Lupus & antiphospholipid syndrome

Outcome clusters and their stability over 1 year in patients with SLE: self-reported and performance-based cognitive function, disease activity, mood and health-related quality of life

Lupus Sci MedPublished Retrospective cohort study

Authors' conclusion

Three distinct clusters of symptom intensity were documented in patients with SLE in association with cognitive function. There was a lower tendency for patients in the mild and severe clusters to move but not moderate cluster over the course of a year.

Study context

Population
Consecutive consenting patients with SLE followed at a single centre
Participants
142 participants
Exposure
Cluster 1 vs Cluster 2 vs Cluster 3
Outcome
Clustering of self-reported fatigue, anxiety, depression, cognitive difficulties, health-related quality of life, disease activity (SLEDAI-2K) and neuropsychological battery by symptom intensity, and change at 1-year follow-up
Follow-up
1 year
Methodological detailssingle-centre, consecutive consenting patients, Ward's method clustering, principal component analysis, kappa statistic for 1-year stability
  • Single-centre
  • Consecutive consenting patients
  • Ward's method clustering
  • Principal component analysis
  • Kappa statistic for 1-year stability

Main finding

As reported in the abstract

1-year follow-up
GroupValueMoved to severe clusterMoved to moderate clusterMoved to mild cluster
Cluster 177%19%
Cluster 23%
Cluster 351%40%9%

Value

Cluster 177%
Cluster 23%
Cluster 351%

Moved to severe cluster

Cluster 119%
Cluster 2— not stated in the abstract
Cluster 3— not stated in the abstract

Moved to moderate cluster

Cluster 1— not stated in the abstract
Cluster 2— not stated in the abstract
Cluster 340%

Moved to mild cluster

Cluster 1— not stated in the abstract
Cluster 2— not stated in the abstract
Cluster 39%
Patients remaining in baseline cluster at 1 year
49%

Observational data: associations, not effects.

Original publication

Outcome clusters and their stability over 1 year in patients with SLE: self-reported and performance-based cognitive function, disease activity, mood and health-related quality of life. Lupus Sci Med. Published 11 July 2024. doi:10.1136/lupus-2023-001006

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.