Table 1

Comparison of SELENA-SLEDAI, SLEDAI-2K and BILAG-2004

CriterionSELENA-SLEDAISLEDAI-2KBILAG-2004
Number of items242497
(divided into 9 domains)
ScoringEach item is scored as 0 (not present) or 1 (present)Each item is scored as 0 (not present) or 1 (present)Each item is scored on a scale of 0–4
Maximum score105105Letter-based system
Organ involvementCovers various organ systems and clinical manifestations (non-exhaustive)Covers various organ systems and clinical manifestations (non-exhaustive)Comprehensive assessment across nine domains
Capture of partial improvement/worseningCannot capture partial improvementCannot capture partial improvementHas more granularity to capture partial improvement or worsening
AdvantagesSimplicity in scoring and useSimplicity in scoring and useComprehensive assessment across domains
Used in clinical trials and researchWidespread adoptionSuitable for research and clinical trials
LimitationsOmission of certain SLE featuresOmission of certain SLE featuresTime consuming and complex
Fixed weights for each itemFixed weights for each itemPrimarily suited for research
  • BILAG-2004, British Isles Lupus Assessment Group 2004; SELENA-SLEDAI, Safety of Estrogens in SLE National Assessment-SLE Disease Activity Index; SLEDAI-2K, SLE Disease Activity Index 2000.