Evidence map›Paper›PMID 31628721›Full record

ReviewArthritis care & research2021

Development of a Set of Lupus-Specific, Ambulatory Care-Sensitive, Potentially Preventable Adverse Conditions: A Delphi Consensus Study.

Candace H Feldman, Cameron Speyer, Rachel Ashby, Bonnie L Bermas, Shamik Bhattacharyya, Eliza Chakravarty, Brendan Everett, Elizabeth Ferucci, Aimee O Hersh, Francisco M Marty and 9 more

Abstract readReviewConsensus Statement
In one paragraph

Review in Arthritis care & research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
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

19 authors.

Candace H FeldmanBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-4980-9770
Cameron SpeyerBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Rachel AshbyBrigham and Women's Hospital, Boston, Massachusetts.
Bonnie L BermasUniversity of Texas Southwestern, Dallas.
Shamik BhattacharyyaBrigham and Women's Hospital, Boston, Massachusetts.
Eliza ChakravartyOklahoma Medical Research Foundation, Oklahoma City.
Brendan EverettBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Elizabeth FerucciAlaska Native Tribal Health Consortium, Anchorage.ORCID 0000-0003-0478-8205
Aimee O HershUniversity of Utah, Salt Lake City.
Francisco M MartyBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Joseph F MerolaBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Rosalind Ramsey-GoldmanNorthwestern University, Chicago, Illinois.
Brad H RovinOhio State University Wexner Medical Center, Columbus.
Mary Beth SonBoston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
Laura TarterBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Sushrut WaikarBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Jinoos YazdanyUniversity of California, San Francisco.
Joel S WeissmanBrigham and Women's Hospital, Boston, Massachusetts.
Karen H CostenbaderBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-8972-9388

Funding

RESOURCE-BASED CENTER FOR THE ADVANCEMENT OF PRECISION MEDICINE IN RHEUMATOLOGYP30AR070155 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Mary C Nakamura · 2016 to 2026
$8.2M
Advancing Quality and Outcomes Measurement in RheumatologyK24AR074534 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Jinoos Yazdany · 2019 to 2026
$1.5M
Avoidable Acute Care Use among Patients with LupusK23AR071500 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI FELDMAN, CANDACE HILLARY · 2017 to 2021
$945k
NIAMS NIH HHS K23 AR071500NIAMS NIH HHS K24 AR074534NIAMS NIH HHS P30 AR070155
6 · The paper itself

Abstract

objectiveIndividuals with systemic lupus erythematosus (SLE) are at high risk for infections and SLE- and medication-related complications. The present study was undertaken to define a set of SLE-specific adverse outcomes that could be prevented, or their complications minimized, if timely, effective ambulatory care had been received.

methodsWe used a modified Delphi process beginning with a literature review and key informant interviews to select initial SLE-specific potentially preventable conditions. We assembled a panel of 16 nationally recognized US-based experts from 8 subspecialties. Guided by the RAND-UCLA Appropriateness Method, we held 2 survey rounds with controlled feedback and an interactive webinar to reach consensus regarding preventability and importance on a population level for a set of SLE-specific adverse conditions. In a final round, the panelists endorsed the potentially preventable conditions.

resultsThirty-five potential conditions were initially proposed; 62 conditions were ultimately considered during the Delphi process. The response rate was 100% for both survey rounds, 88% for the webinar, and 94% for final approval. The 25 SLE-specific conditions meeting consensus as potentially preventable and important on a population level fell into 4 categories: vaccine-preventable illnesses (6 conditions), medication-related complications (8 conditions), reproductive health-related complications (6 conditions), and SLE-related complications (5 conditions).

conclusionWe reached consensus on a diverse set of adverse outcomes relevant to SLE patients that may be preventable if patients receive high-quality ambulatory care. This set of outcomes may be studied at the health system level to determine how to best allocate resources and improve quality to reduce avoidable outcomes and disparities among those at highest risk.

Indexed as

Ambulatory CareRheumatologyVaccinationDelphi TechniqueDrug-Related Side Effects and Adverse ReactionsFemaleHumansInfertilityLupus Erythematosus, SystemicOpportunistic InfectionsPrimary Ovarian InsufficiencyProtective FactorsRisk AssessmentRisk Factors

Identifiers

PMID31628721
PMCPMC7165052

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.