Evidence map›Paper›PMID 35686924›Full record

ArticleRheumatology (Oxford, England)2023

The BILAG-2004 index is associated with development of new damage in SLE.

Chee-Seng Yee, Caroline Gordon, Mohammed Akil, Peter Lanyon, Christopher J Edwards, David A Isenberg, Anisur Rahman, Lee-Suan Teh, Sofia Tosounidou, Robert Stevens and 7 more

Abstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Chee-Seng YeeDepartment of Rheumatology, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster.ORCID 0000-0003-1715-4869
Caroline GordonRheumatology Research Group, Institute of Inflammation of Ageing, University of Birmingham, Birmingham.ORCID 0000-0002-1244-6443
Mohammed AkilDepartment of Rheumatology, Sheffield Teaching Hospitals NHS Trust, Sheffield.
Peter LanyonDepartment of Rheumatology, Nottingham University Hospitals NHS Trust, Nottingham.
Christopher J EdwardsMusculoskeletal Research Unit, NIHR Southampton Clinical Research Facility, University Hospital Southampton NHS Foundation Trust, Southampton.
David A IsenbergCentre For Rheumatology, Division of Medicine, University College London, London.ORCID 0000-0001-9514-2455
Anisur RahmanCentre For Rheumatology, Division of Medicine, University College London, London.ORCID 0000-0003-2346-4484
Lee-Suan TehDepartment of Rheumatology, Royal Blackburn Teaching Hospital, Blackburn.ORCID 0000-0002-7452-2659
Sofia TosounidouDepartment of Rheumatology, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham.
Robert StevensDepartment of Rheumatology, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster.
Athiveeraramapandian PrabuRheumatology Research Group, Institute of Inflammation of Ageing, University of Birmingham, Birmingham.
Bridget GriffithsDepartment of Rheumatology, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne.
Neil McHughDepartment of Pharmacy and Pharmacology, University of Bath, Bath.ORCID 0000-0003-2765-658X
Ian N BruceCentre for Epidemiology Versus Arthritis, The University of Manchester and NIHR Manchester Biomedical Research Centre, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester.ORCID 0000-0003-3047-500X
Yasmeen AhmadDepartment of Rheumatology, Betsi Cadwaladr University Health Board, Wales.
Munther A KhamashtaWomen & Children's Health, King's College London, London.
Vernon T FarewellMRC Biostatistics Unit, Universtiy of Cambridge, Cambridge, UK.

Funding

Department of HealthMedical Research Council U105261167Versus Arthritis 16081Wellcome Trust
6 · The paper itself

Abstract

objectiveTo determine whether BILAG-2004 index is associated with the development of damage in a cohort of SLE patients. Mortality and development of damage were examined.

methodsThis was a multicentre longitudinal study. Patients were recruited within 12 months of achieving fourth ACR classification criterion for SLE. Data were collected on disease activity, damage, SLE-specific drug exposure, cardiovascular risk factors, antiphospholipid syndrome status and death at every visit. This study ran from 1 January 2005 to 31 December 2017. Descriptive statistics were used to analyse mortality and development of new damage. Poisson regression was used to examine potential explanatory variables for development of new damage.

resultsA total of 273 SLE patients were recruited with total follow-up of 1767 patient-years (median 73.4 months). There were 6348 assessments with disease activity scores available for analysis. During follow-up, 13 deaths and 114 new damage items (in 83 patients) occurred. The incidence rate for development of damage was higher in the first 3 years before stabilizing at a lower rate. Overall rate for damage accrual was 61.1 per 1000 person-years (95% CI: 50.6, 73.8). Analysis showed that active disease scores according to BILAG-2004 index (systems scores of A or B, counts of systems with A and BILAG-2004 numerical score) were associated with development of new damage. Low disease activity (LDA) states [BILAG-2004 LDA and BILAG Systems Tally (BST) persistent LDA] were inversely associated with development of damage.

conclusionsBILAG-2004 index is associated with new damage. BILAG-2004 LDA and BST persistent LDA can be considered as treatment targets.

Indexed as

Heart Disease Risk FactorsLupus Erythematosus, SystemicHumansLongitudinal StudiesSeverity of Illness IndexBILAG-2004damagedisease activitymortalitySLE

Identifiers

PMID35686924
PMCPMC9891406

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.