{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T00:35:54Z","timestamp":1772584554575,"version":"3.50.1"},"reference-count":46,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2010,2,23]],"date-time":"2010-02-23T00:00:00Z","timestamp":1266883200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2010,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Osteoporosis and fragility fractures are associated with significant morbidity for patients with systemic lupus erythematosus (SLE). New quality indicators (QIs) for SLE advise bone mineral density testing, calcium and vitamin D use, and antiresorptive or anabolic treatment for specific subgroups of patients receiving high\u2010dose steroids.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Subjects were participants in the University of California, San Francisco Lupus Outcomes Study, an ongoing longitudinal study of patients with physician\u2010confirmed SLE, in 2007\u20132008. Patients responded to an annual telephone survey and were queried regarding demographic, clinical, and other health care\u2013related variables. Multiple logistic regression was used to predict receipt of care per the QIs described above.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred twenty\u2010seven patients met the criteria for the formal definitions of the denominators for QI I (screening) and QI II (calcium and vitamin D); 91 met the formal criteria for QI III (treatment). The proportions of patients receiving care consistent with the QIs were 74%, 58%, and 56% for QIs I, II, and III, respectively. In a sensitivity analysis of all steroid users (n = 427 for QI I and II and n = 224 for QI III), rates were slightly lower. Predictors of receiving care varied by QI and by denominator; however, female sex, older age, white race, and longer disease duration were associated with higher\u2010quality care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Bone health\u2013related care in this community\u2010based cohort of SLE patients is suboptimal. Quality improvement efforts should address osteoporosis prevention and care among all SLE patients, especially those receiving high\u2010dose, prolonged steroids.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.20150","type":"journal-article","created":{"date-parts":[[2010,2,23]],"date-time":"2010-02-23T14:16:18Z","timestamp":1266934578000},"page":"993-1001","source":"Crossref","is-referenced-by-count":40,"title":["Osteoporosis screening, prevention, and treatment in systemic lupus erythematosus: application of the systemic lupus erythematosus quality indicators"],"prefix":"10.1002","volume":"62","author":[{"given":"Gabriela","family":"Schmajuk","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Yelin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eliza","family":"Chakravarty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorene M.","family":"Nelson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pantelis","family":"Panopolis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinoos","family":"Yazdany","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,6,29]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(199901)42:1<46::AID-ANR6>3.0.CO;2-2"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.md.0000091181.93122.55"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(200008)43:8<1801::AID-ANR16>3.0.CO;2-O"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kem105"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-009-1105-3"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/096120330101001108"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0100-879X2001001200008"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pbiomolbio.2006.02.016"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002960050056"},{"key":"e_1_2_6_11_2","first-page":"1280","article-title":"Determinants of bone mass in systemic lupus erythematosus: a cross sectional study on premenopausal women","volume":"26","author":"Sinigaglia L","year":"1999","journal-title":"J Rheumatol"},{"key":"e_1_2_6_12_2","first-page":"1922","article-title":"Prevalence of reduced bone mineral density in systemic lupus erythematosus and the role of steroids","volume":"24","author":"Kipen Y","year":"1997","journal-title":"J Rheumatol"},{"key":"e_1_2_6_13_2","first-page":"310","article-title":"Three year followup of bone mineral density change in premenopausal women with systemic lupus erythematosus","volume":"26","author":"Kipen Y","year":"1999","journal-title":"J Rheumatol"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/030097498440813"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/39.4.389"},{"key":"e_1_2_6_16_2","first-page":"102","article-title":"Factors associated with low bone mineral density in female patients with systemic lupus erythematosus","volume":"28","author":"Lakshminarayanan S","year":"2001","journal-title":"J Rheumatol"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780361212"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/096120339600500202"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kei079"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/35.3.244"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.24356"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.20248"},{"key":"e_1_2_6_23_2","unstructured":"American College of Rheumatology. 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