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ADHERENCE TO RETINAL SCREENING GUIDELINES IN LUPUS PATIENTS TREATED WITH HYDROXYCHLOROQUINE - DATA FROM HIGHMARK CLAIMS

2025· article· en· W4410513261 on OpenAlexvenueno aff
Tanmayee Bichile, Sara Shahid, Tyson S. Barrett, Sonia Manocha

Bibliographic record

VenueThe Journal of Rheumatology · 2025
Typearticle
Languageen
FieldMedicine
TopicDrug-Induced Ocular Toxicity
Canadian institutionsnot available
Fundersnot available
KeywordsHydroxychloroquineMedicineSystemic lupus erythematosusDermatologyLupus erythematosusRetinopathyRetinalOphthalmologyInternal medicineCoronavirus disease 2019 (COVID-19)ImmunologyDiseaseAntibodyEndocrinology

Abstract

fetched live from OpenAlex

PV247 / #135 Poster Topic: AS24 - SLE-Treatment Background/Purpose In 2020, 4 major medical societies taking care of patients on hydroxychloroquine (HCQ) published a joint statement highlighting ophthalmologic screening guidelines to detect retinal toxicity. The risk of HCQ toxicity is less than 2% after 10 years, with up to 8.6% patients affected after 15 years of use. The joint statement recommends baseline retinal screening within few months of HCQ initiation primarily to rule out existing retinal disease that may interfere with future eye exams. After baseline eye exam, screening can be deferred for 5 years and thereafter should be performed annually. An optical testing with Optical Coherence Tomography (OCT) and automated visual fields (VF) are the preferred modalities for evaluation. We studied the real-world compliance to these recommendations in a cohort of lupus patients utilizing Highmark claims data. Methods We conducted a blended retrospective cohort - Highmark claims study of patients with Systemic lupus erythematosus (SLE) receiving treatment with HCQ. Patients with SLE from 1/2016 to 12/2023 were included. Patients over 18 years of age, with diagnosis of lupus, Systemic lupus erythematosus (SLE), lupus nephritis (LN), cutaneous lupus based on ICD 10 codes who had subsequent refills of HCQ were included. These patients were seen at least twice by rheumatology providers in the division of Rheumatology at Allegheny Health Network. Patients on Medicare and Highmark insurance and seeing either Ophthalmologist or Optometrist were included. A Highmark claims data was extracted on this cohort to investigate adherence to baseline eye exam (within 1 year) and yearly screening after 5 years. Results Among 227 patients with SLE, 204 (90%) were female, 179 (79%) were Caucasian, 124 (55%) were active smokers, 26 (11.4%) had chronic kidney disease, 19 (8.3%) had diabetes, 3 (1.3%) had preexisting retinal disease, 50 (22%) patients were on Medicare and 84 (37%) were seen by an Ophthalmologist. Among 227 patients, only 35% received baseline retinal testing upon HCQ initiation (p<0.05). Among those with 5 years of follow-up and 5 yearly visits, adherence was 11.8% (p<0.05) (Figure 1). Insurance type and provider specialty significantly influenced adherence (Figure 2). Medicare Advantage members showed higher adherence compared to commercial insurance, and baseline exams with an ophthalmologist were associated with better adherence (Figure 3). Adherence was not affected by comorbidities, prior retinal disease, or rurality. Figure 1: Compliance rate (%) for yearly screening from year 1 to 5 Figure 2: Higher compliance rate of Medicare members compared to Commercial Insurance Figure 3: Humphrey visual-fields (HVF) and spectral-domain optical coherence tomography (OCT) performance rate by providers Conclusions Our study highlights poor compliance to screening guidelines for monitoring of retinal toxicity in patients with SLE taking HCQ. Improved education for both providers and patients on ophthalmology surveillance is crucial. Quality improvement initiatives will address this healthcare disparity in our system, aiming for safer HCQ prescribing practices.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.042
Threshold uncertainty score0.461

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.047
GPT teacher head0.333
Teacher spread0.286 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2025
Admission routes1
Has abstractyes

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