Lupus & antiphospholipid syndrome

Comorbidity burden and its impact on physical functioning and activities of daily living in patients with systemic lupus erythematosus

Rheumatology (Oxford)Published cross-sectional study

Authors' conclusion

Comorbidity burden is independently associated with poorer physical functioning and ADLs performance in people with SLE.

Study context

Population
Consecutive patients with systemic lupus erythematosus (SLE)consecutive patients with SLE
Participants
240 patients
Outcome
Comorbidity burden (ACCI and RDCI scores)
Methodological detailsconsecutive patients, multivariate linear regression models adjusted for potential demographic and clinical confounders
  • Consecutive patients
  • Multivariate linear regression models adjusted for potential demographic and clinical confounders

Main finding

As reported in the abstract

ACCI score, median (IQR)

2

1–3

Rheumatic Disease Comorbidity Index (RDCI) score, median (IQR)

0

0–2

Observational data: associations, not effects.

Further findings

Association of higher ACCI scores with physical function and ADLs

Impaired dexterity
P < 0.001
Reduced grip strength, across all models
P < 0.05
Higher Disabilities of the Arm, Shoulder, and Hand (DASH) scores and poorer scores in the “Physical Health” and “Pain” domains, after adjustment for pain intensity and fibromyalgia
P < 0.05
  • Multivariate analysis

Association of higher RDCI scores with physical function and ADLs

Impaired dexterity
P < 0.01
Higher DASH scores in three models
P < 0.05
Poorer scores in the “Physical Health” domain across all models
  • Multivariate analysis

Original publication

Comorbidity burden and its impact on physical functioning and activities of daily living in patients with systemic lupus erythematosus. Rheumatology (Oxford). Published 2 November 2026. doi:10.1093/rheumatology/keag610

Composed by AI from the published abstract and checked against it. How Briefs are made →

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