Improving Outcomes of Pediatric Lupus Care Delivery With Provider Goal‐Setting Activities and Multidisciplinary Care Models
Main finding · pLCI performance (range 0.0-1.0; 1.0 = perfect metric adherence)Result — go to the resultAdjusted β 0.05 95% CI 0.01–0.09Authors' conclusion
Greater attention to quality metrics is associated with better outcomes in childhood SLE.
Study context
- Population
- Youth with systemic lupus erythematosus (SLE) in an electronic health record (EHR)-enabled pediatric lupus registry830 visits over 3.5 years
- Participants
- 110 participants
- Exposure
- Before vs during provider goal-setting activities and population management; multidisciplinary lupus nephritis clinic vs rheumatology clinic
- Outcome
- pediatric Lupus Care Index (pLCI) performance (range 0.0-1.0) and timely follow-up
Methodological detailsEHR-enabled registry, quality improvement
- EHR-enabled registry
- Quality improvement
Main finding
As reported in the abstract
pLCI performance (range 0.0-1.0; 1.0 = perfect metric adherence)
Adjusted β
0.05
95% CI 0.01–0.09
By group
Provider-directed activity
0.74
mean
Before provider-directed activity
0.69
mean
Observational data: associations, not effects.
Further findings
Subsequent prednisone use, pediatric Lupus Care Index (pLCI) ≥0.50
- 0.72-fold lower adjusted risk of subsequent prednisone use
- 0.72 (95% CI 0.53, 0.93)
Social determinants (minoritized race, public insurance, social vulnerability)
- Not associated with reduced care quality or follow-up; public insurance associated with higher risk of prednisone use
Original publication
Improving Outcomes of Pediatric Lupus Care Delivery With Provider Goal‐Setting Activities and Multidisciplinary Care Models. Arthritis Care Res (Hoboken). Published 18 May 2023. doi:10.
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