Lupus Diagnosis: Process and Patient Experience

Liie

Senior Member (Voting Rights)
This is a poster I think, about a survey by from Lupus Foundation of America. I don't find a full article anywhere.

Authors: Daly R, Partovi R.

Background/Purpose:
Delays in lupus diagnosis and misdiagnosis are sources of concern, as uncontrolled disease activity and early damage can increase mortality risk.1 The purpose of this study is to analyze the diagnostic process through the patient perspective and provide insight into unmet needs in lupus diagnosis.

Methods:
This cross-sectional study draws from a one-time online national survey conducted between December 2015 and January 2016 among 3,022 adults who self-reported a lupus diagnosis. To assess patient perspective on the diagnosis process, participants answered questions regarding symptoms pre-diagnosis, the provider(s) they discussed symptoms with, and the time frame to diagnosis. Descriptive statistics were conducted on demographic information and all diagnosis process measures.

Results:
Respondent characteristics are described in Table 1.

This analysis provides a detailed look at the diagnostic process from the patient perspective. Beginning with the symptoms prompting a first visit, musculoskeletal symptoms and fatigue illustrate the non-specificity experienced by nearly half of the respondents (Table 2). Of importance, a majority of respondents (73.2%) specifically made an appointment to discuss these symptoms, 72% discussing them with a primary care provider. Of those who discussed symptoms with other types of providers, over 75% also discussed the symptoms with a rheumatologist. Leading up to respondents’ diagnosis, more than half reported being told there was nothing wrong with them or that their symptoms were psychological (54.1%). Furthermore, 41% of respondents reported being told they had something other than lupus, and concurrently, nearly 40% of individuals waited more than one year from the onset of symptoms to receive an accurate diagnosis. At the time of diagnosis, over one third of respondents (34.5%) reported having severe symptoms.

Conclusion:
The findings of this study suggest the need to provide ongoing education to both primary care and specialty providers in diagnosing lupus. Qualitative responses in this study, not reported here, also suggest that poor provider-patient communications may contribute to the delay in diagnosis. Lastly, describing the providers and care settings typically involved in diagnosis can be useful for creating a framework to identify future areas of intervention and/or research.

Arthritis Rheumatol. 2017; 69 (suppl 10).
Accessed August 20, 2026.
 
Edit: 54.1% of lupus patients were not "diagnosed with something psychosomatic" as I wrote originally. They were "told there was nothing wrong with them or that their symptoms were psychological".

I post this because it is an interesting fact that 54.1% of lupus patients were told that their symptoms were psychosomatic before being diagnosed with lupus.

I think this is a very clear indication that healthcare providers are not reliable when they give such diagnoses. Because of this, when healthcare providers give such diagnoses to people with ME/CFS that doesn't mean much.

We on this forum already think like this. But I think this study is a very good argument to use in advocacy.

This study is cited by the following article:

 
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This is a poster I think, about a survey by from Lupus Foundation of America. I don't find a full article anywhere.
I can’t find the paper either.
It (I guess the abstract) has been cited by 9 papers, though:

There’s also this article by the Lupus Foundation America mentioning the study had been released. Note that the article is a couple months younger than the abstract:

November 4, 2017​

Study Reveals Shockingly High Rates of Incorrect Lupus Diagnosis​

A Lupus Foundation of America study of over 3,000 adults with lupus found that 46.5 percent report being misdiagnosed with something other than lupus at the start of their journey with this unpredictable and life-altering disease.​
Additionally, more than half (54.1 percent) were told that there was nothing wrong with them or that their symptoms were psychological.​
The data was included in a cross-sectional study, “Lupus Diagnosis: Process and Patient Experience,” released by the Lupus Foundation of America today at the American College of Rheumatology (ACR) Annual Scientific Meeting in San Diego.​
The study demonstrates the urgent need to shorten the time to obtain an accurate diagnosis – so people with lupus can begin critical treatment that will reduce damage to vital organs, such as the kidneys, heart, lungs and brain.​


I‘m not sure what that says about the quality of the paper or the other papers that cited it.
 
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