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Arthritis Rheum. 2003 Dec 15;49(6):810-8.

Participatory patient-physician communication and morbidity in patients with systemic lupus erythematosus.

Author information

1
Veterans Affairs Palo Alto Health Care System and Stanford University School of Medicine, Stanford, CA, USA. wardm1@mail.nih.gov

Abstract

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.

PMID:
14673968
DOI:
10.1002/art.11467
[Indexed for MEDLINE]
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