Lupus & antiphospholipid syndrome

Red blood cell distribution width as a surrogate biomarker of damage and disease activity in patients with systemic lupus erythematosus

Clin Exp RheumatolPublished Cross-sectional study

Main finding · RDW, after multivariable adjustmentResult — go to the resultBeta coefficient 0.8 % 95% CI 0.3–1

Authors' conclusion

RDW may serve as a surrogate biomarker of accrual disease damage and activity in patients with SLE.

Study context

Population
Patients with systemic lupus erythematosus (SLE) and age- and sex-matched healthy controls
Participants
284 vs 181
Exposure
SLE vs age- and sex-matched healthy controls
  • SLEn = 284
  • Controlsn = 181reference
Outcome
RDW and its relationship with SLE disease characteristics, including composite scores of disease activity and damage
Methodological detailsage- and sex-matched healthy controls, multivariable analysis
  • Age- and sex-matched healthy controls
  • Multivariable analysis

Main finding

RDW, after multivariable adjustment

Beta coefficient

0.8 %

95% CI 0.3–1

P = 0.003

As reported in the abstract

Observational data: associations, not effects.

Further findings

Disease characteristics associated with RDW

ENA, APS, prednisone and AZA use significantly associated with higher RDW after adjustment for confounders

Original publication

Red blood cell distribution width as a surrogate biomarker of damage and disease activity in patients with systemic lupus erythematosus. Clin Exp Rheumatol. Published 3 November 2023. doi:10.55563/clinexprheumatol/f0jnnm

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