Lupus & antiphospholipid syndrome

The Effect of Psychiatric Comorbidity on Healthcare Utilization for Youth With Newly Diagnosed Systemic Lupus Erythematosus

J RheumatolPublished Retrospective cohort study

Authors' conclusion

Psychiatric comorbidity is common among youth with newly diagnosed SLE and is associated with greater healthcare use.

Study context

Population
Youth aged 10–24 years with incident systemic lupus erythematosus (SLE) (≥3 ICD-9 codes 710.0, >30 days apart), Clinformatics Data Mart claims 2000–2013
Participants
650 participants
Exposure
Preceding or incident psychiatric diagnosis vs no psychiatric diagnosis
  • Preceding psychiatric diagnosisn = 122
  • Incident psychiatric diagnosisn = 105
Outcome
Ambulatory, emergency and inpatient visits, stratified by nonpsychiatric and psychiatric visits
Follow-up
Year after SLE diagnosis
Methodological detailsclaims database
  • Claims database

Main finding

As reported in the abstract

Healthcare use (ambulatory and emergency, nonpsychiatric and psychiatric)
  • Preceding or incident psychiatric diagnosis had more healthcare use across both ambulatory and emergency settings for both nonpsychiatric and psychiatric-related care vs no psychiatric diagnosis

Observational data: associations, not effects.

Further findings

Interaction with age (childhood- vs adult-onset SLE)

Associations minimally affected by age at SLE diagnosis

Original publication

The Effect of Psychiatric Comorbidity on Healthcare Utilization for Youth With Newly Diagnosed Systemic Lupus Erythematosus. J Rheumatol. Published 15 September 2022. doi:10.3899/jrheum.220052

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