Inflammatory myopathies

Associations between 6-minute walk distance and physiologic measures and clinical outcomes in myositis-associated interstitial lung disease

Rheumatology (Oxford)Published Secondary analysis of the Attack My-ILD randomised trial

Authors' conclusion

Exploratory work in a small cohort of MA-ILD demonstrated 6MWD over time associated with parallel changes in FVC and patient-reported outcomes of dyspnoea, but not with DLCO.

Study context

Population
Patients with anti-synthetase antibodies and active myositis-associated ILD (myositis-associated interstitial lung disease (MA-ILD)) in a 48-week trialmedian age 57 years
Participants
20 patients
Primary endpoint
Associations between 6MWD and physiologic, clinical and radiographic parameters, cross-sectionally and longitudinally
Methodological detailsexploratory, multicentre, Spearman's correlations, repeated-measures linear mixed-effects models
  • Exploratory
  • Multicentre
  • Spearman's correlations
  • Repeated-measures linear mixed-effects models

Primary result

As reported in the abstract

Associations of 6MWD with other measures
  • Baseline 6MWD did not associate with baseline pulmonary function tests
  • 6MWD over time associated with forced vital capacity (FVC) over time, but not with DLCO
  • 6MWD over time correlated with UCSD Shortness of Breath questionnaire dyspnoea score, Borg scores, global disease activity and muscle strength over time
  • SF-36 emotional role functioning, vitality, general health and physical functioning scores correlated with 6MWD over time

Original publication

Associations between 6-minute walk distance and physiologic measures and clinical outcomes in myositis-associated interstitial lung disease. Rheumatology (Oxford). Published 2 September 2024. doi:10.1093/rheumatology/keae477

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