Evidence map›Paper›PMID 40181969›Full record

ArticleFrontiers in immunology2025

Transitioning from Lupus Low Disease Activity State to remission in systemic lupus erythematosus: real-world evidence.

Dai Gao, Lanlan Ji, Xiaohui Zhang, Yanjie Hao, Wenhui Xie, Yong Fan, Zhuoli Zhang

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

7 authors.

Dai GaoDepartment of Rheumatology and Clinical Immunology, Peking University First Hospital, Beijing, China.
Lanlan JiDepartment of Rheumatology and Clinical Immunology, Peking University First Hospital, Beijing, China.
Xiaohui ZhangDepartment of Rheumatology and Clinical Immunology, Peking University First Hospital, Beijing, China.
Yanjie HaoDepartment of Rheumatology and Clinical Immunology, Peking University First Hospital, Beijing, China.
Wenhui XieDepartment of Rheumatology and Clinical Immunology, Peking University First Hospital, Beijing, China.
Yong FanDepartment of Rheumatology and Clinical Immunology, Peking University First Hospital, Beijing, China.
Zhuoli ZhangDepartment of Rheumatology and Clinical Immunology, Peking University First Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To identify predictors and barriers to achieving remission in systemic lupus erythematosus (SLE) patients after attaining Lupus Low Disease Activity State (LLDAS). Methods: This study included patients from the Sle to TARget (STAR) cohort who did not fulfill LLDAS at baseline. The Kaplan-Meier method was used to estimate the cumulative probabilities of remission or flare after LLDAS attainment. Univariate and multivariable Cox proportional hazards models were employed to identify predictors of time to remission. Barriers impeding remission achievement were also investigated. Results: Of 586 enrolled patients, 480 achieved LLDAS within 20.4 months (IQR 13.4-37.1). Among these, 369 patients who did not achieve remission simultaneously with LLDAS attainment and had ongoing follow-up were included in further analysis. Subsequently, 297 (80.5%) patients achieved remission, with median times to remission and flare of 12.4 and 24.4 months, respectively. Independent predictors of a shorter time to remission included older age at disease onset (HR 1.012, 95%CI=1.004-1.020, Conclusions: Achieving rapid remission after LLDAS attainment remains challenging for most SLE patients, mainly due to difficulties in reducing prednisone dosage to ≤5 mg/day.

Indexed as

Lupus Erythematosus, SystemicAdultDisease ProgressionFemaleHumansMaleMiddle AgedRemission InductionSeverity of Illness Indexcohort studylupus low disease activity stateprednisone doseremissionsystemic lupus erythematosus

Identifiers

PMID40181969
PMCPMC11965674

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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.