Lupus & antiphospholipid syndrome

Validation of the revised definition of lupus low disease activity in patients with SLE

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

The revised LLDAS definition demonstrated comparable clinical benefits

Study context

Population
Patients with SLE followed annually over 4 years
Participants
299 patients
Exposure
Revised lupus low disease activity state (LLDAS) definition vs existing LLDAS definition
Outcome
Association of revised LLDAS with organ damage (SLICC/ACR DI), disease flares and quality of life (SF-36 PCS and MCS)
Follow-up
4 years
Methodological detailsannual follow-up over 4 years, generalized estimating equations
  • Annual follow-up over 4 years
  • Generalized estimating equations

Main finding

As reported in the abstract

Associations of revised LLDAS with clinical outcomes

Organ damage (SLICC/ACR SDI), β

−2.922

95% CI −3.294 to −2.550P < 0.001

Disease flare risk, OR

0.207

95% CI 0.083–0.515P < 0.001

Mental health (SF-36 MCS), β

1.219

95% CI 0.114–2.323P = 0.031

Observational data: associations, not effects.

Original publication

Validation of the revised definition of lupus low disease activity in patients with SLE. Rheumatology (Oxford). Published 29 January 2026. doi:10.1093/rheumatology/keag052

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