Evidence map›Paper›PMID 40677215›Full record

ArticleLupus2025

Associations of retention in care by visits or lupus-specific labs with acute care among young adults: A medicare cohort study.

Maria Schletzbaum Bowler, Ang Yu, Brad C Astor, W Ryan Powell, Shivani Garg, Andrea Gilmore-Bykovskyi, Joseph Kramer, Amy J Kind, Christie M Bartels

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Lupus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Maria Schletzbaum BowlerDepartment of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Ang YuDepartment of Sociology, University of Wisconsin - Madison, Madison, WI, USA.ORCID 0000-0002-1828-0165
Brad C AstorDepartment of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
W Ryan PowellDepartment of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Shivani GargDepartment of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.ORCID 0000-0001-7272-2692
Andrea Gilmore-BykovskyiCenter for Health Disparities Research, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Joseph KramerCenter for Health Disparities Research, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Amy J KindDepartment of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Christie M BartelsDepartment of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.ORCID 0000-0001-6523-0374

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Institutional Career Development CoreKL2TR002374 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI Bo Liu, Marin Leigh Schweizer · 2017 to 2026
$9.7M
Integrated Training For Physician-ScientistsT32GM140935 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI Anna Huttenlocher, Jeniel E Nett · 2021 to 2026
$6.5M
Neighborhood Socioeconomic Disadvantage and Medicare's 30-Day Rehospitalization Policy: Eliminating Rehospitalization Disparities by Informing Policy Design and ImplementationR01MD010243 · NIMHD · UNIVERSITY OF WISCONSIN-MADISON · PI KIND, AMY J. · 2015 to 2019
$2.8M
Investigating the Role of Care Retention in Lupus Disease Outcomes and Disparities in Young Adult and Pediatric PatientsF30MD015211 · NIMHD · UNIVERSITY OF WISCONSIN-MADISON · PI SCHLETZBAUM BOWLER, MARIA ANNA · 2020 to 2022
$122k
NCATS NIH HHS KL2 TR002374NCATS NIH HHS UL1 TR002373NIGMS NIH HHS T32 GM140935NIMHD NIH HHS F30 MD015211NIMHD NIH HHS R01 MD010243
6 · The paper itself

Abstract

ObjectiveWhile quality lupus care is associated with lower lupus-related damage, the impact of access and process quality measures on other lupus outcomes remains unclear. Given high acute care in young adults, our objective was to evaluate two process quality measures, visit-based retention in lupus care and receipt of lupus-specific serologic testing, and associations with subsequent acute care use.MethodsThis cohort study used a 20% national sample of young adult (ages 18-35) Medicare beneficiaries with lupus to first measure visit-based retention in rheumatology care and receipt of ≥1 complement or dsDNA test over 1 year. Acute care use (Emergency Department visits and hospitalizations) was then assessed in the subsequent 6 months. Associations of visit-based retention and serologic testing with acute care were evaluated with Cox regressions.ResultsAmong 1036 young adults with lupus, acute care use was very high - nearly 60% at 6 months. Observed acute care-free survival time was longer in patients who had visit-based retention (154 vs 104 days,

Indexed as

Lupus Erythematosus, SystemicAdolescentAdultCohort StudiesEmergency Service, HospitalFemaleHospitalizationHumansMaleMedicareSerologic TestsUnited StatesYoung Adultcohort studieshealth serviceshospitalizationsmedicareSystemic lupus erythematosusyoung adult

Identifiers

PMID40677215
PMCPMC12309847

What OpenQuestion holds

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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.