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Báo cáo y học: "Provision of preventive health care in systemic lupus erythematosus: data from a large observational cohort study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Provision of preventive health care in systemic lupus erythematosus: data from a large observational cohort study. | Yazdany et al. Arthritis Research Therapy 2010 12 R84 http arthritis-research.eom content 12 3 R84 RESEARCH ARTICLE Open Access Provi sion of preventive health care in systemic lupus erythematosus data from a large observational cohort study Jinoos Yazdany 1 Chris Tonner1 Laura Trupin1 Pantelis Panopalis2 Joann Z Gillis3 Aimee O Hersh4 Laura J Julian1 Patricia P Katz1 Lindsey A Criswell5 and Edward H Yelin1 Abstract Introduction Cancer and infections are leading causes of mortality in systemic lupus erythematosus SLE after diseases of the circulatory system and therefore preventing these complications is important. In this study we examined two categories of preventive services in SLE cancer surveillance cervical breast and colon and immunizations influenza and pneumococcal . We compared the receipt of these services in SLE to the general population and identified subgroups of patients who were less likely to receive these services. Methods We compared preventive services reported by insured women with SLE enrolled in the University of California San Francisco Lupus Outcomes Study n 685 to two representative samples derived from a statewide health interview survey a general population sample n 18 013 and a sample with non-rheumatic chronic conditions n 4 515 . In addition using data from the cohort in both men and women n 742 we applied multivariate regression analyses to determine whether characteristics of individuals for example sociodemographic and disease factors health systems for example number of visits involvement of generalists or rheumatologists in care type of health insurance or neighborhoods neighborhood poverty influenced the receipt of services. Results The receipt of preventive care in SLE was similar to both comparison samples. For cancer surveillance 70 of eligible respondents reported receipt of cervical cancer screening and mammography and 62 reported colon cancer screening. For immunizations 59 of eligible respondents reported influenza .