{"id":"https://openalex.org/W2025664608","doi":"https://doi.org/10.1002/art.23346","title":"Avoidable hospitalizations in patients with systemic lupus erythematosus","display_name":"Avoidable hospitalizations in patients with systemic lupus erythematosus","publication_year":2008,"publication_date":"2008-01-31","ids":{"openalex":"https://openalex.org/W2025664608","doi":"https://doi.org/10.1002/art.23346","mag":"2025664608","pmid":"https://pubmed.ncbi.nlm.nih.gov/18240192"},"language":"en","primary_location":{"id":"doi:10.1002/art.23346","doi":"https://doi.org/10.1002/art.23346","is_oa":false,"landing_page_url":"https://doi.org/10.1002/art.23346","pdf_url":null,"source":{"id":"https://openalex.org/S13698240","display_name":"Arthritis Care & Research","issn_l":"0893-7524","issn":["0893-7524","1529-0123","2151-464X","2151-4658"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthritis Care &amp; Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5052860753","display_name":"Michael M. Ward","orcid":"https://orcid.org/0000-0003-1857-9367","observed_orcids":["https://orcid.org/0000-0003-1857-9367"]},"institutions":[{"id":"https://openalex.org/I1299303238","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238"]},{"id":"https://openalex.org/I4210087962","display_name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","ror":"https://ror.org/006zn3t30","country_code":"US","type":"facility","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210087962"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Michael M. Ward","raw_affiliation_strings":["Intramural Research Program, National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, US Department of Health and Human Services, Bethesda, Maryland 20892-1468,USA. wardm1@mail.nih.gov","Intramural Research Program, National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, US Department of Health and Human Services, Bethesda, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Intramural Research Program, National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, US Department of Health and Human Services, Bethesda, Maryland 20892-1468,USA. wardm1@mail.nih.gov","institution_ids":["https://openalex.org/I1299303238","https://openalex.org/I4210087962"]},{"raw_affiliation_string":"Intramural Research Program, National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, US Department of Health and Human Services, Bethesda, Maryland","institution_ids":["https://openalex.org/I1299303238","https://openalex.org/I4210087962"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5052860753"],"corresponding_institution_ids":["https://openalex.org/I1299303238","https://openalex.org/I4210087962"],"apc_list":{"value":4640,"currency":"USD","value_usd":4640},"apc_paid":null,"fwci":1.1505,"has_fulltext":false,"cited_by_count":49,"citation_normalized_percentile":{"value":0.78607867,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"59","issue":"2","first_page":"162","last_page":"168"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10308","display_name":"Systemic Lupus Erythematosus Research","score":0.9648000001907349,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10308","display_name":"Systemic Lupus Erythematosus Research","score":0.9648000001907349,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.006500000134110451,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.00430000014603138,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/systemic-lupus-erythematosus","display_name":"systemic lupus erythematosus","score":0.9879999756813049},{"id":"https://openalex.org/keywords/avoidable-hospitalizations","display_name":"avoidable hospitalizations","score":0.9819999933242798},{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.5299999713897705},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.7289999723434448},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.6669999957084656},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.6439999938011169},{"id":"https://openalex.org/keywords/pneumonia","display_name":"pneumonia","score":0.6579999923706055},{"id":"https://openalex.org/keywords/congestive-heart-failure","display_name":"congestive heart failure","score":1.0},{"id":"https://openalex.org/keywords/cellulitis","display_name":"cellulitis","score":0.996999979019165},{"id":"https://openalex.org/keywords/socioeconomic-status","display_name":"socioeconomic status","score":0.8330000042915344},{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.5820000171661377},{"id":"https://openalex.org/keywords/outpatient-care","display_name":"outpatient care","score":0.777999997138977}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.925660252571106},{"id":"https://openalex.org/C2777914695","wikidata":"https://www.wikidata.org/wiki/Q12192","display_name":"Pneumonia","level":2,"score":0.4791114330291748},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4558817148208618},{"id":"https://openalex.org/C3018838755","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Medical care","level":2,"score":0.43621155619621277},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.4285278916358948},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4135396182537079},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3704015016555786},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.32546424865722656},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.25388702750205994},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002481","descriptor_name":"Cellulitis","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002481","descriptor_name":"Cellulitis","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D006742","descriptor_name":"Hospital Bed Capacity","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008180","descriptor_name":"Lupus Erythematosus, Systemic","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D008180","descriptor_name":"Lupus Erythematosus, Systemic","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008507","descriptor_name":"Medically Underserved Area","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009518","descriptor_name":"New York","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D011014","descriptor_name":"Pneumonia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D011014","descriptor_name":"Pneumonia","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D011203","descriptor_name":"Poverty","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015999","descriptor_name":"Multivariate Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017677","descriptor_name":"Age Distribution","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1002/art.23346","doi":"https://doi.org/10.1002/art.23346","is_oa":false,"landing_page_url":"https://doi.org/10.1002/art.23346","pdf_url":null,"source":{"id":"https://openalex.org/S13698240","display_name":"Arthritis Care & Research","issn_l":"0893-7524","issn":["0893-7524","1529-0123","2151-464X","2151-4658"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthritis Care &amp; Research","raw_type":"journal-article"},{"id":"pmid:18240192","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18240192","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthritis and rheumatism","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.6769999861717224,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":30,"referenced_works":["https://openalex.org/W146369862","https://openalex.org/W1527973570","https://openalex.org/W1537989913","https://openalex.org/W1972705684","https://openalex.org/W1979640865","https://openalex.org/W1980934211","https://openalex.org/W1993314072","https://openalex.org/W2001374550","https://openalex.org/W2003513035","https://openalex.org/W2006394555","https://openalex.org/W2017993392","https://openalex.org/W2020310037","https://openalex.org/W2024523200","https://openalex.org/W2038607193","https://openalex.org/W2039026656","https://openalex.org/W2050034771","https://openalex.org/W2064538429","https://openalex.org/W2073015584","https://openalex.org/W2074491546","https://openalex.org/W2078634515","https://openalex.org/W2088442500","https://openalex.org/W2097201158","https://openalex.org/W2099988998","https://openalex.org/W2100995978","https://openalex.org/W2103958007","https://openalex.org/W2118627202","https://openalex.org/W2121467624","https://openalex.org/W2124575740","https://openalex.org/W2149860264","https://openalex.org/W2155690261"],"related_works":["https://openalex.org/W2909340783","https://openalex.org/W3159935935","https://openalex.org/W4306656059","https://openalex.org/W2626163046","https://openalex.org/W1941547875","https://openalex.org/W2907935334","https://openalex.org/W2799759158","https://openalex.org/W2464185315","https://openalex.org/W2091769669","https://openalex.org/W3164396084"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Avoidable":[1,18,180],"hospitalizations":[2,4,19,41,55,124,181,204],"are":[3],"for":[5,39,90,109,154],"indications":[6],"that":[7,162,173,191,207],"could":[8],"have":[9,194],"been":[10],"prevented":[11],"by":[12,227],"prompt":[13],"and":[14,78,94,118,144,187],"appropriate":[15],"outpatient":[16,225],"treatment.":[17],"thus":[20],"serve":[21],"as":[22,83,99],"an":[23],"indicator":[24],"of":[25,60,122,141,149,166,202,211],"poor":[26],"access":[27],"to,":[28],"or":[29,67,221],"underutilization":[30],"of,":[31],"medical":[32,142],"care.":[33,198],"This":[34],"study":[35],"examined":[36,98],"risk":[37,100,201],"factors":[38],"avoidable":[40,84,110,123,155,203],"among":[42,131,136,147,185],"patients":[43,62,132,167,176,193,212],"with":[44,63,127,133,138,168,177,213],"systemic":[45],"lupus":[46],"erythematosus":[47],"(SLE).":[48],"METHODS:":[49],"Data":[50],"were":[51,81,97,108,157],"obtained":[52],"on":[53,86],"acute-care":[54],"in":[56,71,75],"a":[57],"population-based":[58],"sample":[59],"8,670":[61],"SLE":[64,169,214],"age":[65],">":[66],"=18":[68],"years":[69],"hospitalized":[70],"New":[72],"York":[73],"state":[74],"2000,":[76],"2001,":[77],"2002.":[79],"Hospitalizations":[80,153],"classified":[82],"based":[85],"the":[87],"principal":[88],"indication":[89],"hospitalization.":[91],"Patient":[92],"demographic":[93],"hospital":[95],"characteristics":[96],"factors.":[101],"RESULTS:":[102],"Of":[103],"16,751":[104],"hospitalizations,":[105],"2,123":[106],"(12.7%)":[107],"conditions,":[111],"most":[112],"commonly":[113,184],"pneumonia,":[114],"congestive":[115],"heart":[116],"failure,":[117],"cellulitis.":[119],"The":[120,199],"likelihood":[121],"increased":[125],"progressively":[126],"age,":[128],"was":[129,145],"higher":[130,146],"Medicare":[134],"than":[135,170],"those":[137,148],"other":[139],"types":[140],"insurance,":[143],"lower":[150,200],"socioeconomic":[151],"status.":[152],"conditions":[156],"less":[158],"likely":[159],"at":[160,171,205,229],"hospitals":[161,172],"admitted":[163,174],"larger":[164],"numbers":[165,210],"fewer":[175],"SLE.":[178],"CONCLUSION:":[179],"occur":[182],"more":[183,195],"older":[186],"poorer":[188],"patients,":[189],"suggesting":[190],"these":[192,230],"difficulty":[196],"accessing":[197],"centers":[206],"admit":[208],"large":[209],"may":[215,222],"be":[216],"due":[217],"to":[218],"patient":[219],"selection":[220],"represent":[223],"better":[224],"care":[226],"physicians":[228],"centers.":[231]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":8},{"year":2019,"cited_by_count":6},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":5}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
