Kai Sun
Assistant Professor of Medicine
My clinical interests are in general rheumatology, lupus, and musculoskeletal ultrasound. My research interest is in healthcare disparities and medication adherence in rheumatology.
Current Research Interests
My research interest is in reducing healthcare disparities among patients with systemic lupus erythematosus, specifically developing and testing interventions to improve lupus medication adherence.
Current Appointments & Affiliations
- Assistant Professor of Medicine, Medicine, Rheumatology and Immunology, Medicine 2021
Contact Information
- DUMC 2978, Durham, NC 27710
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kai.sun@duke.edu
- Background
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Education, Training, & Certifications
- Fellowship in Rheumatology, Hospital for Special Surgery, Cornell University, Weill Medical College 2014 - 2017
- Internal Medicine Residency, Northwestern Memorial Hospital 2011 - 2014
- M.D., Washington University School of Medicine 2011
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Medical Licensure
- 2017-01231. North Carolina. 2017
- 273898. New York. 2014
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Previous Appointments & Affiliations
- Assistant Professor of Medicine, Medicine, Rheumatology and Immunology, Medicine 2019 - 2020
- Medical Instructor in the Department of Medicine, Medicine, Rheumatology and Immunology, Medicine 2017 - 2019
- Recognition
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In the News
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AUG 12, 2021 RheumatologyAdvisor -
JUN 17, 2021 AARP -
APR 9, 2021 RheumtologyAdvisor -
MAR 29, 2021 Healio Rheumatology -
FEB 10, 2020 The Rheumatologist -
AUG 6, 2019 Healio Rheumatology
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- Research
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Selected Grants
- Duke CTSA (KL2) awarded by National Institutes of Health 2018 - 2023
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Fellowships, Supported Research, & Other Grants
- REsearch to AdvanCe Healthcare Equity (REACH Equity) Career Development Award awarded by Duke Center for REsearch to AdvanCe Healthcare Equity 2018 - 2020
- Publications & Artistic Works
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Selected Publications
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Academic Articles
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Sun, Kai, Amanda M. Eudy, Jennifer L. Rogers, Lisa G. Criscione-Schreiber, Rebecca E. Sadun, Jayanth Doss, Mithu Maheswaranathan, et al. “Pilot Intervention to Improve Medication Adherence Among Patients With Systemic Lupus Erythematosus Using Pharmacy Refill Data.” Arthritis Care Res (Hoboken) 75, no. 3 (March 2023): 550–58. https://doi.org/10.1002/acr.24806.Full Text Link to Item
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Sun, Kai, Theresa M. Coles, Corrine I. Voils, D Ryan Anderson, Amanda M. Eudy, Rebecca E. Sadun, Jennifer L. Rogers, et al. “Development and Initial Validation of a Systemic Lupus Erythematosus-Specific Measure of the Extent of and Reasons for Medication Nonadherence.” J Rheumatol 50, no. 2 (February 2023): 296. https://doi.org/10.3899/jrheum.220399.C1.Full Text Link to Item
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Sun, Kai, Theresa M. Coles, Corrine I. Voils, D Ryan Anderson, Amanda M. Eudy, Rebecca E. Sadun, Jennifer L. Rogers, et al. “Development and Initial Validation of a Systemic Lupus Erythematosus-Specific Measure of the Extent of and Reasons for Medication Nonadherence.” J Rheumatol 49, no. 12 (December 2022): 1341–48. https://doi.org/10.3899/jrheum.220399.Full Text Link to Item
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Sun, Kai, Amy L. Corneli, Carrie Dombeck, Teresa Swezey, Jennifer L. Rogers, Lisa G. Criscione-Schreiber, Rebecca E. Sadun, et al. “Barriers to Taking Medications for Systemic Lupus Erythematosus: A Qualitative Study of Racial Minority Patients, Lupus Providers, and Clinic Staff.” Arthritis Care Res (Hoboken) 74, no. 9 (September 2022): 1459–67. https://doi.org/10.1002/acr.24591.Full Text Link to Item
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Eudy, Amanda M., Jennifer L. Rogers, Amy Corneli, Kevin McKenna, Mithu Maheswaranathan, David S. Pisetsky, Lisa G. Criscione-Schreiber, et al. “Intermittent and Persistent Type 2 lupus: patient perspectives on two distinct patterns of Type 2 SLE symptoms.” Lupus Sci Med 9, no. 1 (August 2022). https://doi.org/10.1136/lupus-2022-000705.Full Text Link to Item
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Maheswaranathan, Mithu, Amanda M. Eudy, Ann Cameron Barr, Catherine Howe, Jayanth Doss, Rebecca E. Sadun, Lisa G. Criscione-Schreiber, et al. “Association of Health Literacy and Numeracy With Lupus Knowledge and the Creation of the Lupus Knowledge Assessment Test.” J Rheumatol 49, no. 6 (June 2022): 585–91. https://doi.org/10.3899/jrheum.210708.Full Text Link to Item
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Eudy, Amanda M., Bryce B. Reeve, Theresa Coles, Li Lin, Jennifer L. Rogers, David S. Pisetsky, Lisa G. Criscione-Schreiber, et al. “The use of patient-reported outcome measures to classify type 1 and 2 systemic lupus erythematosus activity.” Lupus 31, no. 6 (May 2022): 697–705. https://doi.org/10.1177/09612033221090885.Full Text Link to Item
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Sun, Kai, Amanda M. Eudy, Lisa G. Criscione-Schreiber, Rebecca E. Sadun, Jennifer L. Rogers, Jayanth Doss, Amy L. Corneli, Hayden B. Bosworth, and Megan E. B. Clowse. “Racial Differences in Patient-provider Communication, Patient Self-efficacy, and Their Associations With Systemic Lupus Erythematosus-related Damage: A Cross-sectional Survey.” J Rheumatol 48, no. 7 (July 2021): 1022–28. https://doi.org/10.3899/jrheum.200682.Full Text Link to Item
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Rogers, Jennifer L., Amanda M. Eudy, David Pisetsky, Lisa G. Criscione-Schreiber, Kai Sun, Jayanth Doss, and Megan E. B. Clowse. “Using Clinical Characteristics and Patient-Reported Outcome Measures to Categorize Systemic Lupus Erythematosus Subtypes.” Arthritis Care Res (Hoboken) 73, no. 3 (March 2021): 386–93. https://doi.org/10.1002/acr.24135.Full Text Link to Item
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Sun, Kai, Jackie Szymonifka, Henghe Tian, Yaju Chang, Jennifer C. Leng, and Lisa A. Mandl. “Association of Traditional Chinese Medicine Use With Adherence to Prescribed Western Rheumatic Medications Among Chinese American Patients: A Cross-Sectional Survey.” Arthritis Care Res (Hoboken) 72, no. 10 (October 2020): 1474–80. https://doi.org/10.1002/acr.24031.Full Text Link to Item
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Sun, Kai, Amanda M. Eudy, Lisa G. Criscione-Schreiber, Rebecca E. Sadun, Jennifer L. Rogers, Jayanth Doss, Amy L. Corneli, Hayden B. Bosworth, and Megan E. B. Clowse. “Racial Disparities in Medication Adherence between African American and Caucasian Patients With Systemic Lupus Erythematosus and Their Associated Factors.” Acr Open Rheumatol 2, no. 7 (July 2020): 430–37. https://doi.org/10.1002/acr2.11160.Full Text Open Access Copy Link to Item
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Sun, Kai, Jackie Szymonifka, Henghe Tian, Yaju Chang, Jennifer C. Leng, and Lisa A. Mandl. “Is Traditional Chinese Medicine Use Associated with Worse Patient-reported Outcomes among Chinese American Rheumatology Patients?” J Rheumatol 46, no. 12 (December 2019): 1634–39. https://doi.org/10.3899/jrheum.181148.Full Text Link to Item
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Cui, Liu-fu, Hui-jing Shi, Shou-ling Wu, Rong Shu, Na Liu, Guan-ying Wang, Bin Zhou, et al. “Association of serum uric acid and risk of hypertension in adults: a prospective study of Kailuan Corporation cohort.” Clinical Rheumatology 36, no. 5 (May 2017): 1103–10. https://doi.org/10.1007/s10067-017-3548-2.Full Text
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Sun, Kai, Brian Barlow, Fardina Malik, Allan Inglis, Mark Figgie, and Susan Goodman. “Total Hip Arthroplasty in a Patient with Multicentric Carpotarsal Osteolysis: a Case Report.” Hss Journal ® 12, no. 2 (July 2016): 177–81. https://doi.org/10.1007/s11420-015-9478-0.Full Text
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Sun, Kai, Jing Song, Larry M. Manheim, Rowland W. Chang, Kent C. Kwoh, Pamela A. Semanik, Charles B. Eaton, and Dorothy D. Dunlop. “Relationship of meeting physical activity guidelines with quality-adjusted life-years.” Seminars in Arthritis and Rheumatism 44, no. 3 (December 2014): 264–70. https://doi.org/10.1016/j.semarthrit.2014.06.002.Full Text
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Sun, Kai, Jing Song, Jungwha Lee, Rowland W. Chang, Charles B. Eaton, Linda Ehrlich-Jones, Kent C. Kwoh, et al. “Relationship of Meeting Physical Activity Guidelines With Health-Related Utility.” Arthritis Care &Amp; Research 66, no. 7 (July 2014): 1041–47. https://doi.org/10.1002/acr.22262.Full Text
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Zhang, Yao, Kai Sun, Lan Yu, Zhirong Tang, Shaobiao Huang, Zhihao Meng, Yuanjia Zheng, et al. “Factors associated with survival among adults with HIV-associated TB in Guangxi, China: a retrospective cohort study.” Future Virology 7, no. 9 (September 2012): 933–42. https://doi.org/10.2217/fvl.12.76.Full Text
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Zhang, Yao, Zhihui Dou, Kai Sun, Ye Ma, Ray Y. Chen, Marc Bulterys, Yan Zhao, Hao Zhu, Zhongfu Liu, and Fujie Zhang. “Association Between Missed Early Visits and Mortality Among Patients of China National Free Antiretroviral Treatment Cohort.” Jaids Journal of Acquired Immune Deficiency Syndromes 60, no. 1 (May 1, 2012): 59–67. https://doi.org/10.1097/qai.0b013e31824c3d9f.Full Text
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Zhang, Yao, Lan Yu, Zhirong Tang, Shaobiao Huang, Yuanjia Zheng, Zhihao Meng, K. Sun, Liming Wang, Ray Chen, and Fujie Zhang. “Diagnosis of pulmonary tuberculosis among asymptomatic HIV+ patients in Guangxi, China.” Chinese Medical Journal 123, no. 23 (December 1, 2010): 3400–3405.
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Sun, K., Shuntai Zhou, Ray Chen, Myron Cohen, and Fujie Zhang. “Recent Key Advances in Human Immununodeficiency Virus Medicine and Implications for China.” Aids Research and Therapy 7, no. 12 (May 26, 2010).
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Torres-Russotto, D., W. M. Landau, G. W. Harding, B. A. Bohne, K. Sun, and P. M. Sinatra. “Calibrated finger rub auditory screening test (CALFRAST).” Neurology 72, no. 18 (May 5, 2009): 1595–1600. https://doi.org/10.1212/wnl.0b013e3181a41280.Full Text
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Sadun, Rebecca Eli, Amanda M. Eudy, Lavanya Vasudevan, Kiana R. Johnson, Vanessa L. Lauzon, Jennifer L. Rogers, Kai Sun, et al. “COVID-19 Vaccine Acceptance in Rheumatology Patients in the United States,” n.d.
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Conference Papers
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Barr, Ann Cameron, Megan Clowse, Mithu Maheswaranathan, Lena Eder, Amanda M. Eudy, Lisa G. Criscione-Schreiber, Jennifer L. Rogers, Rebecca E. Sadun, Jayanth Doss, and Kai Sun. “Association of Hurried Communication and Low Patient Self-Efficacy With Persistent Nonadherence to Lupus Medications.” In Arthritis Care Res (Hoboken), 75:69–75, 2023. https://doi.org/10.1002/acr.25030.Full Text Link to Item
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Cisneros, Emilio Guzman, Shannon Herndon, Theresa Coles, Corrine Voils, Megan Clowse, Rebecca Sadun, Jennifer Rogers, et al. “Racial Differences in Medication Beliefs and Barriers to Taking Medications Among Patients with SLE.” In Arthritis & Rheumatology, 74:212–15, 2022.Link to Item
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Eudy, Amanda, Jennifer Rogers, Kai Sun, Rebecca Sadun, David Pisetsky, Mithu Maheswaranathan, Jayanth Doss, Lisa Criscione-Schreiber, and Megan Clowse. “Pilot Study to Implement the Type 1 & 2 SLE Model in an Academic Rheumatology Clinic.” In Arthritis & Rheumatology, 74:92–94, 2022.Link to Item
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Herndon, Shannon, Amy Corneli, Carrie Dombeck, Teresa Swezey, Megan Clowse, Jennifer Rogers, Lisa Criscione-Schreiber, et al. “Facilitators of Immunosuppressive Medication Adherence in Systemic Lupus Erythematosus: A Qualitative Study of Racial Minority Patients, Lupus Providers and Clinic Staff.” In Arthritis & Rheumatology, 74:210–12, 2022.Link to Item
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Rogers, Jennifer, Amanda Eudy, Roberta Alexander, David Pisetsky, John Conklin, Kai Sun, Lisa Criscione-Schreiber, et al. “The Use of Cell-bound Complement Activation Product to Assess Disease Activity in SLE.” In Arthritis & Rheumatology, 74:4159–61, 2022.Link to Item
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Sims, Catherine, Amanda Eudy, Jayanth Doss, Lisa Criscione-Schreiber, Kai Sun, Rebecca Sadun, Jennifer L. Rogers, and Megan Clowse. “The Impact of Pregnancy Planning and Medical Readiness on Reproductive Outcomes in Women with SLE.” In Arthritis & Rheumatology, 74:1866–67, 2022.Link to Item
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Sun, Kai, Nneka Molokwu, Amy Corneli, Kathryn Pollak, Alexandria Bennion, Jennifer L. Rogers, Rebecca Sadun, et al. “Implementability of a SLE Medication Adherence Intervention.” In Arthritis & Rheumatology, 74:104–6, 2022.Link to Item
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Anderson, D Ryan, Amanda Eudy, Megan Clowse, Rebecca Sadun, Jennifer Rogers, Lisa Criscione-Schreiber, Jayanth Doss, Corrine Volis, Theresa Coles, and Kai Sun. “Racial Differences in Medication Beliefs Among SLE Patients.” In Arthritis & Rheumatology, 73:1220–21, 2021.Link to Item
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Barr, Ann, Catherine Howe, Jennifer Rogers, Jayanth Doss, Rebecca Sadun, Lisa Criscione-Schreiber, Megan Clowse, Kai Sun, and Mithu Maheswaranathan. “Association of Limited Health Literacy with Patient-Provider Communication in Systemic Lupus Erythematosus.” In Arthritis & Rheumatology, 73:2664–66, 2021.Link to Item
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Eudy, Amanda, Jennifer Rogers, Amy Corneli, Kevin McKenna, David Pisetsky, Mithu Maheswaranathan, Lisa Criscione-Schreiber, et al. “Patient Perspectives on Two Distinct Patterns of Type 2 SLE Symptoms.” In Arthritis & Rheumatology, 73:2641–42, 2021.Link to Item
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Maheswaranathan, Mithu, Amanda Eudy, Ann Barr, Catherine Howe, Stacy Bailey, Susan Hastings, Jennifer Rogers, et al. “Association of Numeracy with Medication Non-Adherence in Systemic Lupus Erythematosus.” In Arthritis & Rheumatology, 73:261–63, 2021.Link to Item
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Rogers, Jennifer, Rory Bloch, Amanda Eudy, David Pisetsky, Roberta Alexander, John Conklin, Kai Sun, et al. “Cell-bound Complement Activation Products (CB-CAPs) Predicts Type 1 SLE Activity.” In Arthritis & Rheumatology, 73:1800–1802, 2021.Link to Item
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Sadun, Rebecca, Amanda Eudy, Jennifer Rogers, Kai Sun, Lisa Criscione-Schreiber, Mithu Maheswaranathan, Jayanth Doss, and Megan Clowse. “COVID-19 Vaccine Hesitancy in Rheumatology Patients.” In Arthritis & Rheumatology, 73:3314–16, 2021.Link to Item
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Sadun, Rebecca, Mithu Maheswaranathan, Megan Clowse, Kai Sun, Jennifer Rogers, Jayanth Doss, Lisa Criscione-Schreiber, and Amanda Eudy. “The Impact of Health Literacy and Numeracy on COVID-19 Vaccine Hesitancy in SLE.” In Arthritis & Rheumatology, 73:3354–56, 2021.Link to Item
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Sims, Catherine, Amanda Eudy, Jayanth Doss, Lisa Criscione-Schreiber, Kai Sun, Rebecca Sadun, Jennifer Rogers, and Megan Clowse. “A Pregnancy Planning Quality Score to Assess a Systematic Intervention to Improve Pregnancy Planning for Women with SLE.” In Arthritis & Rheumatology, 73:3596–98, 2021.Link to Item
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Sun, Kai, Amanda Eudy, D Ryan Anderson, Rebecca Sadun, Lisa Criscione-Schreiber, Jayanth Doss, Jennifer Rogers, Theresa Coles, Corrine Volis, and Megan Clowse. “Validation of a Self-reported Measure of Extent and Reasons for Nonadherence in SLE.” In Arthritis & Rheumatology, 73:1273–74, 2021.Link to Item
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Sun, Kai, Amanda Eudy, Jennifer Rogers, Lisa Criscione-Schreiber, Rebecca Sadun, Jayanth Doss, Kelley Brady, et al. “Association of HCQ Blood Levels with Type 1 and 2 SLE Activity.” In Arthritis & Rheumatology, 73:1818–20, 2021.Link to Item
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Sun, Kai, Amanda Eudy, Jennifer Rogers, Rebecca Sadun, Lisa Criscione-Schreiber, Jayanth Doss, Mithu Maheswaranathan, et al. “Intervention to Improve SLE Medication Adherence.” In Arthritis & Rheumatology, 73:1271–73, 2021.Link to Item
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Clowse, Megan, Amanda Eudy, Lisa Criscione-Schreiber, Jayanth Doss, Kai Sun, Rebecca Sadun, and Jennifer Rogers. “Use of a Patient-reported Survey to Document Contraceptive Use and Interest in Pregnancy to Identify Patients with Unmet Pregnancy Prevention and Planning Needs.” In Arthritis & Rheumatology, Vol. 72, 2020.Link to Item
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Eder, Lena, Megan Clowse, Amanda Eudy, Jennifer Rogers, Rebecca Sadun, Lisa Criscione-Schreiber, Jayanth Doss, et al. “Medication Adherence Barriers and Opportunities to Overcome Them Among Patients with SLE.” In Arthritis & Rheumatology, Vol. 72, 2020.Link to Item
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Eudy, Amanda, Bryce Reeve, Theresa Coles, Li Lin, Jennifer Rogers, Lisa Criscione-Schreiber, Jayanth Doss, et al. “Using Patient-Reported Outcomes Measures to Classify Patients with Systemic Lupus Erythematous.” In Arthritis & Rheumatology, Vol. 72, 2020.Link to Item
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Maheswaranathan, Mithu, Amanda Eudy, Jayanth Doss, Rebecca Sadun, Lisa Criscione-Schreiber, Kai Sun, Stacy Bailey, S Nicole Hastings, Megan Clowse, and Jennifer Rogers. “Assessment of Lupus Knowledge Through Creation of the Lupus Knowledge Assessment Test (LKAT).” In Arthritis & Rheumatology, Vol. 72, 2020.Link to Item
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Maheswaranathan, Mithu, Jennifer Rogers, Amanda Eudy, Kai Sun, Stacy Bailey, S Nicole Hastings, and Megan Clowse. “Association of Health Literacy and Numeracy with Patient Reported Psychological Outcomes.” In Arthritis & Rheumatology, Vol. 72, 2020.Link to Item
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Rogers, Jennifer, Megan Clowse, Lisa Criscione-Schreiber, Jayanth Doss, Rebecca Sadun, Kai Sun, and Amanda Eudy. “Lupus Nephritis Is Associated with a Reduced Prevalence of Fibromyalgia.” In Arthritis & Rheumatology, Vol. 72, 2020.Link to Item
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Sadun, Rebecca, Jennifer Rogers, Kai Sun, Karissa Grier, Lisa Criscione-Schreiber, Mithu Maheswaranathan, Jayanth Doss, and Megan Clowse. “The Impact of the COVID-19 Pandemic on the Fibromyalgia Symptoms of SLE Patients.” In Arthritis & Rheumatology, Vol. 72, 2020.Link to Item
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Sun, Kai, Jennifer Rogers, Rebecca Sadun, Amanda Eudy, Jayanth Doss, Lisa Criscione-Schreiber, Ann Cameron Barr, et al. “Intervention to Improve SLE Medication Adherence Using Surescripts Pharmacy Refill Data.” In Arthritis & Rheumatology, Vol. 72, 2020.Link to Item
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Whitney, Raeann, Amanda Eudy, Cynthia Coffman, Megan Clowse, Lisa Criscione-Schreiber, Jayanth Doss, Rebecca Sadun, Kai Sun, and Jennifer Rogers. “Type 2 SLE Symptoms Persist Despite Type 2 Medication Polypharmacy.” In Arthritis & Rheumatology, Vol. 72, 2020.Link to Item
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Clowse, Megan, Jennifer Rogers, Amanda Eudy, Lisa Criscione-Schreiber, Jayanth Doss, Rebecca Sadun, Kai Sun, et al. “Biologic Differences Between Type 1 and 2 Lupus.” In Arthritis & Rheumatology, Vol. 71. WILEY, 2019.Link to Item
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Eudy, Amanda, Jennifer Rogers, Raeann Whitney, Lisa Criscione-Schreiber, Jayanth Doss, David Pisetsky, Rebecca Sadun, Kai Sun, and Megan Clowse. “Longitudinal Changes in Manifestations of SLE.” In Arthritis & Rheumatology, Vol. 71. WILEY, 2019.Link to Item
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Harris, Nathaniel, Amanda Eudy, Megan Clowse, Lisa Criscione-Schreiber, Jayanth Doss, Rebecca Sadun, Jennifer Rogers, and Kai Sun. “The PROMIS-29 as a Measure of Type 1 and 2 SLE Activity.” In Arthritis & Rheumatology, Vol. 71. WILEY, 2019.Link to Item
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Rogers, Jennifer, Raeann Whitney, Megan Clowse, Lisa Criscione-Schreiber, Jayanth Doss, David Pisetsky, Rebecca Sadun, Kai Sun, and Amanda Eudy. “Disability Among Subtypes of SLE.” In Arthritis & Rheumatology, Vol. 71. WILEY, 2019.Link to Item
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Sun, Kai, Amanda Eudy, Jennifer Rogers, Lisa Criscione-Schreiber, Jayanth Doss, Rebecca Sadun, and Megan Clowse. “Racial Disparities in Lupus Medication Adherence.” In Arthritis & Rheumatology, Vol. 71. WILEY, 2019.Link to Item
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Sun, Kai, Amanda Eudy, Jennifer Rogers, Lisa Criscione-Schreiber, Jayanth Doss, Rebecca Sadun, and Megan Clowse. “Racial Disparities in Factors Associated with SLICC Damage Score Among Patients with SLE.” In Arthritis & Rheumatology, Vol. 71. WILEY, 2019.Link to Item
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Sun, Kai, Carrie Dombeck, Teresa Swezey, Amy Corneli, Amanda Eudy, Rebecca Sadun, Jennifer Rogers, Lisa Criscione-Schreiber, Jayanth Doss, and Megan Clowse. “Barriers and Facilitators of Medication Adherence Among Minority SLE Patients: A Qualitative Study.” In Arthritis & Rheumatology, Vol. 71. WILEY, 2019.Link to Item
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Whitney, Raeann, Amanda Eudy, Megan Clowse, Lisa Criscione-Schreiber, Jayanth Doss, David Pisetsky, Kai Sun, Rebecca Sadun, and Jennifer Rogers. “Pharmacotherapies Targeting Type 2 SLE Symptoms.” In Arthritis & Rheumatology, Vol. 71. WILEY, 2019.Link to Item
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Eudy, Amanda M., Jennifer Rogers, Lisa Criscione-Schreiber, David Pisetsky, Kai Sun, Jay Doss, and Megan E. B. Clowse. “The Influence of Depression on Clinical Features of Systemic Lupus Erythematosus.” In Arthritis & Rheumatology, Vol. 70. WILEY, 2018.Link to Item
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Rogers, Jennifer, Amanda M. Eudy, Lisa Criscione-Schreiber, David Pisetsky, Kai Sun, Jay Doss, and Megan E. B. Clowse. “The Use of Patient-Reported Outcome Measures to Assess Clinical Features of Fibromyalgia in SLE.” In Arthritis & Rheumatology, Vol. 70. WILEY, 2018.Link to Item
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- Scholarly, Clinical, & Service Activities
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Service to the Profession
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