Lupus & antiphospholipid syndrome

Impact of disease activity patterns on health-related quality of life (HRQoL) in patients with systemic lupus erythematosus (SLE)

Lupus Sci MedPublished Retrospective cohort study

Main finding · Physical HRQoL (SF-36 physical component summary), multivariableResult — go to the resultRegression coefficient 3.2 95% CI 0.51–5.89

Authors' conclusion

A persistently quiescent disease may have a positive impact on patients' physical HRQoL and on depressive symptoms. However, this condition appears insufficient to obtain a significant improvement in mental health, fatigue and disease burden among patients with SLE.

Study context

Population
Adult SLE outpatients enrolled 2017–2021, single centre222 with complete 3-year data
Participants
241 outpatients
Exposure
Long quiescent (LQ) disease vs chronically active (CA)/relapsing-remitting (RR) disease in the 3 years before enrolment
Outcome
HRQoL (SF-36, Lupus Impact Tracker, Functional Assessment of Chronic Illness Therapy (FACIT), Hospital Anxiety and Depression Scale (HADS)) by disease activity pattern
Follow-up
3 years before enrolment
Methodological detailsmonocentric, analysis of prospectively collected data, multivariable analysis
  • Monocentric
  • Analysis of prospectively collected data
  • Multivariable analysis

Main finding

As reported in the abstract

Physical HRQoL (SF-36 physical component summary), multivariable

Regression coefficient

3.2

95% CI 0.51–5.89

P = 0.02

Observational data: associations, not effects.

Further findings

Factors associated with worse HRQoL at baseline

Fibromyalgia, organ damage, age and daily GC dose associated with worse HRQoL

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

Original publication

Impact of disease activity patterns on health-related quality of life (HRQoL) in patients with systemic lupus erythematosus (SLE). Lupus Sci Med. Published 29 July 2024. doi:10.1136/lupus-2024-001202

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