Title
2021 DORIS definition of remission in SLE: Final recommendations from an international task force
Date Issued
24 November 2021
Access level
open access
Resource Type
review
Author(s)
van Vollenhoven R.F.
Bertsias G.
Doria A.
Isenberg D.
Morand E.
Petri M.A.
Pons-Estel B.A.
Rahman A.
Voskuyl A.
Arnaud L.
Bruce I.N.
Cervera R.
Costedoat-Chalumeau N.
Gordon C.
Houssiau F.A.
Mosca M.
Schneider M.
Ward M.M.
Aringer M.
Askenase A.
Bae S.C.
Bootsma H.
Boumpas D.T.
Brunner H.
Clarke A.E.
Coney C.
Czirják L.
Dörner T.
Faria R.
Fischer R.
Fritsch-Stork R.
Inanc M.
Jacobsen S.
Jayne D.
Kuhn A.
van Leeuw B.
Limper M.
Mariette X.
Navarra S.
Nikpour M.
Olesinska M.H.
Pons-Estel G.
Romero-Diaz J.
Rubio B.
Schoenfeld Y.
Bonfá E.
Smolen J.
Teng Y.K.O.
Tincani A.
Tsang-A-Sjoe M.
Vasconcelos C.
Voss A.
Werth V.P.
Zakharhova E.
Aranow C.
Publisher(s)
BMJ Publishing Group
Abstract
Objective To achieve consensus on a definition of remission in SLE (DORIS). Background Remission is the stated goal for both patient and caregiver, but consensus on a definition of remission has been lacking. Previously, an international task force consisting of patient representatives and medical specialists published a framework for such a definition, without reaching a final recommendation. Methods Several systematic literature reviews were performed and specific research questions examined in suitably chosen data sets. The findings were discussed, reformulated as recommendations and voted on. Results Based on data from the literature and several SLE-specific data sets, a set of recommendations was endorsed. Ultimately, the DORIS Task Force recommended a single definition of remission in SLE, based on clinical systemic lupus erythematosus disease activitiy index (SLEDAI)=0, Evaluator’s Global Assessment <0.5 (0–3), prednisolone 5 mg/day or less, and stable antimalarials, immunosuppressives, and biologics. Conclusion The 2021 DORIS definition of remission in SLE is recommended for use in clinical care, education, and research including clinical trials and observational studies.
Volume
8
Issue
1
Language
English
OCDE Knowledge area
Reumatología
Scopus EID
2-s2.0-85121234911
Source
Lupus Science and Medicine
ISSN of the container
20538790
Sources of information:
Directorio de Producción Científica
Scopus