Evidence map›Paper›PMID 39489877›Full record

ArticleClinical rheumatology2025

Performance of the systemic lupus erythematosus risk probability index (SLERPI) in the Egyptian college of rheumatology (ECR) study cohort.

Nevin Hammam, Ahmed Elsaman, Esam Abualfadl, Soha Senara, Nada M Gamal, Mona H Abd-Elsamea, Abdelhfeez Moshrif, Osman Hammam, Tamer A Gheita, Samar Tharwat and 1 more

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Article in Clinical rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Artificial Intelligence in Rheumatology: Quo Vadis?Mediterranean journal of rheumatology · 2025
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4 · The record

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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

11 authors.

Nevin HammamRheumatology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Ahmed ElsamanRheumatology Department, Faculty of Medicine, Sohag University, Sohag, Egypt.
Esam AbualfadlRheumatology Department, Faculty of Medicine, Sohag University, Sohag, Egypt.
Soha SenaraRheumatology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Nada M GamalRheumatology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Mona H Abd-ElsameaRheumatology Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Abdelhfeez MoshrifRheumatology Department, Faculty of Medicine, Al-Azhar University, Assuit, Egypt.
Osman HammamDepartment of Rheumatology and Rehabilitation, Faculty of Medicine, New Valley University, New Valley, Egypt.
Tamer A GheitaRheumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Samar TharwatRheumatology Unit, Internal Medicine, Mansoura University Hospital, El Gomhouria St, Mansoura, Dakahlia Governorate, Egypt. samartharwat2000@mans.edu.eg.ORCID http://orcid.org/0000-0001-9892-2449
Egyptian College of Rheumatology (ECR) Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to evaluate the performance of systemic lupus erythematosus Risk Probability Index (SLERPI) in Egyptian patients with SLE using a national rheumatology database.

methodsThe Egyptian College of Rheumatology (ECR) database comprised of 1,162 patients with SLE and 4,327 with miscellaneous rheumatological diseases who were recruited from the Rheumatology Departments across the country. The diagnosis of SLE was established by expert rheumatologists. Variables of the SLERPI were extracted and recorded as present or absent for each patient. The absolute value for the SLERPI score was calculated for each patient, and the diagnosis of SLE was accounted for if the score was greater than 7 points.

resultsOf 1,162 SLE patients evaluated, 1,031 (88.7%) patients were diagnosed with SLE according to the SLERPI, with an average score of 13.1 (3.8). Differences in the 14 SLERPI variables were significant between the SLE-SLERPI groups, except for the presence of leukopenia and positive ANA. As a score reduction item, the SLE-SLERPI > 7 group had lower interstitial lung diseases. Patients diagnosed with SLE according to SLERPI had significantly higher disease activity (p < 0.001), and this group more commonly received corticosteroids and mycophenolate mofetil. Compared to other miscellaneous rheumatological groups, all 14 SLERPI items are indeed more common in the SLE group. In terms of the overall performance of SLERPI in the diagnosis of SLE, the accuracy of SLERPI was 91.9% (95% CI 90.9%-92.9%), with a specificity of 96.95% and sensitivity of 86.9%. SLERPI showed that accuracy went up to 93.3% (95%CI 92.4%-94.2%), with a specificity of 94.9% and a sensitivity of 91.6% when patients with connective tissue diseases were taken out of the study.

conclusionUsing a large cohort of SLE, the SLERPI revealed excellent diagnostic efficacy and specificity. The use of SLERPI in clinical practice may contribute to improved patient diagnosis and prognosis. Key Points • SLERPI's performance has high diagnostic efficiency in Egyptian SLE patients. • SLERPI score can efficiently distinguish patients with SLE from other CTDs. • Within the SLERPI score, interstitial lung disease is the lowest predictor of SLE.

Indexed as

Lupus Erythematosus, SystemicAdultCohort StudiesDatabases, FactualEgyptFemaleHumansMaleMiddle AgedProbabilityRheumatologyRisk AssessmentSeverity of Illness IndexYoung AdultClassification criteriaSLESLE risk probability index

Identifiers

PMID39489877
PMCPMC11729068

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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.