Lupus & antiphospholipid syndrome

Predictive value of the adjusted Global Anti-Phospholipid Syndrome Score on clinical recurrence in APS patients: a longitudinal study

Rheumatology (Oxford)Published Retrospective longitudinal study

Authors' conclusion

Our data support the role of periodic (annual) monitoring of the aGAPSS score in predicting clinical recurrence in patients with APS.

Study context

Population
Patients with APS; Adjusted global APS score (aGAPSS) calculated at baseline and yearly for up to 6 years (minimum 3 years) or until just before the clinical event
Participants
200 patients
Exposure
Average aGAPSS in patients with vs without clinical recurrence
Outcome
Recurrence of clinical manifestations by average aGAPSS over time
Methodological detailsCox regression analysis, multivariate analysis
  • Cox regression analysis
  • Multivariate analysis

Main finding

As reported in the abstract

Average aGAPSS

Recurrence

8.81

95% CI 7.53–10.08

No recurrence

6.38

95% CI 5.64–7.12

P = 0.001

Observational data: associations, not effects.

Further findings

OutcomeValuesP value
Average aGAPSS, thrombotic vs obstetric recurrenceThrombotic recurrence 9.48 (95% CI 8.14–10.82) · Obstetric recurrence 4.25 (95% CI 0.85–7.65)P = 0.006
Average aGAPSS, arterial vs venous thrombosisArterial thrombosis 10.66 (SD 5.48)P = 0.01

The therapeutic range (TTR) in vitamin K antagonists (VKA)-treated patients, thrombosis recurrence vs none

TTR not statistically different between patients with and without thrombosis recurrence

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

Original publication

Predictive value of the adjusted Global Anti-Phospholipid Syndrome Score on clinical recurrence in APS patients: a longitudinal study. Rheumatology (Oxford). Published 23 August 2022. doi:10.1093/rheumatology/keac485

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