Inactive disease and remission in childhood-onset systemic lupus erythematosus

Autor: Lisa Imundo, Tadej Avcin, B. Anne Eberhard, Michael W. Beresford, Karen Onel, Hermine I. Brunner, Emily von Scheven, Angelo Ravelli, Nora G. Singer, Kathleen M. O'Neil, Clovis A. Silva, Graciela Espada, Edward H. Giannini, Rina Mina, Shannen Nelson, Marisa S. Klein-Gitelman, Gloria C. Higgins, Laura E. Schanberg
Rok vydání: 2012
Předmět:
Zdroj: Arthritis Care & Research. 64:683-693
ISSN: 2151-464X
DOI: 10.1002/acr.21612
Popis: Objective To define inactive disease (ID) and clinical remission (CR) and to delineate variables that can be used to measure ID/CR in childhood-onset systemic lupus erythematosus (cSLE). Methods Delphi questionnaires were sent to an international group of pediatric rheumatologists. Respondents provided information about variables to be used in future algorithms to measure ID/CR. The usefulness of these variables was assessed in 35 children with ID and 31 children with minimally active lupus (MAL). Results While ID reflects cSLE status at a specific point in time, CR requires the presence of ID for >6 months and considers treatment. There was consensus that patients in ID/CR can have 0.85). Disease activity scores with or without the physician global assessment of disease activity and patient symptoms were well suited to differentiate children with ID from those with MAL. Conclusion Consensus has been reached on common definitions of ID/CR with cSLE and relevant patient characteristics with ID/CR. Further studies must assess the usefulness of the data-driven candidate criteria for ID in cSLE.
Databáze: OpenAIRE