Perspectives of Rheumatologists on the Type 1 and 2 Systemic Lupus Erythematosus Model.


Journal

ACR open rheumatology
ISSN: 2578-5745
Titre abrégé: ACR Open Rheumatol
Pays: United States
ID NLM: 101740025

Informations de publication

Date de publication:
29 Sep 2024
Historique:
revised: 30 08 2024
received: 07 06 2024
accepted: 10 09 2024
medline: 30 9 2024
pubmed: 30 9 2024
entrez: 30 9 2024
Statut: aheadofprint

Résumé

The Type 1 and 2 systemic lupus erythematosus (SLE) Model was developed to encapsulate all signs and symptoms that patients with SLE experience. Our previous qualitative work demonstrated the model accurately reflects the lived experience of people living with SLE. The objective of this study was to present the Type 1 and 2 SLE Model to rheumatologists to understand how the model fits with their experiences treating patients with SLE. We conducted a qualitative descriptive study using semistructured interviews with rheumatologists. Rheumatologists were asked about their general impression of the Type 1 and 2 SLE Model, how the model does or does not fit within their approach to treating patients with SLE, the utility of the model in clinical practice, and any suggested changes. Applied thematic analysis identified salient themes. We interviewed 13 rheumatologists. The majority of rheumatologists approved of the model and found it useful to guide therapy and clinical decision-making. Several rheumatologists thought the model was helpful for patient education to manage expectations about differences between Type 1 and Type 2 symptoms and treatments. A few rheumatologists expressed concern that the model could lead to an overdiagnosis of SLE. The Type 1 and 2 SLE Model was accepted by most rheumatologists interviewed and welcomed as a useful approach to identifying and treating symptoms in patients with SLE. Future studies will determine how implementing the Type 1 and 2 SLE Model affects patient understanding, the physician-patient relationship, and clinical outcomes.

Identifiants

pubmed: 39344059
doi: 10.1002/acr2.11748
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Pfizer
Organisme : NIH HHS
ID : 1KL2TR002554
Pays : United States
Organisme : NIH HHS
ID : R01MD018977
Pays : United States

Informations de copyright

© 2024 The Author(s). ACR Open Rheumatology published by Wiley Periodicals LLC on behalf of American College of Rheumatology.

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Auteurs

Amanda M Eudy (AM)

Duke University School of Medicine, Durham, North Carolina.

Megan E B Clowse (MEB)

Duke University School of Medicine, Durham, North Carolina.

Amy Corneli (A)

Duke University School of Medicine, Durham, North Carolina.

Summer Starling (S)

Duke University School of Medicine, Durham, North Carolina.

Nneka Jebose Molokwu (NJ)

Duke University School of Medicine, Durham, North Carolina.

Teresa Swezey (T)

Duke University School of Medicine, Durham, North Carolina.

David S Pisetsky (DS)

Duke University School of Medicine and Durham Veterans Affairs Medical Center, Durham, North Carolina.

Mithu Maheswaranathan (M)

Duke University School of Medicine, Durham, North Carolina.

Jayanth Doss (J)

Duke University School of Medicine, Durham, North Carolina.

Kai Sun (K)

Duke University School of Medicine, Durham, North Carolina.

Rebecca E Sadun (RE)

Duke University School of Medicine, Durham, North Carolina.

Lisa G Criscione-Schreiber (LG)

Duke University School of Medicine, Durham, North Carolina.

Jennifer L Rogers (JL)

Duke University School of Medicine, Durham, North Carolina.

Classifications MeSH