Lupus & antiphospholipid syndrome

Extrarenal symptoms associate with worse quality of life in patients enrolled in the AMP RA/SLE Lupus Nephritis Network

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Most patients had isolated renal disease and extrarenal manifestations associated with worse HRQOL.

Study context

Population
Lupus nephritis (LN) patients consecutively enrolled in the multicentre Accelerating Medicines Partnership, at a clinically indicated renal biopsy
Participants
181 participants
Exposure
LN with extrarenal disease vs isolated renal disease
  • Extrarenaln = 75
  • Isolated renaln = 106reference
Outcome
PROMIS-29 standardized T scores (health-related quality of life (HRQOL))
Follow-up
Time of clinically indicated renal biopsy
Methodological detailsmulticentre, multi-ethnic/racial, consecutive enrolment
  • Multicentre
  • Multi-ethnic/racial
  • Consecutive enrolment

Main finding

As reported in the abstract

PROMIS-29 HRQOL domains
  • Extrarenal vs isolated renal: significantly worse pain interference, ability to participate in social roles, physical function, and fatigue
  • Extrarenal: PROMIS-29 scores differed significantly from general population by >0.5 SD of reference mean in pain interference, physical function, and fatigue

Observational data: associations, not effects.

Further findings

Most common extrarenal manifestations

Rash
45%
Arthritis
40%
Alopecia
40%

Association of manifestations with scores

Arthritis most strongly associated with worse pain interference, physical function and fatigue scores

Original publication

Extrarenal symptoms associate with worse quality of life in patients enrolled in the AMP RA/SLE Lupus Nephritis Network. Rheumatology (Oxford). Published 26 March 2024. doi:10.1093/rheumatology/keae189

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

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