Journal
AUTOIMMUNITY REVIEWS
Volume 10, Issue 7, Pages 383-388Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/j.autrev.2010.12.008
Keywords
Quality indicators; Quality of care; Systemic lupus erythematosus; Routine clinical practice
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Funding
- NIAMS NIH HHS [K24 AR002207] Funding Source: Medline
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The assessment of systemic lupus erythematosus (SLE) patients in routine clinical practice is mainly based on the experience of the treating physician. This carries the risk of unwanted variability. Variability may have an impact on the quality of care offered to SLE patients, thereby affecting outcomes. Recommendations represent systematically developed statements to help practitioners in reducing variability. However, major difficulties arise in the application of recommendations into clinical practice. In this respect, the use of quality indicators may raise the awareness among rheumatologists regarding potential deficiencies in services and improve the quality of health care. The aim of this study was to develop a set of quality indicators (QI) for SLE by translating into QIs the recently developed EULAR Recommendations for monitoring SLE patients in routine clinical practice and observational studies. Eleven QIs have been developed referring to the use of validated activity and damage indices in routine clinical practice, general evaluation of drug toxicity, evaluation of comorbidities, eye evaluation, laboratory assessment, evaluation of the presence of chronic viral infections, documentation of vaccination and of antibody testing at baseline. A disease specific set of quality assessment tools should help physicians deliver high quality of care across populations. Routine updates will be needed. (C) 2011 Elsevier B.V. All rights reserved.
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