Lupus & antiphospholipid syndrome

A qualitative investigation of the experiences of patients living with antiphospholipid antibodies

LupusPublished Qualitative study

Authors' conclusion

Patients highlighted how the diverse manifestations of aPLs/APS, accentuated by management-related challenges, impose considerable physical and psychosocial burdens.

Study context

Population
Patients aged ≥18 years with antiphospholipid syndrome (APS) (Revised Sapporo criteria) or ≥1 positive aPL on ≥2 occasions, Canadian multidisciplinary APS clinic95.2% female
Participants
21 patients
Outcome
Patient experiences of aPL/APS diagnosis, daily life, and healthcare and treatment
Methodological detailssemi-structured in-depth interviews, thematic analysis, single-centre, Interviews conducted virtually and transcribed verbatim
  • Semi-structured in-depth interviews
  • Thematic analysis
  • Single-centre
  • Interviews conducted virtually and transcribed verbatim

Main finding

As reported in the abstract

  • Around diagnosis: medical complications/physical symptoms and healthcare, lifestyle and emotional impacts
  • Daily life: physical and psychosocial impacts, modified leisure activities, altered employment trajectories, positive and negative impacts on relationships
  • Family planning: miscarriage, other pregnancy complications, medication-related challenges (e.g., LMWH injections)
  • Healthcare and treatment: lifestyle, physical and emotional burden of medication use; lack of resources but trust in healthcare providers
  • Resource needs: more medication-related information, examples to contextualize management behaviours, information for aPLs/APS without SLE
  • Mean (SD) age 45.6 (15.0) years; 71.4% had APS; 71.4% had aPLs/APS with SLE

Original publication

A qualitative investigation of the experiences of patients living with antiphospholipid antibodies. Lupus. Published 24 July 2024. doi:10.1177/09612033241265545

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