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Poor Compliance in SLE Leads to More ER Visits and Hospitalizations

Feldman and coworkers have analyzed US Medicaid claims data from 9,600 hydroxychloroquine and 3,829 new immunosuppressive new users with a diagnosis of SLE. The mean adherence rate (measured as MPR) for HCQ was 47.8% and for 42.7%  for immunosuppressives; 79% of HCQ users and 83% of IS users were nonadherent (MPR<80%). Overall, lupus medicaid patients had very poor adherence to these medications that was coupled with an increased frequency of lupus-related emergency department visits and 47-64% more hospital admissions in those that were nonadherent. (Citation source

The author has no conflicts of interest to disclose related to this subject

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