Lupus & antiphospholipid syndrome

LUNELORD: A descriptive, prospective study on the demographics, disease characteristics and health-related quality of life of patients with LUpus NEphritis and long-term ORgan damage in rheumatology clinics in the Arabian Gulf

LupusPublished Prospective descriptive cohort study

Authors' conclusion

LUNELORD demonstrated a substantial burden of LN disease among patients and highlighted variable adherence to international management and treatment guidelines among rheumatologists in the Arabian Gulf.

Study context

Population
Adult patients with LN at rheumatology centres in the UAE, Qatar, Oman and Kuwait
Participants
193 patients
Outcome
Demographics, clinical characteristics, treatment patterns and health-related quality of life (HRQoL) (SF-36) of patients with LN
Follow-up
Up to 12 months
Methodological detailsmulticentre, 12 months of routine-care follow-up, retrospective chart abstraction up to 12 months before enrolment
  • Multicentre
  • 12 months of routine-care follow-up
  • Retrospective chart abstraction up to 12 months before enrolment

Main finding

As reported in the abstract

Characteristics and outcomes of patients with LN
Female
83.9%
Arab ethnicity
85.0%
Age, mean (SD), years
37.2 (10.4)
Renal biopsy performed
123 (64.4%)
ISN/RPS class V
23.4%
ISN/RPS class IV
22.7%
ISN/RPS class III
20.6%
HCQ at baseline
96.4%
Prednisolone at baseline
78.8%
MMF at baseline
69.3%
Renal remission during follow-up
123 (63.7%)
End-stage renal disease
12/177 (6.8%)

Observational data: associations, not effects.

Further findings

Association of reduced anti-dsDNA levels with renal remission · Months 3, 6 and 9

Significant association between reduced anti-dsDNA levels and renal remission

SF-36 general health domain score, mean (SD) change from baseline · Month 12

Change in general health domain score, mean (SD)
+9.5 [42.5]; p = 0.002
Overall SF-36 and other domain scores remained constant

Original publication

LUNELORD: A descriptive, prospective study on the demographics, disease characteristics and health-related quality of life of patients with LUpus NEphritis and long-term ORgan damage in rheumatology clinics in the Arabian Gulf. Lupus. Published 23 March 2026. doi:10.1177/09612033261432164

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