Disease Outcomes and Care Fragmentation Among Patients With Systemic Lupus Erythematosus.

ABSTRACT:

Objective

To examine the impact of care fragmentation across multiple health care institutions on disease outcomes in patients with systemic lupus erythematosus (SLE).

Methods

Using the Chicago HealthLNK Data Repository, an assembly of electronic health records from 6 institutions, we identified patients with SLE, using International Classification of Diseases, Ninth Revision (ICD-9) codes, whose care was delivered at more than 1 organization. We examined whether patients had severe infections or comorbidities (ICD-9 code defined) that indicated SLE-induced damage. T-tests and chi-square tests were used to examine differences between fragmentation groups. Logistic regression was used to assess factors contributing to the occurrence of disease outcomes.

Results

We iden

SUBMITTER: Walunas TL 

PROVIDER: S-EPMC5447502 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature