Systemic sclerosis & Raynaud's

Factors associated with variations in the 6-minute walk distance during the follow-up of patients with systemic sclerosis

Arthritis Res TherPublished Longitudinal cohort study

Authors' conclusion

While it remains valuable as a marker of disability and functioning, the variation in the 6MWD does not seem to be a robust surrogate for modifications in organ involvements of SSc patients.

Study context

Population
Consecutive patients with systemic sclerosis (SSc), including a subgroup with ILD or PH, followed over two years
Participants
227 vs 88
Exposure
Global vs ILD or PH
  • Globaln = 227
  • ILD or PHn = 88
Outcome
Associations between variations in 6MWD (Δ6MWD) and evolution of organ involvement
Follow-up
two-year follow-up
Methodological detailsconsecutive patients, two-year follow-up, multivariate analysis
  • Consecutive patients
  • Two-year follow-up
  • Multivariate analysis

Main finding

As reported in the abstract

Δ6MWD during follow-up

Global

- 11.6

mean · ± 67.5 · m

ILD or PH

- 16

mean · ± 74 · m

Δ6MWD vs ΔΔBorg score
P = 0.002
Δ6MWD vs ΔNYHA
P < 10- 3
Δ6MWD vs Δright atrial area
P = 0.045
Δ6MWD vs persistently elevated Nt-pro-BNP levels
P < 10- 3
Δ6MWD vs ΔΔheart rate
P = 0.015
Δ6MWD vs Δinitial heart rate
P = 0.024
Δ6MWD vs occurrence of joint symptoms
P = 0.006
Δ6MWD vs ΔHAQ-DI score
P = 0.023
Multivariate model R2
0.53
Multivariate model adjusted R2
0.36

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Factors associated with variations in the 6-minute walk distance during the follow-up of patients with systemic sclerosis. Arthritis Res Ther. Published 1 May 2026. doi:10.1186/s13075-026-03821-x

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