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Utilization of preventive services in a systemic lupus erythematosus population-based cohort: a Lupus Midwest Network (LUMEN) study.
Chevet, Baptiste; Figueroa-Parra, Gabriel; Yang, Jeffrey X; Hocaoglu, Mehmet; Osei-Onomah, Shirley-Ann; Hulshizer, Cassondra A; Gunderson, Tina M; Cornec, Divi; Barbour, Kamil E; Greenlund, Kurt J; Crowson, Cynthia S; Duarte-García, Alí.
  • Chevet B; Division of Rheumatology, Mayo Clinic, Rochester, 200 First Street SW, MN, 55905, USA.
  • Figueroa-Parra G; Division of Rheumatology, Brest Teaching Hospital; LBAI, UMR1227, Univ Brest, Inserm, CHU de Brest, Brest, France.
  • Yang JX; Division of Rheumatology, Mayo Clinic, Rochester, 200 First Street SW, MN, 55905, USA.
  • Hocaoglu M; Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
  • Osei-Onomah SA; Division of Rheumatology, Mayo Clinic, Rochester, 200 First Street SW, MN, 55905, USA.
  • Hulshizer CA; Division of Rheumatology, Mayo Clinic, Rochester, 200 First Street SW, MN, 55905, USA.
  • Gunderson TM; Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
  • Cornec D; Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
  • Barbour KE; Division of Rheumatology, Brest Teaching Hospital; LBAI, UMR1227, Univ Brest, Inserm, CHU de Brest, Brest, France.
  • Greenlund KJ; Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • Crowson CS; Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • Duarte-García A; Division of Rheumatology, Mayo Clinic, Rochester, 200 First Street SW, MN, 55905, USA.
Arthritis Res Ther ; 24(1): 211, 2022 09 01.
Article in English | MEDLINE | ID: covidwho-2038859
ABSTRACT

BACKGROUND:

Systemic lupus erythematosus (SLE) is a disease that can lead to damage of multiple organs and, along with certain treatments, increase the risk of developing cancer, cardiovascular disease, diabetes, osteoporosis, and infections. Preventive services are particularly important in patients with SLE to mitigate the aforementioned risks. We aimed to evaluate the trends of preventive services utilization in patients with systemic lupus erythematosus, compared with non-SLE population.

METHODS:

All ≥19-year-old patients in the Lupus Midwest Network (LUMEN) registry, a population-based cohort, with SLE on January 1, 2015, were included and matched (11) by sex, age, race, and county to non-SLE comparators. Among both groups, we compared the rates of screenings for breast and cervical cancer, hypertension, hyperlipidemia, diabetes mellitus, and osteoporosis as well as immunizations.

RESULTS:

We included 440 SLE patients and 430 non-SLE comparators. The probability of breast cancer screening among women with SLE was similar to comparators (hazard ratio [HR] 1.09, 95% CI 0.85-1.39), while cervical cancer screening was lower (HR 0.75, 95% CI 0.58-0.96). Hypertension screening was higher among patients with SLE (HR 1.35, 95% CI 1.13-1.62); however, hyperlipidemia screening was similar to comparators (HR 1.16, 95% CI 0.96-1.41). Diabetes and osteoporosis screenings were more likely to be performed for SLE patients than for comparators (HR 2.46, 95% CI 2.11-2.87; and HR 3.19, 95% CI 2.31-4.41; respectively). Influenza and pneumococcal immunizations were higher among SLE patients (HR 1.31, 95% CI 1.12-1.54; and HR 2.06, 95% CI 1.38-3.09; respectively), while zoster vaccination was similar (HR 1.17, 95% CI 0.81-1.69).

CONCLUSIONS:

The trends of utilization of preventive services by SLE patients vary according to screening or vaccine compared with the general population. Considering these differences, we demonstrate an opportunity for improvement, particularly in cervical cancer, hyperlipidemia, and osteoporosis screenings and vaccinations.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Osteoporosis / Uterine Cervical Neoplasms / Hyperlipidemias / Hypertension / Lupus Erythematosus, Systemic Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid / Vaccines Limits: Adult / Female / Humans / Young adult Language: English Journal: Arthritis Res Ther Journal subject: Rheumatology Year: 2022 Document Type: Article Affiliation country: S13075-022-02878-8

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Osteoporosis / Uterine Cervical Neoplasms / Hyperlipidemias / Hypertension / Lupus Erythematosus, Systemic Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid / Vaccines Limits: Adult / Female / Humans / Young adult Language: English Journal: Arthritis Res Ther Journal subject: Rheumatology Year: 2022 Document Type: Article Affiliation country: S13075-022-02878-8