{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:33:27Z","timestamp":1760189607718,"version":"build-2065373602"},"reference-count":15,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,10,26]],"date-time":"2018-10-26T00:00:00Z","timestamp":1540512000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","award":["K23 AR071500","K24 AR066109","R01 AR057327"],"award-info":[{"award-number":["K23 AR071500","K24 AR066109","R01 AR057327"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006260","name":"Rheumatology Research Foundation","doi-asserted-by":"publisher","award":["Scientist Development Award"],"award-info":[{"award-number":["Scientist Development Award"]}],"id":[{"id":"10.13039\/100006260","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Baseline retinal examinations have long been recommended for patients beginning treatment with hydroxychloroquine (<jats:styled-content style=\"fixed-case\">HCQ<\/jats:styled-content>), but it is unknown how well this guideline is followed. We investigated baseline eye examinations among <jats:styled-content style=\"fixed-case\">US SLE<\/jats:styled-content> patients enrolled in Medicaid in whom <jats:styled-content style=\"fixed-case\">HCQ<\/jats:styled-content> treatment was newly initiated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using billing codes, we identified <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> patients ages 18\u201365 years who were enrolled in Medicaid and residing in the 29 most populated <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> states, from 2000 to 2010. New users of <jats:styled-content style=\"fixed-case\">HCQ<\/jats:styled-content> were identified by filled prescriptions, with none filled in the preceding 12 months. Retinal examinations that were performed within 30 days before to 1 year after the index prescription were identified. We examined the proportions of patients receiving retinal examinations over the study years and compared the characteristics of those who did and those who did not receive examinations, using bivariable and multivariable logistic regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 12,755 <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> patients newly starting <jats:styled-content style=\"fixed-case\">HCQ<\/jats:styled-content> treatment, 32.5% received baseline dilated eye examinations. The proportions of patients receiving baseline eye examinations did not significantly change from 2000 to 2010 (31.0\u201334.4%; <jats:italic>P<\/jats:italic> for linear trend = 0.12). Factors associated with an increased likelihood of having an examination included female sex, Asian versus white race, and a higher number of laboratory tests performed during the preceding year. Compared with white patients, lower proportions of black and Native American patients with <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> had baseline retinal examinations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Only one\u2010third of patients with <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> enrolled in Medicaid and in whom <jats:styled-content style=\"fixed-case\">HCQ<\/jats:styled-content> was newly initiated received the recommended baseline retinal examinations, and this proportion did not significantly increase from 2000 to 2010. The sociodemographic variation in this recommended care has been observed for other recommended medical care in <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> and requires both further investigation and interventions to address it.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.23530","type":"journal-article","created":{"date-parts":[[2018,2,6]],"date-time":"2018-02-06T16:22:46Z","timestamp":1517934166000},"page":"1700-1706","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Baseline Retinal Examinations in Patients With Systemic Lupus Erythematosus Newly Initiating Hydroxychloroquine Treatment in a <scp>US<\/scp> Medicaid Systemic Lupus Erythematosus Population, 2000\u20132010"],"prefix":"10.1002","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8333-7666","authenticated-orcid":false,"given":"Tzu\u2010Chieh","family":"Lin","sequence":"first","affiliation":[{"name":"Brigham and Women's Hospital Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael F.","family":"Marmor","sequence":"additional","affiliation":[{"name":"Stanford University Stanford California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Medha","family":"Barbhaiya","sequence":"additional","affiliation":[{"name":"Brigham and Women's Hospital Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongshu","family":"Guan","sequence":"additional","affiliation":[{"name":"Brigham and Women's Hospital Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8206-597X","authenticated-orcid":false,"given":"Sarah K.","family":"Chen","sequence":"additional","affiliation":[{"name":"Brigham and Women's Hospital Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Candace H.","family":"Feldman","sequence":"additional","affiliation":[{"name":"Brigham and Women's Hospital Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8972-9388","authenticated-orcid":false,"given":"Karen H.","family":"Costenbader","sequence":"additional","affiliation":[{"name":"Brigham and Women's Hospital Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,26]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_6_2_1","DOI":"10.1002\/art.24356"},{"doi-asserted-by":"publisher","key":"e_1_2_6_3_1","DOI":"10.1016\/j.ophtha.2016.01.058"},{"doi-asserted-by":"publisher","key":"e_1_2_6_4_1","DOI":"10.1016\/j.ophtha.2010.11.017"},{"doi-asserted-by":"publisher","key":"e_1_2_6_5_1","DOI":"10.1016\/S0161-6420(02)01168-5"},{"key":"e_1_2_6_6_1","first-page":"723","article-title":"American College of Rheumatology Ad Hoc Committee on Clinical Guidelines","volume":"39","author":"Guidelines for monitoring drug therapy in rheumatoid arthritis","year":"1996","journal-title":"Arthritis Rheum"},{"key":"e_1_2_6_7_1","first-page":"1756","article-title":"Adherence to ophthalmologic monitoring for antimalarial toxicity in a lupus cohort","volume":"30","author":"Bernatsky S","year":"2003","journal-title":"J Rheumatol"},{"doi-asserted-by":"publisher","key":"e_1_2_6_8_1","DOI":"10.1001\/jamaophthalmol.2014.1720"},{"doi-asserted-by":"publisher","key":"e_1_2_6_9_1","DOI":"10.1002\/art.37795"},{"unstructured":"JohnsonP.Medicaid and indigent care issue brief: Medicaid: benefits and services: year end report\u20102003. 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