Michael M. Ward|S. Sundaramurthy|Debra Lotstein|Thomas M. Bush|C. Michael Neuwelt|Richard L. Street
Participatory patient–physician communication and morbidity in patients with systemic lupus erythematosus
VA Palo Alto Health Care System|Stanford University|Stanford University|Cedars-Sinai Medical Center|Santa Clara Valley Medical Center|Alameda Health System|Texas A&M University
examine associations active patientphysician communication measures morbidity patients systemic lupus erythematosus sleaudiotapes routine visits 79 women sle rheumatologists coded active patient participation degree patientcentered communication physician using validated coding scheme measures sle activity functional disability permanent organ damage recorded visit permanent organ damage reassessed 68 patients median 47 yearspatients participated actively visits less permanent organ damage measured systemic lupus international collaborating clinicsamerican college rheumatology damage index tended accrue less organ damage time associations either active patient participation physicians patientcentered communication scores measures sle activity functional disabilitypatients sle participated actively visits less permanent organ damage suggesting involving patients care may decrease morbidity