Evidence map›Paper›PMID 34013818›Full record

ArticleLupus2021

Patient experiences and strategies for coping with SLE: A qualitative study.

Siobhan Case, Corine Sinnette, Courtnie Phillip, Claire Grosgogeat, Karen H Costenbader, Cianna Leatherwood, Candace H Feldman, Mary Beth Son

Abstract readMulticenter Study
In one paragraph

Article in Lupus, 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. Pooled it
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  7. Review
  8. The Outcomes of an e-Wellness Program for Lupus Patients in Thailand: A Participatory Action Research Approach.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023
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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

8 authors.

Siobhan CaseDivision of Rheumatology, Inflammation and Immunity, Brigham and Women's Hospital, Boston, MA, USA.ORCID https://orcid.org/0000-0003-0300-0586
Corine SinnetteDivision of Rheumatology, Inflammation and Immunity, Brigham and Women's Hospital, Boston, MA, USA.
Courtnie PhillipDivision of Rheumatology, Inflammation and Immunity, Brigham and Women's Hospital, Boston, MA, USA.
Claire GrosgogeatDivision of Allergy, Immunology, and Rheumatology, Boston Children's Hospital, Boston, MA, USA.
Karen H CostenbaderDivision of Rheumatology, Inflammation and Immunity, Brigham and Women's Hospital, Boston, MA, USA.
Cianna LeatherwoodDivision of Rheumatology, Inflammation and Immunity, Brigham and Women's Hospital, Boston, MA, USA.
Candace H FeldmanDivision of Rheumatology, Inflammation and Immunity, Brigham and Women's Hospital, Boston, MA, USA.
Mary Beth SonDivision of Allergy, Immunology, and Rheumatology, Boston Children's Hospital, Boston, MA, USA.ORCID https://orcid.org/0000-0002-7394-2862

Funding

Sociodemographic Disparities in SLE Incidence: Behavioral and Psychosocial FactorsR01AR057327 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI COSTENBADER, KAREN H · 2009 to 2019
$6.2M
Vitamin D and Fish Oil for Autoimmune Disease, Inflammation and Joint PainR01AR059086 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI COSTENBADER, KAREN H · 2010 to 2021
$5.4M
Cardiovascular Disease Epidemiology in Patients with LupusK24AR066109 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI COSTENBADER, KAREN H · 2014 to 2023
$1.7M
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 AR066109NIAMS NIH HHS R01 AR057327NIAMS NIH HHS R01 AR059086
6 · The paper itself

Abstract

objectiveThis study explored challenges that patients with systemic lupus erythematosus (SLE) and childhood-onset SLE (cSLE) face to identify modifiable influences and coping strategies in patient experiences.

methodsParticipants were recruited from two academic medical centers through a Lupus Registry of individuals ≥18 years old and ≥4 1997 ACR classification criteria for SLE and a centralized data repository of cSLE patients, and participated in three focus groups. Transcripts were coded thematically and adjudicated by two independent reviewers.

resultsThirteen adults, 7 (54%) with cSLE, participated in focus groups. Themes were categorized into two domains: (1) challenges with SLE diagnosis and management; and (2) patient coping strategies and modifiable factors of the SLE experience. Participants identified five primary challenges: diagnostic odyssey, public versus private face of SLE, SLE-related stresses, medication adherence, and transitioning from pediatric to adult care. Coping strategies and modifiable factors included social support, open communication about SLE, and strong patient-provider relationships. Several participants highlighted positive lessons learned through their experiences with SLE, including empathy, resilience, and self-care skills.

conclusionsPatients with cSLE and SLE identified common challenges, modifying influences and coping strategies based on personal experiences. A strong patient-provider relationship and trust in the medical team emerged as key modifiable factors. Deriving optimism from experiences with SLE was unique to several patients diagnosed as children or young adults. Leveraging factors that improved the participants' experiences living with SLE may be used in future studies to address vulnerabilities in care.

Indexed as

Adaptation, PsychologicalAdolescentAdultAgedFemaleFocus GroupsHumansLupus Erythematosus, SystemicMaleMedication AdherenceMiddle AgedPatient Outcome AssessmentQualitative ResearchRegistriesStress, PsychologicalTransition to Adult Caremedication adherencepatient experiencespediatric systemic lupus erythematosusSystemic lupus erythematosustransitions of care

Identifiers

PMID34013818
PMCPMC11376213

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.