Lupus & antiphospholipid syndrome

Defining the physician global assessment threshold equivalent to remission in patients with systemic lupus erythematosus

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Using a PGA threshold of <2 (0-10), corresponding to <0.6 (0-3), resulted in best prediction of physician remission.

Study context

Population
Patients with SLE in a single-centre lupus cohort
Participants
233 patients
Outcome
Ideal PGA threshold associated with physician remission
Methodological detailsmonocentric, ROC analysis, regression analyses
  • Monocentric
  • ROC analysis
  • Regression analyses

Main finding

As reported in the abstract

PGA threshold for physician remission
GroupSensitivitySpecificityAUC (physician remission)AUC (modDORIS)
Physician global assessment (PGA) <279%81%0.850.69

Physician global assessment (PGA) <2

Sensitivity79%
Specificity81%
AUC (physician remission)0.85
AUC (modDORIS)0.69

Observational data: associations, not effects.

Further findings

Remission rates

Physician remission
126 patients (54.0%)
DORIS remission
42.5%
modDORIS remission
67.0%

Factors associated with PGA

PGA in patients fulfilling any remission definition associated with pain and hypocomplementemia
Damage numerically higher in modDORIS only; no association between PGA and damage in regression analysis

Original publication

Defining the physician global assessment threshold equivalent to remission in patients with systemic lupus erythematosus. Rheumatology (Oxford). Published 7 September 2023. doi:10.1093/rheumatology/kead460

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

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