Lupus & antiphospholipid syndrome

Systemic Lupus International Collaborating Clinics Frailty Index Predicts Worsening Health‐Related Quality of Life, Data From the Almenara Lupus Cohort

Arthritis Care Res (Hoboken)Published Prospective cohort study

Authors' conclusion

Higher SLICC-FI scores predicted worse health-related QoL as measured by higher LupusQoL scores from patients from the Almenara lupus cohort.

Study context

Population
Patients with systemic lupus erythematosus (SLE) from a single-centre prevalent Latin American Mestizo cohort (Almenara lupus cohort)
Participants
428 patients2,645 visits
Exposure
Higher vs lower Systemic Lupus International Collaborating Clinics Frailty Index (SLICC-FI) scores
Outcome
Association of SLICC-FI scores with future quality of life (QoL) (main analysis: SLICC-FI as continuous variable vs LupusQoL domains)
Methodological detailssingle-centre, generalized estimating equations, multivariable adjusted
  • Single-centre
  • Generalized estimating equations
  • Multivariable adjusted

Main finding

As reported in the abstract

LupusQoL domains by SLICC-FI (continuous), adjusted
  • Higher SLICC-FI scores predicted a higher LupusQoL score in the domains of pain, planning, emotional health, and fatigue
  • Main analysis, adjusted for possible confounders

Observational data: associations, not effects.

Further findings

LupusQoL domains by SLICC-FI category (alternative analyses), adjusted

Frail and least fit categories predictive of higher LupusQoL scores in the fatigue domain
Frailty (SLICC-FI >0.21) predicted worse body image vs least fit (SLICC-FI 0.03-0.10)

Baseline characteristics

Disease duration, mean ± SD (years)
7.2 ± 6.6
SDI score, mean ± SD
1.0 ± 1.3
SLICC-FI score, mean ± SD
0.17 ± 0.05
Follow-up (years)
4.71 ± 3.52

Original publication

Systemic Lupus International Collaborating Clinics Frailty Index Predicts Worsening Health‐Related Quality of Life, Data From the Almenara Lupus Cohort. Arthritis Care Res (Hoboken). Published 4 April 2025. doi:10.1002/acr.25544

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