Lupus & antiphospholipid syndrome

High Prevalence but Low Impact of Cognitive Dysfunction on Quality of Life in Patients With Lupus and Neuropsychiatric Symptoms

Arthritis Care Res (Hoboken)Published Cohort study

Authors' conclusion

Objective cognitive impairment is common in SLE patients with NP symptoms, but may have a limited influence on HRQoL.

Study context

Population
Patients with systemic lupus erythematosus (SLE) and neuropsychiatric (NP) symptoms referred to the Leiden NPSLE clinic (2007–2019)169 with follow-up visit
Participants
357 patients
Exposure
Cognition vs NPSLE phenotype and cognition vs health-related-quality of life (HRQoL)
Outcome
Prevalence of cognitive impairment and its impact on HRQoL (SF-36 mental and physical component scores)
Methodological detailsmultidisciplinary evaluation, multiple regression analyses and linear mixed models corrected for confounding
  • Multidisciplinary evaluation
  • Multiple regression analyses and linear mixed models corrected for confounding

Main finding

As reported in the abstract

Cognitive impairment prevalence

Impairment in global cognitive function

8%

Impairment in all other cognitive domains

±50%

Observational data: associations, not effects.

Further findings

Association between cognition and HRQoL

Weak association, cross-sectionally and longitudinally
1 SD lower cognitive domain scores associated with at most one-fifth SD lower HRQoL

Original publication

High Prevalence but Low Impact of Cognitive Dysfunction on Quality of Life in Patients With Lupus and Neuropsychiatric Symptoms. Arthritis Care Res (Hoboken). Published 12 December 2022. doi:10.1002/acr.24904

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

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