Evidence map›Paper›PMID 31872187›Full record

ArticleACR open rheumatology2019

Drivers of Satisfaction With Care for Patients With Lupus.

Meenakshi Jolly, Bhavika Sethi, Courtney O'Brien, Winston Sequeira, Joel A Block, Sergio Toloza, Ana Bertoli, Ivana Blazevic, Luis M Vilá, Ioana Moldovan and 12 more

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% 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.

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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

22 authors at 15 institutions in 9 countries.

Meenakshi JollyRush University, Chicago, Illinois.ORCID https://orcid.org/0000-0001-8460-2751
Bhavika SethiUniversity of Birmingham, Birmingham, UK.
Courtney O'BrienRush University, Chicago, Illinois.
Winston SequeiraRush University, Chicago, Illinois.
Joel A BlockRush University, Chicago, Illinois.
Sergio TolozaHospital San Juan Bautista, Catamarca, Argentina.
Ana BertoliInstituto Reumatológico Strusberg, Cordoba, Argentina.
Ivana BlazevicUniversidad de Buenos Aires, Buenos Aires, Argentina.
Luis M ViláUniversity of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.ORCID https://orcid.org/0000-0002-6679-2704
Ioana MoldovanBeaver Medical Group, Redlands, California.
Karina D TorralbaLoma Linda University, Loma Linda, California.ORCID https://orcid.org/0000-0003-4741-1213
Elvira CicognaniUniversity of Bologna, Bologna, Italy.
Davide MazzoniUniversity of Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0001-6607-5636
Sarfaraz HasniNational Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, Maryland.ORCID https://orcid.org/0000-0002-4164-8837
Berna GokerGazi University, Ankara, Turkey.
Seminur HaznedarogluGazi University, Ankara, Turkey.
Josiane Bourre-TessierUniversity of Montreal, Montreal, Quebec, Canada.
Sandra V NavarraUniversity of Santo Tomas, Manila, Philippines.
Chi Chiu MokTuen Mun Hospital, Hong Kong, China.ORCID https://orcid.org/0000-0003-3696-1228
Ann ClarkeUniversity of Calgary, Calgary, Alberta, Canada.
Michael WeismanCedars-Sinai Medical Center, Los Angeles, California.
Daniel WallaceCedars-Sinai Medical Center, Los Angeles, California.
Rush University · USCedars-Sinai Medical Center · USGazi University · TRUniversity of Bologna · ITBeaver Medical Group · USInstituto Oncológico de Córdoba · ARLoma Linda University · USNational Institute of Arthritis and Musculoskeletal and Skin Diseases · USTuen Mun Hospital · CNUniversidad de Buenos Aires · ARUniversité de Montréal · CAUniversity of Birmingham · GBUniversity of Calgary · CAUniversity of Puerto Rico, Medical Sciences Campus · PRUniversity of Santo Tomas · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveQuality of life (QOL) and quality of care (QOC) in systemic lupus erythematosus (SLE) remains poor. Satisfaction with care (SC), a QOC surrogate, correlates with health behaviors and outcomes. This study aimed to determine correlates of SC in SLE.

methodsA total of 1262 patients with SLE were recruited from various countries. Demographics, disease activity (modified Systemic Lupus Erythematosus Disease Activity Index for the Safety of Estrogens in Lupus Erythematosus: National Assessment trial [SELENA-SLEDAI]), and QOL (LupusPRO version 1.7) were collected. SC was collected using LupusPRO version 1.7. Regression analyses were conducted using demographic, disease (duration, disease activity, damage, and medications), geographic (eg, China vs United States), and QOL factors as independent predictors.

resultsThe mean (SD) age was 41.7 (13.5) years; 93% of patients were women. On the univariate analysis, age, ethnicity, current steroid use, disease activity, and QOL (social support, coping) were associated with SC. On the multivariate analysis, Asian participants had worse SC, whereas African American and Hispanic patients had better SC. Greater disease activity, better coping, and social support remained independent correlates of better SC. Compared with US patients, patients from China and Canada had worse SC on the univariate analysis. In the multivariate models, Asian ethnicity remained independently associated with worse SC, even after we adjusted for geographic background (China). No associations between African American or Hispanic ethnicity and SC were retained when geographic location (Canada) was added to the multivariate model. Canadian patients had worse SC when compared with US patients. Higher disease activity, better social support, and coping remained associated with better SC.

conclusionGreater social support, coping, and, paradoxically, SLE disease activity are associated with better SC. Social support and coping are modifiable factors that should be addressed by the provider, especially in the Asian population. Therefore, evaluation of a patient's external and internal resources using a biopsychosocial model is recommended. Higher disease activity correlated with better SC, suggesting that the latter may not be a good surrogate for QOC or health outcomes.

Identifiers

PMID31872187
PMCPMC6917325
OpenAlexW2985157045

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.