RT Journal Article SR Electronic T1 2021 DORIS definition of remission in SLE: final recommendations from an international task force JF Lupus Science & Medicine JO Lupus Sci Med FD Lupus Foundation of America SP e000538 DO 10.1136/lupus-2021-000538 VO 8 IS 1 A1 Ronald F van Vollenhoven A1 George Bertsias A1 Andrea Doria A1 David Isenberg A1 Eric Morand A1 Michelle A Petri A1 Bernardo A Pons-Estel A1 Anisur Rahman A1 Manuel Francisco Ugarte-Gil A1 Alexandre Voskuyl A1 Laurent Arnaud A1 Ian N Bruce A1 Ricard Cervera A1 Nathalie Costedoat-Chalumeau A1 Caroline Gordon A1 Frédéric A Houssiau A1 Marta Mosca A1 Matthias Schneider A1 Michael M Ward A1 Graciela Alarcon A1 Martin Aringer A1 Anca D Askanase A1 Sang-Cheol Bae A1 Hendrika Bootsma A1 Dimitrios T Boumpas A1 Hermine Brunner A1 Ann Elaine Clarke A1 Cindy Coney A1 László Czirják A1 Thomas Dörner A1 Raquel Faria A1 Rebecca Fischer A1 Ruth Fritsch-Stork A1 Murat Inanc A1 Søren Jacobsen A1 David Jayne A1 Annegret Kuhn A1 Bernadette van Leeuw A1 Maarten Limper A1 Xavier Mariette A1 Sandra Navarra A1 Mandana Nikpour A1 Marzena Helena Olesinska A1 Guillermo Pons-Estel A1 Juanita Romero-Diaz A1 Blanca Rubio A1 Yehuda Schoenfeld A1 Eloisa Bonfá A1 Josef Smolen A1 Y K Onno Teng A1 Angela Tincani A1 Michel Tsang-A-Sjoe A1 Carlos Vasconcelos A1 Anne Voss A1 Victoria P Werth A1 Elena Zakharhova A1 Cynthia Aranow YR 2021 UL http://lupus.bmj.com/content/8/1/e000538.abstract AB 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.Data are available upon reasonable request.