PO:05:149 Systemic lupus erythematosus management and T2T strategy: lessons from a national experience

Objectives To characterize patterns and variability in the management of systemic lupus erythematosus (SLE), including the implementation of a treat to target (T2T) strategy in Spain, and to identify relevant multi-level contextual factors, barriers and facilitators.Methods A qualitative study was conducted based on a contextual analysis (CA) following the Basel Approach for coNtextual ANAlysis (BANANA) framework.This approach included data collection of contextual factors extracted from the literature and other secondary sources, complemented by primary data collection on factors not captured in the review through five structured focus groups with rheumatologists.Results We observed significant variability in clinical practice regarding SLE management across regions and hospitals.