Lupus & antiphospholipid syndrome

SLE disease activity score (SLE-DAS) remission and low disease activity were similarly associated with patient-reported outcomes compared with definition of remission in SLE remission and lupus low disease activity state

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Remission and LDA criteria based on the safety of oestrogens in lupus erythematosus national assessment SLE disease activity index and SLE-DAS exhibited similar associations with PROs.

Study context

Population
Patients with SLE visiting Juntendo University and affiliated hospitals, 2018–2024
Participants
334 patients
Exposure
Definition of remission in SLE (DORIS) remission, SLE-DAS remission, lupus low disease activity state (LLDAS) and SLE-DAS low disease activity (LDA) in relation to patient-reported outcomes (PROs)
Outcome
Association of remission/LDA criteria with PROs (SF-36, EuroQol-5D)
Methodological detailsmulticentre, prospective, cross-sectional analysis, multivariate analyses
  • Multicentre
  • Prospective
  • Cross-sectional analysis
  • Multivariate analyses

Main finding

As reported in the abstract

Association with PROs
  • All remission and LDA criteria significantly associated with SF-36 physical component summary
  • SLE-DAS remission showed superior accuracy metrics vs DORIS remission
  • No associations with mental component summary for any remission or LDA criteria
  • EuroQol-5D: no correlations with DORIS remission; correlations with other remission and LDA criteria

Observational data: associations, not effects.

Original publication

SLE-DAS remission and low disease activity were similarly associated with patient-reported outcomes compared with definition of remission in SLE remission and lupus low disease activity state. Rheumatology (Oxford). Published 25 June 2025. doi:10.1093/rheumatology/keaf349

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