Lupus & antiphospholipid syndrome

Hydroxychloroquine Dose and Hospitalizations for Active Lupus

Arthritis RheumatolPublished Case-crossover study

Authors' conclusion

The use of lower doses of HCQ was associated with an increased risk of hospitalizations for active SLE.

Study context

Population
Patients with systemic lupus erythematosus (SLE) using hydroxychloroquine (HCQ) with ≥1 hospitalization for active SLE, academic health system, January 2011–December 2021from 2,974 HCQ users
Participants
122 patients
Comparison
Lower vs higher HCQ dose
Outcome
Hospitalization for active SLE
Follow-up
Six-month case or control period
Methodological detailsconditional logistic regression, single academic health system
  • Conditional logistic regression
  • Single academic health system

Main finding

As reported in the abstract

Hospitalizations for active SLE
Adjusted odds ratio (95% CI)
≤5 mg/kg/dayvs >5 mg/kg/day
4.20(1.45–12.19)
<400 mg/dayvs 400 mg/day
3.39(1.31–8.81)

Original publication

Hydroxychloroquine Dose and Hospitalizations for Active Lupus. Arthritis Rheumatol. Published 21 June 2024. doi:10.1002/art.42924

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