Table 2

Clinical outcomes and pharmacological therapy before and after HCQ dose adjustment

ParametersVisits prior to adjustmentVisits after adjustmentP 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, %68.365.00.727
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, %48.340.00.230
Prednisone >7.5 mg daily at any point, %45.035.00.150
Mycophenolate, %28.330.0>0.99
Azathioprine, %10.08.3>0.99
Cyclophosphamide, %1.71.7>0.99
Tacrolimus, %1.76.70.250
Methotrexate, %3.35.0>0.99
Rituximab, %0.00.0>0.99
NSAIDs, %15.018.30.688
  • 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.