{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:33:35Z","timestamp":1760189615680,"version":"build-2065373602"},"reference-count":27,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,11,10]],"date-time":"2018-11-10T00:00:00Z","timestamp":1541808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the quality of care received by patients with systemic lupus erythematosus (<jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>) in 2 settings within the academic institution (a dedicated lupus clinic and a general rheumatology clinic) using validated <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> quality measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred fifty consenting, consecutive <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> patients receiving longitudinal care at the Rush University general rheumatology clinic (n = 73) or the subspecialty lupus clinic (n = 77) were recruited. An updated quality measure survey and retrospective medical chart review were used to evaluate each quality measure (n = 20). The overall and individual quality measure performance was calculated and compared between the 2 groups. Data on the number of <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> patients seen by each rheumatologist were collected to assess the relationship between <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> patient volume and quality measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall quality measure performance was significantly better in <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> patients receiving care at the lupus clinic (85.8% versus 70.2% of patients receiving care at the general rheumatology clinic; <jats:italic>P<\/jats:italic> = 0.001). Differences between the 2 groups were observed for sunscreen counseling (98.7% and 83.6%, respectively; <jats:italic>P<\/jats:italic> = 0.001), antiphospholipid antibody testing (71.4% and 37%, respectively; <jats:italic>P<\/jats:italic> &lt; 0.001), pneumococcal vaccination (84.8% and 48.8%, respectively; <jats:italic>P<\/jats:italic> &lt; 0.001), bone mineral density testing (94.2% and 54.5%, respectively; <jats:italic>P<\/jats:italic> &lt; 0.001), drug counseling (92.2% and 80.8%, respectively; <jats:italic>P<\/jats:italic> = 0.04), use of a steroid\u2010sparing agent (100% and 82%, respectively; <jats:italic>P<\/jats:italic> &lt; 0.007), use of an angiotensin\u2010converting enzyme inhibitor (94.4% and 58.3%, respectively; <jats:italic>P<\/jats:italic> = 0.03), and cardiovascular disease risk assessment (40.3% and 15.1%, respectively; <jats:italic>P<\/jats:italic> = 0.01). There was a moderate correlation between physician volume and quality measure performance (\u03c1 = 0.48, <jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Compared with the general rheumatology clinic, the dedicated lupus clinic had better quality measure performance in this cross\u2010sectional single\u2010center study. In our health care system, we also observed indicators suggesting that rheumatologists with a higher volume of <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> patients provide higher quality of care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.23569","type":"journal-article","created":{"date-parts":[[2018,4,2]],"date-time":"2018-04-02T18:52:47Z","timestamp":1522695167000},"page":"1771-1777","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Does Systemic Lupus Erythematosus Care Provided in a Lupus Clinic Result in Higher Quality of Care Than That Provided in a General Rheumatology Clinic?"],"prefix":"10.1002","volume":"70","author":[{"given":"Shilpa","family":"Arora","sequence":"first","affiliation":[{"name":"John H. Stroger Hospital Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ailda","family":"Nika","sequence":"additional","affiliation":[{"name":"Rush University Medical Center Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Trupin","sequence":"additional","affiliation":[{"name":"University of California San Francisco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hrudya","family":"Abraham","sequence":"additional","affiliation":[{"name":"MacNeal hospital Berwyn Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Block","sequence":"additional","affiliation":[{"name":"Rush University Medical Center Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Winston","family":"Sequeira","sequence":"additional","affiliation":[{"name":"Rush University Medical Center Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinoos","family":"Yazdany","sequence":"additional","affiliation":[{"name":"University of California San Francisco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meenakshi","family":"Jolly","sequence":"additional","affiliation":[{"name":"Rush University Medical Center Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,11,10]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.080214"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2013-205171"},{"issue":"1","key":"e_1_2_6_4_1","first-page":"67","article-title":"The effect of ethnicity and genetic ancestry on the epidemiology, clinical features and outcome of systemic lupus erythematosus","volume":"56","author":"Lewis MJ","year":"2017","journal-title":"Rheumatology (Oxford)"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2013-002494"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2013.05.003"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-016-0376-4"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.14-2195"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2011.608419"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.21053"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780400928"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.24356"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-012-2071-z"},{"key":"e_1_2_6_14_1","first-page":"73","article-title":"National Quality Forum measures among rheumatoid arthritis patients in a large managed care population [abstract]","volume":"65","author":"Meyer R","year":"2013","journal-title":"Arthritis Rheum"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780350606"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1191\/096120399680411335"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21653"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2015.02.009"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.115.002159"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13677"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000268485.93349.58"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(199905)42:5<891::AID-ANR7>3.0.CO;2-B"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22591"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0961203309356292"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ker318"},{"key":"e_1_2_6_26_1","first-page":"973","article-title":"Screening for proteinuria in patients with lupus: a survey of practice preferences among American rheumatologists","volume":"34","author":"Siedner MJ","year":"2007","journal-title":"J Rheumatol"},{"issue":"2","key":"e_1_2_6_27_1","first-page":"S2\u2010205","article-title":"Utilization of health services and prescription patterns among lupus patients followed by primary care physicians and rheumatologists in Puerto Rico","volume":"18","author":"Molina MJ","year":"2008","journal-title":"Ethn Dis"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0b013e328323daad"}],"container-title":["Arthritis Care &amp; 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