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Addressing Economic Insecurities Can Improve Patient-Reported Outcomes in Lupus.

Jay Patel1, Tripti Singh1, Meredith Ingersoll1

  • 1School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA.

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Economic insecurities significantly lower patient-reported outcomes in systemic lupus erythematosus (SLE). Addressing these challenges through social worker intervention can improve outcomes for SLE patients.

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Area of Science:

  • Rheumatology
  • Health Services Research
  • Social Determinants of Health

Background:

  • Economic insecurities are prevalent and impact patient-reported outcomes (PROs) in systemic lupus erythematosus (SLE).
  • Understanding the association between economic factors and health outcomes is crucial for comprehensive patient care.

Purpose of the Study:

  • To examine the associations between economic insecurities and PROs in SLE patients.
  • To evaluate the impact of screening for and addressing economic insecurities during clinical visits.

Main Methods:

  • Patients with SLE were screened for economic insecurities and received social worker (SW) support.
  • Multivariable linear regression analyzed associations between economic insecurities, social drivers of health, and PROs.
  • Changes in PROs were assessed following SW interventions.

Main Results:

  • 16% of 222 SLE patients reported economic insecurities, linked to lower PROs across physical, mental, and social domains.
  • Increased economic insecurities correlated with significant declines in physical health PROs.
  • SW intervention led to improvements in PROs for patients experiencing economic insecurities.

Conclusions:

  • Economic insecurities negatively impact PROs in SLE.
  • Systematic assessment and intervention for economic insecurities in clinics can improve patient outcomes in SLE.