Practice patterns of antiphospholipid syndrome at a tertiary teaching hospital in Lebanon

Stella Major, N. Pashayan, S. Atweh, R. Chidiac-Tannoury, S. Shaar, I. Uthman, A. Fatah Masri, Thurayya Arayssi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The objective of the study was to describe the practice patterns of the antiphospholipid syndrome (APS) as compared with consensus guidelines for diagnosis and to determine whether practice patterns correlate with patient demographics and physician specialty. A retrospective medical chart review was conducted at the American University Hospital, in Beirut, Lebanon. All adult and pediatric patients admitted to the hospital between 1 January and 31 December 1998 who underwent either anticardiolipin antibodies (aCL) or lupus anticoagulant (LA) testing were included in the study. Work-up of APS syndrome was compared with: (a) the consensus guidelines for clinical diagnosis; (b) physician specialty; and (c) patient demographics (age, gender, ethnicity, health insurance status). Eighty-seven patients fulfilled at least one clinical criterion for APS; 92% were for work-up of thrombosis and 8% for pregnancy morbidities. Fifty-one percent underwent both aCL and LA. Overall 38% (33) of patients had an abnormal test result, however only 18% (6) underwent retesting, of whom only two satisfied a minimum of 6 weeks between test and retest. The APS diagnostic work-up was requested by 11 different specialties. Rheumatologists were the most consistent in asking for both tests. APS is seen and diagnosed by a variety of medical specialties. Practice patterns as compared with the latest consensus are sub-optimal, and need to be improved. Interventions to help improve this have been discussed and are being implemented.

Original languageEnglish
Pages (from-to)759-764
Number of pages6
JournalLupus
Volume11
Issue number11
DOIs
Publication statusPublished - 2002
Externally publishedYes

Fingerprint

Lebanon
Antiphospholipid Syndrome
Tertiary Care Centers
Teaching Hospitals
Lupus Coagulation Inhibitor
Anticardiolipin Antibodies
Demography
Guidelines
Physicians
Insurance Coverage
Health Insurance
Health Status
Thrombosis
Medicine
Pediatrics
Morbidity
Pregnancy

Keywords

  • Antiphospholipid syndrome
  • Consensus guidelines
  • Diagnosis
  • Lebanon
  • Practice pattern

ASJC Scopus subject areas

  • Rheumatology

Cite this

Practice patterns of antiphospholipid syndrome at a tertiary teaching hospital in Lebanon. / Major, Stella; Pashayan, N.; Atweh, S.; Chidiac-Tannoury, R.; Shaar, S.; Uthman, I.; Fatah Masri, A.; Arayssi, Thurayya.

In: Lupus, Vol. 11, No. 11, 2002, p. 759-764.

Research output: Contribution to journalArticle

Major, S, Pashayan, N, Atweh, S, Chidiac-Tannoury, R, Shaar, S, Uthman, I, Fatah Masri, A & Arayssi, T 2002, 'Practice patterns of antiphospholipid syndrome at a tertiary teaching hospital in Lebanon', Lupus, vol. 11, no. 11, pp. 759-764. https://doi.org/10.1191/0961203302lu239xx
Major, Stella ; Pashayan, N. ; Atweh, S. ; Chidiac-Tannoury, R. ; Shaar, S. ; Uthman, I. ; Fatah Masri, A. ; Arayssi, Thurayya. / Practice patterns of antiphospholipid syndrome at a tertiary teaching hospital in Lebanon. In: Lupus. 2002 ; Vol. 11, No. 11. pp. 759-764.
@article{a8b113f698234176a8b7b0fd06c0b6af,
title = "Practice patterns of antiphospholipid syndrome at a tertiary teaching hospital in Lebanon",
abstract = "The objective of the study was to describe the practice patterns of the antiphospholipid syndrome (APS) as compared with consensus guidelines for diagnosis and to determine whether practice patterns correlate with patient demographics and physician specialty. A retrospective medical chart review was conducted at the American University Hospital, in Beirut, Lebanon. All adult and pediatric patients admitted to the hospital between 1 January and 31 December 1998 who underwent either anticardiolipin antibodies (aCL) or lupus anticoagulant (LA) testing were included in the study. Work-up of APS syndrome was compared with: (a) the consensus guidelines for clinical diagnosis; (b) physician specialty; and (c) patient demographics (age, gender, ethnicity, health insurance status). Eighty-seven patients fulfilled at least one clinical criterion for APS; 92{\%} were for work-up of thrombosis and 8{\%} for pregnancy morbidities. Fifty-one percent underwent both aCL and LA. Overall 38{\%} (33) of patients had an abnormal test result, however only 18{\%} (6) underwent retesting, of whom only two satisfied a minimum of 6 weeks between test and retest. The APS diagnostic work-up was requested by 11 different specialties. Rheumatologists were the most consistent in asking for both tests. APS is seen and diagnosed by a variety of medical specialties. Practice patterns as compared with the latest consensus are sub-optimal, and need to be improved. Interventions to help improve this have been discussed and are being implemented.",
keywords = "Antiphospholipid syndrome, Consensus guidelines, Diagnosis, Lebanon, Practice pattern",
author = "Stella Major and N. Pashayan and S. Atweh and R. Chidiac-Tannoury and S. Shaar and I. Uthman and {Fatah Masri}, A. and Thurayya Arayssi",
year = "2002",
doi = "10.1191/0961203302lu239xx",
language = "English",
volume = "11",
pages = "759--764",
journal = "Lupus",
issn = "0961-2033",
publisher = "SAGE Publications Ltd",
number = "11",

}

TY - JOUR

T1 - Practice patterns of antiphospholipid syndrome at a tertiary teaching hospital in Lebanon

AU - Major, Stella

AU - Pashayan, N.

AU - Atweh, S.

AU - Chidiac-Tannoury, R.

AU - Shaar, S.

AU - Uthman, I.

AU - Fatah Masri, A.

AU - Arayssi, Thurayya

PY - 2002

Y1 - 2002

N2 - The objective of the study was to describe the practice patterns of the antiphospholipid syndrome (APS) as compared with consensus guidelines for diagnosis and to determine whether practice patterns correlate with patient demographics and physician specialty. A retrospective medical chart review was conducted at the American University Hospital, in Beirut, Lebanon. All adult and pediatric patients admitted to the hospital between 1 January and 31 December 1998 who underwent either anticardiolipin antibodies (aCL) or lupus anticoagulant (LA) testing were included in the study. Work-up of APS syndrome was compared with: (a) the consensus guidelines for clinical diagnosis; (b) physician specialty; and (c) patient demographics (age, gender, ethnicity, health insurance status). Eighty-seven patients fulfilled at least one clinical criterion for APS; 92% were for work-up of thrombosis and 8% for pregnancy morbidities. Fifty-one percent underwent both aCL and LA. Overall 38% (33) of patients had an abnormal test result, however only 18% (6) underwent retesting, of whom only two satisfied a minimum of 6 weeks between test and retest. The APS diagnostic work-up was requested by 11 different specialties. Rheumatologists were the most consistent in asking for both tests. APS is seen and diagnosed by a variety of medical specialties. Practice patterns as compared with the latest consensus are sub-optimal, and need to be improved. Interventions to help improve this have been discussed and are being implemented.

AB - The objective of the study was to describe the practice patterns of the antiphospholipid syndrome (APS) as compared with consensus guidelines for diagnosis and to determine whether practice patterns correlate with patient demographics and physician specialty. A retrospective medical chart review was conducted at the American University Hospital, in Beirut, Lebanon. All adult and pediatric patients admitted to the hospital between 1 January and 31 December 1998 who underwent either anticardiolipin antibodies (aCL) or lupus anticoagulant (LA) testing were included in the study. Work-up of APS syndrome was compared with: (a) the consensus guidelines for clinical diagnosis; (b) physician specialty; and (c) patient demographics (age, gender, ethnicity, health insurance status). Eighty-seven patients fulfilled at least one clinical criterion for APS; 92% were for work-up of thrombosis and 8% for pregnancy morbidities. Fifty-one percent underwent both aCL and LA. Overall 38% (33) of patients had an abnormal test result, however only 18% (6) underwent retesting, of whom only two satisfied a minimum of 6 weeks between test and retest. The APS diagnostic work-up was requested by 11 different specialties. Rheumatologists were the most consistent in asking for both tests. APS is seen and diagnosed by a variety of medical specialties. Practice patterns as compared with the latest consensus are sub-optimal, and need to be improved. Interventions to help improve this have been discussed and are being implemented.

KW - Antiphospholipid syndrome

KW - Consensus guidelines

KW - Diagnosis

KW - Lebanon

KW - Practice pattern

UR - http://www.scopus.com/inward/record.url?scp=0036440637&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036440637&partnerID=8YFLogxK

U2 - 10.1191/0961203302lu239xx

DO - 10.1191/0961203302lu239xx

M3 - Article

C2 - 12475008

AN - SCOPUS:0036440637

VL - 11

SP - 759

EP - 764

JO - Lupus

JF - Lupus

SN - 0961-2033

IS - 11

ER -