natural Science Foundation of China 71804109Shanghai Municipal Population and Family Planning Commission 20174Y0040
6 · The paper itself

Abstract

backgroundTo explore the inadequacies of health service and its impact on clinical outcomes of patients with systemic lupus erythematosus (SLE) in China.

methodsA total of 210 SLE patients were randomly recruited between January 2017 and January 2018. Each patient received self-report questionnaires to assess medication adherence [Compliance Questionnaire for Rheumatology (CQR)], beliefs about medicines [Beliefs about Medicines Questionnaire (BMQ)] and satisfaction about medicine information [the Satisfaction with Information about Medicines Scale (SIMS)]. Associations between SLE disease activity index (SLEDAI-2 K) and observed factors were analyzed by multiple logistic regression.

resultsBased on CQR, only 28.10% patients were adherent. The score of BMQ was 2.85 ± 5.42, and merely 32.38% patients were satisfied with the information about their prescribed medicines. Disease activity was associated with SIMS, EuroQol five-dimensions [EQ5D], Systemic Lupus International Collaborating Clinics (SLICC), depression, use of NSAID (P ≤ 0.05). Remission of disease was positively correlated with SIMS (OR = 0.16, 95% CI: [0.06, 0.40]), and BMQ (OR = 0.64, 95%CI: [0.43, 0.94]).

conclusionIn this study, the scores of BMQ and SIMS were low, implying defects in the patient education of health service system, which led to disease flare in Chinese SLE patients.

trial registrationClinicalTrials.gov ID: NCT03024307 . Registered January 18, 2017.

Indexed as

Drug MonitoringPatient Education as TopicAdultChinaCross-Sectional StudiesDisease ManagementDisease ProgressionFemaleHealth LiteracyHumansLupus Erythematosus, SystemicMaleMiddle AgedQuality of LifeRisk FactorsSelf ReportBeliefs about medicinesPatient education and consultingSatisfaction with medicines informationSystemic lupus erythematosus disease activity index

Identifiers

PMID31196083
PMCPMC6567412
OpenAlexW2950033843

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Registered trials

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.