Evidence map›Paper›PMID 36284526›Full record

ArticleRheumatology advances in practice2022

The BILAG2004-Pregnancy Index is a valid disease activity outcome measure for pregnant SLE patients.

Chee-Seng Yee, Munther Khamashta, Mohammed Akil, Rachael Kilding, Ian Giles, David Williams, Ian N Bruce, Caroline Gordon

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Article in Rheumatology advances in practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Chee-Seng YeeDepartment of Rheumatology, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, UK.ORCID https://orcid.org/0000-0003-1715-4869
Munther KhamashtaDepartment of Women and Children's Health, King's College London, London, UK.
Mohammed AkilDepartment of Rheumatology, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.
Rachael KildingDepartment of Rheumatology, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.
Ian GilesCentre for Rheumatology Research, University College London, London, UK.
David WilliamsDepartment of Obstetrics, University College London Hospitals NHS Foundation Trust, London, UK.
Ian N BruceCentre for Epidemiology Versus Arthritis, University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0003-3047-500X
Caroline GordonRheumatology Research Group, University of Birmingham, Birmingham, UK.ORCID https://orcid.org/0000-0002-1244-6443

Funding

Versus Arthritis 16081
6 · The paper itself

Abstract

Objectives: This study was to determine whether the BILAG2004-Pregnancy Index (BILAG2004-P) has construct/criterion validity and is sensitive to change. Methods: This was an observational multicentre study that recruited pregnant SLE patients. Data were collected on disease activity [using the BILAG2004-P and Physician Global Assessment (PGA)], investigations and therapy at each assessment. The overall BILAG2004-P score as determined by the highest score achieved by any system was used in the analysis. Cross-sectional analysis was used for construct and criterion validity. The comparison was with C3, C4 and anti-dsDNA for construct validity, while it was with change in therapy and PGA in criterion validity. Sensitivity to change was assessed by determining the relationship between the change in BILAG2004-P and the change in therapy between two consecutive visits. Results: A total of 97 patients with 112 pregnancies were recruited. There were 610 assessments available for construct/criterion validity analysis (98.2% of pregnancies had more than one assessment) and 497 observations for sensitivity to change analysis. Increasing BILAG2004-P scores were associated with low C3. The active BILAG2004-P score (grade A or B) was associated with an increase in therapy and the PGA of active disease. There was an increasing likelihood of higher overall scores with an increase in therapy and the PGA of active disease. In the sensitivity to change analysis, an increase in the BILAG2004-P score was associated with an increase in therapy and inversely associated with a decrease in therapy. A decrease in the BILAG2004-P score was associated with a decrease in therapy and inversely associated with an increase in therapy. Conclusion: The BILAG2004-P has criterion validity and is sensitive to change.

Indexed as

BILAG2004-pregnancyconstruct validitycriterion validitydisease activitypregnancysensitivity to changeSLE

Identifiers

PMID36284526
PMCPMC9585949

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