2021 DORIS definition of remission in SLE: final recommendations from an international task force

Lupus Sci Med. 2021 Nov;8(1):e000538. doi: 10.1136/lupus-2021-000538.

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.

Keywords: healthcare; lupus erythematosus; outcome assessment; systemic; therapeutics.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Lupus Erythematosus, Systemic* / drug therapy
  • Prednisolone / therapeutic use
  • Remission Induction
  • Severity of Illness Index

Substances

  • Immunosuppressive Agents
  • Prednisolone