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Treatment reduces joint and disease-related pain over weeks.","preparation":["Bring rheumatology records and recent laboratory results","Screen for hepatitis B, hepatitis C and tuberculosis","Baseline blood count, liver and kidney tests","Baseline eye examination for hydroxychloroquine","Review current medications and vaccination status","Pregnancy plan discussed with doctor"],"recovery_timeline":[{"phase":"Days 1-10: assessment and setup","description":"Examination, laboratory tests and regimen start with dose adjustment and teaching.","restrictions":["Report fever or infection signs promptly"]},{"phase":"Weeks 2-12: response","description":"Symptoms gradually improve; steroids tapered as disease control allows.","restrictions":["Avoid sun exposure without protection","Avoid live vaccines"]},{"phase":"Months 3-6 onward: maintenance","description":"Lowest effective doses continued with regular laboratory monitoring.","restrictions":["Keep monitoring schedule"]}],"rehabilitation_days":{"min":0,"max":0,"unit":"days","qualifier":"No rehabilitation needed; normal function continues during drug therapy."},"result_longevity":"Benefit lasts only while therapy continues; lupus is lifelong and flares may occur if treatment is stopped or reduced.","revision_rate_pct":null,"scars":"None; no incisions.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"One assessment trip sets up regimen; ongoing therapy is continued at home."},"stages":[{"code":"assessment","label":"Rheumatology assessment and baseline tests","after":{"min":0,"max":3,"unit":"days","qualifier":"At arrival."}},{"code":"regimen_start","label":"Start and adjust drug regimen","after":{"min":3,"max":10,"unit":"days","qualifier":"After results are reviewed."}}],"qualifier":"Lifelong maintenance therapy follows at home with periodic monitoring."},"success":{"metric":"Low disease activity or remission (SLEDAI-2K ≤4 or LLDAS) achieved","value":50,"unit":"percent of patients","horizon":"6-12 months","population":"Adults with active SLE on hydroxychloroquine-based therapy with or without immunosuppressants or biologics","evidence_status":"limited"},"techniques":[{"name":"Hydroxychloroquine","suits_whom":"Nearly all SLE patients as baseline therapy","recovery":"Oral daily; effect over 3-6 months; periodic eye screening."},{"name":"Glucocorticoids","suits_whom":"Flares and organ involvement, short-term at lowest dose","recovery":"Rapid effect within days; taper over weeks."},{"name":"Immunosuppressants (methotrexate, azathioprine, mycophenolate)","suits_whom":"Moderate to severe disease or steroid sparing","recovery":"Effect over 2-3 months; laboratory monitoring."},{"name":"Biologics (belimumab, anifrolumab)","suits_whom":"Active disease despite standard therapy","recovery":"Infusion or injection; response over 3-6 months."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Initial consultation and tests; infusion visits longer; oral drugs taken daily at home."},"initial_assessment_documents":["Rheumatology diagnosis report with SLE classification criteria","Recent ANA and anti-dsDNA antibody results","Recent complement C3 and C4 levels","Complete blood count and creatinine results","Urinalysis and urine protein-to-creatinine ratio","Current immunosuppressant and steroid list with doses"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip covers assessment and regimen setup in 5-10 days; lifelong therapy continues at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the clinic plans regular checks and tests, such as blood and urine tests, after diagnosis. Why: these catch anaemia and kidney problems","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/lupus/","host":"nhs.uk","quote":"If lupus is confirmed, you'll be advised to have regular checks and tests, such as blood tests to check for anaemia and urine tests to check for kidney problems.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the clinician's qualifications and the facility's credentials for this procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check how you will communicate with your clinician and carers before 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