Document Detail

The association of socio-economic status, race, psychosocial factors and outcome in patients with systemic lupus erythematosus.
MedLine Citation:
PMID:  10556268     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the relationship between socio-economic status, race, psychosocial factors and outcome in patients with systemic lupus erythematosus (SLE). METHODS: One hundred and ninety-five patients with SLE were studied at two centres in the UK (London and Birmingham). Information about sociodemographics, income, employment status, social support and satisfaction with care was obtained. Outcomes were assessed by end-organ damage, disease activity and employment status. RESULTS: Non-Caucasian race, longer disease duration, higher disease activity and lower level of education were associated with more organ damage in SLE. More satisfaction with access to care and interpersonal aspects of care, but less satisfaction with time spent with doctors, were also associated with more damage. Very long disease duration was associated with higher disease activity. Patients with higher disease activity, lower level of education and from the Birmingham centre were more likely not to be working due to their lupus. CONCLUSION: Race and socio-economic status, as well as clinical and psychosocial factors, determine outcome in SLE.
N Sutcliffe; A E Clarke; C Gordon; V Farewell; D A Isenberg
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Rheumatology (Oxford, England)     Volume:  38     ISSN:  1462-0324     ISO Abbreviation:  Rheumatology (Oxford)     Publication Date:  1999 Nov 
Date Detail:
Created Date:  2000-01-18     Completed Date:  2000-01-18     Revised Date:  2007-09-06    
Medline Journal Info:
Nlm Unique ID:  100883501     Medline TA:  Rheumatology (Oxford)     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1130-7     Citation Subset:  AIM; IM    
Centre for Rheumatology/Bloomsbury Rheumatology Unit, Department of Medicine, University College London, UK.
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MeSH Terms
Aged, 80 and over
Continental Population Groups*
Cross-Sectional Studies
Disease Progression
Lupus Erythematosus, Systemic* / ethnology,  physiopathology,  psychology,  therapy
Middle Aged
Multiple Organ Failure
Severity of Illness Index
Social Class*
Social Support
Treatment Outcome

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