OBJECTIVE: To examine associations between active patient-physician communication and measures of morbidity in patients with systemic lupus erythematosus (SLE). METHODS: Audiotapes of routine visits between 79 women with SLE and their rheumatologists were coded for active patient participation and the degree of patient-centered communication of the physician, using a validated coding scheme. Measures of SLE activity, functional disability, and permanent organ damage were recorded at the same visit. Permanent organ damage was reassessed in 68 patients after a median of 4.7 years. RESULTS: Patients who participated more actively in their visits had less permanent organ damage, as measured by the Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index, and tended to accrue less organ damage over time. There were no associations between either active patient participation or physicians' patient-centered communication scores and measures of SLE activity or functional disability. CONCLUSIONS: Patients with SLE who participated more actively in their visits had less permanent organ damage, suggesting that involving patients more in their care may decrease morbidity.
OBJECTIVE: To examine associations between active patient-physician communication and measures of morbidity in patients with systemic lupus erythematosus (SLE). METHODS: Audiotapes of routine visits between 79 women with SLE and their rheumatologists were coded for active patient participation and the degree of patient-centered communication of the physician, using a validated coding scheme. Measures of SLE activity, functional disability, and permanent organ damage were recorded at the same visit. Permanent organ damage was reassessed in 68 patients after a median of 4.7 years. RESULTS:Patients who participated more actively in their visits had less permanent organ damage, as measured by the Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index, and tended to accrue less organ damage over time. There were no associations between either active patient participation or physicians' patient-centered communication scores and measures of SLE activity or functional disability. CONCLUSIONS:Patients with SLE who participated more actively in their visits had less permanent organ damage, suggesting that involving patients more in their care may decrease morbidity.
Authors: Richard L Street; Lin Liu; Neil J Farber; Yunan Chen; Alan Calvitti; Nadir Weibel; Mark T Gabuzda; Kristin Bell; Barbara Gray; Steven Rick; Shazia Ashfaq; Zia Agha Journal: J Gen Intern Med Date: 2017-11-29 Impact factor: 5.128
Authors: Judith E Arnetz; Ulrika Winblad; Anna T Höglund; Bertil Lindahl; Kalle Spångberg; Lars Wallentin; Yun Wang; Joel Ager; Bengt B Arnetz Journal: Health Expect Date: 2010-06-23 Impact factor: 3.377
Authors: E D Hale; G J Treharne; A C Lyons; Y Norton; S Mole; D L Mitton; K M J Douglas; N Erb; G D Kitas Journal: Ann Rheum Dis Date: 2005-10-11 Impact factor: 19.103
Authors: Richard L Street; Christina Slee; Donna K Kalauokalani; Dionne Evans Dean; Daniel J Tancredi; Richard L Kravitz Journal: Patient Educ Couns Date: 2009-12-04
Authors: Richard L Kravitz; Daniel J Tancredi; Richard L Street; Donna Kalauokalani; Tim Grennan; Ted Wun; Christina Slee; Dionne Evans Dean; Linda Lewis; Naomi Saito; Peter Franks Journal: BMC Cancer Date: 2009-09-09 Impact factor: 4.430