Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Improving Vaccination Rates in Patients with SLE

J Rheumatol; ePub 2018 Sep 1; Garg, Tsagaris, et al

The significant improvement in combination vaccination rate in eligible patients with systemic lupus erythematosus (SLE), and the additional rise of vaccine rates seen in other eligible patients in the practice, draws attention to the high adaptability of the intervention resulting in a true practice change. This according to a recent study that aimed to improve the rate of combination pneumococcal vaccination (pneumococcal polysaccharide vaccine 23 + pneumococcal conjugate vaccine 13) in patients with SLE in an adult academic rheumatology practice. With the use of physician- and staff-based surveys, researchers analyzed the underlying barriers in providing vaccination. They then planned a multifaceted intervention including pre-visit planning, day-of-visit planning, weekly review, and monthly feedback. They found:

  • There was an impressive improvement from 10% baseline rate to 59% vaccination rate by the end of the study period.
  • This highlights the role of planning an intervention with an integrated workflow and the importance of sharing performance data, which leads to high compliance among team members.

Garg S, Tsagaris K, Cozmuta R, Lipson A. Improving the combination pneumococcal vaccination rate in systemic lupus erythematosus patients at an adult rheumatology practice. [Published online ahead of print September 1, 2018]. J Rheumatol. doi:10.3899/jrheum.171377.

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Patient Global Assessment Discordance in RA vs OA, Rheumatol Int; ePub 2018 Oct 6; Castrejon, et al

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Cortical Interruptions in Finger Joints in RA, J Bone Miner Res; 2018 Sep; Peters, et al

Must Reads in Lupus & Connective Tissue Diseases

Patients with SSc and Pulmonary Hypertension Risk, J Rheumatol; ePub 2018 Oct 1; Hsu, Chung, et al

Improving Vaccination Rates in Patients with SLE, J Rheumatol; ePub 2018 Sep 1; Garg, Tsagaris, et al

Statins and Systemic Autoimmune Rheumatic Disease, J Rheumatol; ePub 2018 Sep 1; Jorge, Lu, et al

Patient-reported Outcomes Predict Mortality in SLE , Arthritis Care Res; ePub 2018 Aug 24; Azizoddin, et al

Arthritis Helplessness Index Valid Measure for SLE, Lupus; ePub 2018 Aug 15; Gholizadeh, et al