602 Improving knowledge and compliance of photoprotection in lupus patients

Abstract

Psoriasis patient self-interpretation of outcomes may be utilized to develop Population-Based Care (defined as systems that use data derived from large patient populations to guide the care of individuals) and identify Social Determinants of Health (SDOH), defined as non-medical factors influencing disease risk. Patients with psoriasis recognize that disease manifestations and outcomes are modified by many factors e some inherent and others effected by patients and their environment. Many patients feel these factors are not given enough time or attention during healthcare interactions and use social media to excess concerns including dissatisfaction with their doctor's ability to meet emotional and informational needs; keeping up with latest breakthroughs; eradicating the gap in health information about their condition and everyday life; and commiserating/networking with other psoriasis patients. To address the feasibility of programming supercomputers to interpret the millions of publicly available social media posts concerning patient-oriented views on outcomes, a qualitative Facebook analysis of 100 public psoriasis-related posts was conducted. These posts were grouped into one or more categories based on the patients' concerns. The focus of the posts was on sharing personal experiences (n¼47); seeking advice/treatment (n¼40); seeking information about psoriasis and/or related medications (n¼25); seeking emotional support and/or inspiring others (n¼24); giving advice/recommendations (n¼14); and discussing adverse side effects (n¼12). This analysis will serve as a framework from which to program supercomputers to interpret the high volume of information regarding psoriasis on social media. This system can ultimately be used to identify and incorporate SDOH into care management systems as well as drive Population-Based Care to help provide proactive, evidence-based interventions and coordinated care, ultimately improving clinical outcomes at lower costs. 599Impact of atopic dermatitis on overall health-related quality of life and health utility scores in US adult patients BT Cheng and J Silverberg Northwestern University, Chicago, Illinois, United States Previous studies showed atopic dermatitis (AD) is associated with significant burden and decrease in quality of life (QOL). However, the impact of AD on health utility scores and overall QOL in US adults is not well-understood. This study analyzed the 2002-2015 Medical Expenditure Panel Survey, a representative survey of US health expenditures and utilization, to examine the effect of AD diagnosis (weighted frequency¼438,920 adults) on health utility scores and compare with other chronic conditions. Diagnoses were identified using ICD9 codes. Short form (SF)-12 was assessed; mental and physical component scores (MCS and PCS) and SF-6D healthy utility scores were estimated. Persons with AD vs non-AD controls had decreased SF-6D health utility scores (mean [95% CI]: 0.48 [0.45-0.52] vs 0.62 [0.62-0.63], respectively; P<.0001), lower vs 50.2 [50.1-50.3]; P¼0.03), ...