Clinical outcomes and pharmacological therapy before and after HCQ dose adjustment
Parameters | Visits prior to adjustment | Visits after adjustment | P value |
Outcome measures | |||
SLEDAI | |||
Mean score (SD) | 2.2 (2.9) | 2.1 (3.0) | 0.958 |
Median score (P25–P75) | 1 (0–3) | 1 (0–3.1) | |
SLE exacerbations | |||
Mean (SD) | 0.18 (0.25) | 0.13 (0.21) | 0.256 |
Median (P25–P75) | 0 (0–0.25) | 0 (0–0.25) | |
Total emergency room visits, mean (SD) | |||
Mean (SD) | 0.06 (0.22) | 0.01 (0.05) | 0.284 |
Median (P25–P75) | 0 (0–0) | 0 (0–0) | |
Emergency room visits attributed to SLE | |||
Mean (SD) | 0.02 (0.08) | 0.00 (0.03) | 0.313 |
Median (P25–P75) | 0 (0–0) | 0 (0–0) | |
Total hospitalisations | |||
Mean (SD) | 0.08 (0.19) | 0.04 (0.10) | 0.322 |
Median (P25–P75) | 0 (0–0) | 0 (0–0) | |
Hospitalisations attributed to SLE | |||
Mean (SD) | 0.04 (0.16) | 0.00 (0.03) | 0.083 |
Median (P25–P75) | 0 (0–0) | 0 (0–0) | |
SDI | |||
Mean score (SD) | 0.84 (1.28) | 0.98 (1.42) | 0.076 |
Median score (P25–P75) | 0 (0–1) | 0 (0–1.5) | |
Pharmacological therapy | |||
Corticosteroids, % | 68.3 | 65.0 | 0.727 |
Prednisone (or equivalent) | |||
Mean mg/day (SD) | 7.9 (17.4) | 4.8 (5.1) | 0.047 |
Median mg/day (P25–P75) | 5 (0–9.8) | 5 (0–7.7) | |
Prednisone >5 mg daily at any point, % | 48.3 | 40.0 | 0.230 |
Prednisone >7.5 mg daily at any point, % | 45.0 | 35.0 | 0.150 |
Mycophenolate, % | 28.3 | 30.0 | >0.99 |
Azathioprine, % | 10.0 | 8.3 | >0.99 |
Cyclophosphamide, % | 1.7 | 1.7 | >0.99 |
Tacrolimus, % | 1.7 | 6.7 | 0.250 |
Methotrexate, % | 3.3 | 5.0 | >0.99 |
Rituximab, % | 0.0 | 0.0 | >0.99 |
NSAIDs, % | 15.0 | 18.3 | 0.688 |
Exact McNemar’s test or Wilcoxon signed-rank test was used for statistical analyses.
HCQ, hydroxychloroquine; NSAIDs, non-steroidal anti-inflammatory drugs; P, percentile; SDI, Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index; SLEDAI, Systemic Lupus Erythematosus Disease Activity Index.