Lupus & antiphospholipid syndrome

Association of lupus low disease activity state and remission with reduced organ damage and flare in systemic lupus erythematosus patients with high disease activity: a multi-national, longitudinal cohort study

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

LLDAS and REM were achievable targets in HDAS patients, and provided significant protection against adverse outcomes.

Study context

Population
Systemic lupus erythematosus (SLE) patients with high disease activity status (HDAS; SLEDAI-2K ≥ 10), multinational cohort, 2013–2020
Participants
726 vs 418
Exposure
Attainment of cumulative and sustained lupus low disease activity state (LLDAS) or remission (REM) vs non-attainment in HDAS patients
  • LLDAS-evern = 726
  • REM-evern = 418
Outcome
Frequency of LLDAS and REM attainment in HDAS patients and association with subsequent organ damage accrual and flare
Methodological detailsmultinational, longitudinal, survival analyses
  • Multinational
  • Longitudinal
  • Survival analyses

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

Sustained LLDAS ≥3 months

Patients attaining ≥3 months sustained LLDAS
37% (n = 385)
Lower proportions attained sustained REM

≥50% cumulative time in LLDAS or REM

Approximately one-fifth of patients

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Association of lupus low disease activity state and remission with reduced organ damage and flare in systemic lupus erythematosus patients with high disease activity: a multi-national, longitudinal cohort study. Rheumatology (Oxford). Published 4 December 2024. doi:10.1093/rheumatology/keae631

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