Evidence map›Paper›PMID 41475837›Full record

ArticleRMD open2025

Practical insights for the clinical implementation of the EULAR recommendations for patients with systemic lupus erythematosus.

Ioannis Parodis, Antonis Fanouriakis, Alessandra Bortoluzzi, Christof Iking-Konert, Julia Weinmann-Menke, Carmen San Román, Roger Abramino Levy, Inigo Rua-Figueroa, Tobias Alexander, Zahir Amoura

Abstract read
In one paragraph

Article in RMD open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Ioannis ParodisDivision of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Karolinska University Hospital, and Center for Molecular Medicine (CMM), Stockholm, Sweden ioannis.parodis@ki.se.ORCID 0000-0002-4875-5395
Antonis FanouriakisRheumatology and Clinical Immunology Unit, 4th Department of Internal Medicine, Attikon University Hospital, Joint Academic Rheumatology Program, National and Kapodistrian University of Athens School of Medicine, Athens, Greece.ORCID 0000-0003-2696-031X
Alessandra BortoluzziRheumatology Unit, Department of Medical Sciences, University of Ferrara and Azienda Ospedaliero-Universitaria S.Anna, Ferrara, Italy.ORCID 0000-0003-2416-8134
Christof Iking-KonertDepartment of Rheumatology, Stadtspital Zürich, Zürich, Switzerland.
Julia Weinmann-MenkeUniversity Medical Center, Department of Nephrology, Rheumatology and Center of Immunotherapy, Mainz, Germany.
Carmen San RománRespiratory, Immunology and Inflammation Unit, Europe Medical Affairs, GSK, Madrid, Spain.
Roger Abramino LevyRespiratory, Immunology and Inflammation Unit, Global Medical Affairs, GSK, Collegeville, Pennsylvania, USA.
Inigo Rua-FigueroaDivision of Rheumatology, Hospital Universitario Doctor Negrín, Las Palmas de Gran Canaria, Spain.
Tobias AlexanderCharité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Department of Rheumatology and Clinical Immunology, Berlin, Germany.ORCID 0000-0003-1193-0097
Zahir AmouraSorbonne Université, Inserm, Centre d'Immunologie et des Maladies Infectieuses-Paris (CIMI PARIS), INSERM U1135, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe European Alliance of Associations for Rheumatology (EULAR) recommendations for the management of systemic lupus erythematosus (SLE) and lupus nephritis provide important guidance for practitioners on diagnosis, monitoring and treatment. However, practical barriers, such as time constraints, may pose challenges to practitioners when implementing these recommendations in real-world settings. We provide practical, expert-driven advice on how practitioners may effectively and efficiently implement the EULAR recommendations in routine clinical practice.

methodsEight international SLE experts convened and contributed opinions and advice for practitioners via an online survey containing 17 open-ended questions on implementation of the EULAR recommendations for early diagnosis, treatment targets and the use of glucocorticoids (GCs), immunosuppressants and biologics. Survey results were compiled and analysed to reach consensus on key advice points for each topic.

resultsExpert advice covered four key topics-setting standardised targets to help modify disease course and prevent organ damage; taking action to achieve these targets; monitoring of target achievement through validated clinical tools and frameworks; and optimising the therapeutic strategy to prevent flares and GC-associated toxicities. A total of 13 core expert-driven advice points were developed across these topics, including scenarios for consideration of earlier biological and/or conventional immunosuppressive use, specific risk factors for poorer prognosis to inform treatment decisions and suggestions on GC tapering.

conclusionsThese expert insights could facilitate implementation of the EULAR recommendations for the management of SLE in clinical practice, thereby helping patients achieve treatment targets and prevent and/or delay organ damage progression.

Indexed as

Lupus Erythematosus, SystemicDisease ManagementEuropeGlucocorticoidsHumansImmunosuppressive AgentsPractice Guidelines as TopicRheumatologySurveys and QuestionnairesGlucocorticoidsImmunosuppressive AgentsBiological TherapyGlucocorticoidsLupus Erythematosus, SystemicLupus NephritisTreatment

Identifiers

PMID41475837
PMCPMC12766831

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.