provision of preventive health care in systemic lupus erythematosus data from a large observational cohort study提供预防保健系统性红斑狼疮来自大型观察性队列研究的数据.pdfVIP

Yazdany et al. Arthritis Research Therapy 2010, 12:R84 /content/12/3/R84 R E S E A R C H A R T I C L E Open Access Research article Provision of preventive health care in systemic lupus erythematosus: data from a large observational cohort study 1 1 1 2 3 4 1 Jinoos Yazdany* , Chris Tonner , Laura Trupin , Pantelis Panopalis , Joann Z Gillis , Aimee O Hersh , Laura J Julian , 1 5 1 Patricia P Katz , Lindsey A Criswell and Edward H Yelin Abstract Introduction: Cancer and infections are leading causes of mortality in systemic lupus erythematosus (SLE) after diseases of the circulatory system, and therefore preventing these complications is important. In this study, we examined two categories of preventive services in SLE: cancer surveillance (cervical, breast, and colon) and immunizations (influenza and pneumococcal). We compared the receipt of these services in SLE to the general population, and identified subgroups of patients who were less likely to receive these services. Methods: We compared preventive services reported by insured women with SLE enrolled in the University of California, San Francisco Lupus Outcomes Study (n = 685) to two representative samples derived from a statewide health interview survey, a general population sample (n = 18,013) and a sample with non-rheumatic chronic conditions (n = 4,515). In addition, using data from the cohort in both men and women (n = 742), we applied multivariate regression analyses to determine whether characteristics of individuals (for example, sociodemographic and disease factors), health systems (for example, number of visits, involvement of genera lists or rheumatologists