Lupus & antiphospholipid syndrome

Association of Modified Systemic Lupus Erythematosus Responder Index Attainment With Long‐Term Clinical Outcomes: A Five‐Year Prospective Study

Arthritis RheumatolPublished Prospective cohort study

An erratum to this article was published (Arthritis Rheumatol, Aug 2023 ↗)

Authors' conclusion

In SLE patients with active disease receiving standard of care, mSRI attainment predicts favorable outcomes over long-term follow-up

Study context

Population
Systemic lupus erythematosus (SLE) patients with active disease (SLEDAI-2K ≥6) receiving standard of care, large multicentre longitudinal cohortmedian baseline SLEDAI-2K 8
Participants
2,060 patients
Exposure
mSRI responders vs nonresponders
Outcome
Association of mSRI attainment with long-term clinical outcomes
Follow-up
Annually up to 5 years
Methodological detailsmulticentre, longitudinal, up to 5 years of follow-up
  • Multicentre
  • Longitudinal
  • Up to 5 years of follow-up

Main finding

As reported in the abstract

mSRI response attained at 1 year

56%

Observational data: associations, not effects.

Further findings

OutcomeOR rangeP value
Damage accrual at subsequent years, predicted by mSRI responder status at 1 year0.58-0.69P < 0.05 for damage accrual ORs at all time points

Damage accrual at subsequent years, predicted by mSRI responder status at 1 year

mSRI responder status at 1 year predicted clinical benefit at subsequent years across most outcomes

Original publication

Association of Modified Systemic Lupus Erythematosus Responder Index Attainment With Long‐Term Clinical Outcomes: A Five‐Year Prospective Study. Arthritis Rheumatol. Published 16 December 2022. doi:10.1002/art.42350

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