Lupus & antiphospholipid syndrome

Remission and low disease activity are associated with lower healthcare costs: results from the Systemic Lupus International Collaborating Clinics (SLICC) inception cohort

Ann Rheum DisPublished Prospective inception cohort study

Authors' conclusion

Our data suggest that systemic lupus erythematosus patients who achieve remission, both off and on-therapy, and reductions in disease activity incur lower costs than those experiencing persistent disease activity.

Study context

Population
SLE patients enrolled within 15 months of diagnosis, SLICC inception cohort, assessed annuallymean follow-up 9.7 years
Participants
1,692 patients
Exposure
Proportion of time in remission/LDA states vs active disease
Outcome
Annual direct and indirect costs (2021 Canadian dollars) per 25% increase in time in a remission/LDA state vs active
Methodological detailsmulticentre, 31 centres in 10 countries, multivariable random-effects linear regressions
  • Multicentre
  • 31 centres in 10 countries
  • Multivariable random-effects linear regressions

Main finding

As reported in the abstract

Annual direct/indirect costs per 25% increase in time in state vs active
Remission off-treatment
difference in DC -$C1372
Remission off-treatment
difference in IC -$C2507
Remission on-treatment
difference in DC -$C973
Remission on-treatment
difference in IC -$C2604
LDA-TC
difference in DC -$C1158
Modified lupus LDA state (mLLDAS)
difference in DC -$C1040
Proportion of assessments active
49.0%

Observational data: associations, not effects.

Original publication

Remission and low disease activity are associated with lower healthcare costs: results from the Systemic Lupus International Collaborating Clinics (SLICC) inception cohort. Ann Rheum Dis. Published 30 September 2024. doi:10.1136/ard-2024-225613

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