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Rheumatology Advance Access originally published online on February 16, 2007
Rheumatology 2007 46(6):895-898; doi:10.1093/rheumatology/kem016
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© The Author 2007. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

EDITORIALS

Treatment adherence and clinical outcome in systemic lupus erythematosus

S. A. Chambers, A. Rahman and D. A. Isenberg

The Centre for Rheumatology, Department of Medicine, University College London, London, UK

Correspondence to: S. Chambers, The Centre for Rheumatology, University College Hospital, 250 Euston Road, 3rd Floor, Central London NW1 2PG, UK. E-mail: shrspk@aol.com

The first 150 words of the full text of this article appear below.

Introduction

Times are changing. Gone are the days when patients would meekly accept prescriptions and instructions from doctors whom they perceived as omniscient. With the advent of the Internet, and with the increasing media coverage of developments in science and medicine, patients can now gain access to a wide range of information about diseases and treatment options, though the quality of this information is very variable [1, 2].

Increasingly, consultations require the physician to answer questions about information gleaned from such sources, to convince patients that not all such information may be accurate or relevant to their illness and to explain treatment decisions and recommendations more fully. An example from our clinic was a patient with chronic back pain who when an MRI scan of the lumbar spine was proposed, countered with the suggestion that ‘might not a spiral CT be better?’ A more worrying case was that . . . [Full Text of this Article]

What is adherence to medications?

The clinical importance of poor adherence in patients with SLE

Why should we aim to improve adherence to medications in patients with SLE?

Why might patients with SLE be poorly adherent to treatment?

How can we improve adherence in patients with SLE?


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