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Lupus Nephritis

Disease activity status factors into care delivery preference in SLE

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The physician-assessed disease activity of patients with systemic lupus erythematous (SLE) appears to impact patients’ decisions between in-person clinical visits and telemedicine, according to a study. The patient’s socioeconomic status also appeared to be important.

In this single-centered cross-sectional study, 140 from a single lupus nephritis clinic were offered the option to attend their next visit via videoconferencing.

Patients had a mean age of 45.6 ± 11.8 years, with a disease duration was 15.0 ± 9.2 years. Approximately 67% were on immunosuppressants and 90% were on prednisolone. The mean SLEDAI-2k was 3.4 ± 2.4, physician global assessment (PGA) was 0.46 ± 0.62 and Systemic Lupus International Collaborating Clinics (SLICC) damage index was 0.97 ± 1.23. Most patients (72.1%) ≥1 comorbidities.

Patients with higher mean PGA and those with a combined-family income >%3,800/month preferred telemedicine whereas patients who worked full time preferred in-person follow-up.

These predictors remained significant in the multivariate analysis after adjusting for age and gender.

So H, Chow E, Cheng IT, et al. Factors Associated With Use of Telemedicine for Follow-Up of SLE in the COVID-19 Outbreak. Front Med (Lausanne). 2021;8:790652. doi: 10.3389/fmed.2021.790652. PMID: 34966764; PMCID: PMC8710609.