Drivers of Satisfaction With Care for Patients With Lupus
Objective Quality 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. Methods A total of 1262 patients with SLE...
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2019-12-01
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Online Access: | https://doi.org/10.1002/acr2.11085 |
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doaj-31c0257e19704594b25f6c6517621ff82020-11-25T01:56:06ZengWileyACR Open Rheumatology2578-57452019-12-0111064965610.1002/acr2.11085Drivers of Satisfaction With Care for Patients With LupusMeenakshi Jolly0Bhavika Sethi1Courtney O'Brien2Winston Sequeira3Joel A. Block4Sergio Toloza5Ana Bertoli6Ivana Blazevic7Luis M. Vilá8Ioana Moldovan9Karina D. Torralba10Elvira Cicognani11Davide Mazzoni12Sarfaraz Hasni13Berna Goker14Seminur Haznedaroglu15Josiane Bourre‐Tessier16Sandra V. Navarra17Chi Chiu Mok18Ann Clarke19Michael Weisman20Daniel Wallace21Rush University Chicago IllinoisUniversity of Birmingham Birmingham UKRush University Chicago IllinoisRush University Chicago IllinoisRush University Chicago IllinoisHospital San Juan Bautista Catamarca ArgentinaInstituto Reumatológico Strusberg Cordoba ArgentinaUniversidad de Buenos Aires Buenos Aires ArgentinaUniversity of Puerto Rico, Medical Sciences Campus San Juan Puerto RicoBeaver Medical Group Redlands CaliforniaLoma Linda University Loma Linda CaliforniaUniversity of Bologna Bologna ItalyUniversity of Bologna Bologna ItalyNational Institute of Arthritis and Musculoskeletal and Skin Diseases NIH Bethesda MarylandGazi University Ankara TurkeyGazi University Ankara TurkeyUniversity of Montreal Montreal Quebec CanadaUniversity of Santo Tomas Manila PhilippinesTuen Mun Hospital Hong Kong ChinaUniversity of Calgary Calgary Alberta CanadaCedars‐Sinai Medical Center Los Angeles CaliforniaCedars‐Sinai Medical Center Los Angeles CaliforniaObjective Quality 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. Methods A 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. Results The 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. Conclusion Greater 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.https://doi.org/10.1002/acr2.11085 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Meenakshi Jolly Bhavika Sethi Courtney O'Brien Winston Sequeira Joel A. Block Sergio Toloza Ana Bertoli Ivana Blazevic Luis M. Vilá Ioana Moldovan Karina D. Torralba Elvira Cicognani Davide Mazzoni Sarfaraz Hasni Berna Goker Seminur Haznedaroglu Josiane Bourre‐Tessier Sandra V. Navarra Chi Chiu Mok Ann Clarke Michael Weisman Daniel Wallace |
spellingShingle |
Meenakshi Jolly Bhavika Sethi Courtney O'Brien Winston Sequeira Joel A. Block Sergio Toloza Ana Bertoli Ivana Blazevic Luis M. Vilá Ioana Moldovan Karina D. Torralba Elvira Cicognani Davide Mazzoni Sarfaraz Hasni Berna Goker Seminur Haznedaroglu Josiane Bourre‐Tessier Sandra V. Navarra Chi Chiu Mok Ann Clarke Michael Weisman Daniel Wallace Drivers of Satisfaction With Care for Patients With Lupus ACR Open Rheumatology |
author_facet |
Meenakshi Jolly Bhavika Sethi Courtney O'Brien Winston Sequeira Joel A. Block Sergio Toloza Ana Bertoli Ivana Blazevic Luis M. Vilá Ioana Moldovan Karina D. Torralba Elvira Cicognani Davide Mazzoni Sarfaraz Hasni Berna Goker Seminur Haznedaroglu Josiane Bourre‐Tessier Sandra V. Navarra Chi Chiu Mok Ann Clarke Michael Weisman Daniel Wallace |
author_sort |
Meenakshi Jolly |
title |
Drivers of Satisfaction With Care for Patients With Lupus |
title_short |
Drivers of Satisfaction With Care for Patients With Lupus |
title_full |
Drivers of Satisfaction With Care for Patients With Lupus |
title_fullStr |
Drivers of Satisfaction With Care for Patients With Lupus |
title_full_unstemmed |
Drivers of Satisfaction With Care for Patients With Lupus |
title_sort |
drivers of satisfaction with care for patients with lupus |
publisher |
Wiley |
series |
ACR Open Rheumatology |
issn |
2578-5745 |
publishDate |
2019-12-01 |
description |
Objective Quality 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. Methods A 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. Results The 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. Conclusion Greater 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. |
url |
https://doi.org/10.1002/acr2.11085 |
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