Table 3.

Alterations in SLEDAI and prednisone dose, mean MMF dose, and evolution of immunologic abnormalities in our patients. P values result from the paired Student t test or McNemar test comparing 6/12 months with baseline. Values are n (%) or mean ± SD unless otherwise specified.

VariablesTimeNonrenal, n = 72pRenal, n = 105p
SLEDAI-2KBaseline5.7 ± 4.413.8 ± 6.5
6 mos4.1 ± 4.1< 0.0059.6 ± 5.8< 0.0001
12 mos4.5 ± 4.89.0 ± 6.2< 0.0001
No. patients with a SLEDAI-2K decrease by 4Baseline00
6 mos15 (20.8)< 0.0537 (35.2)< 0.001
12 mos13 (18.1)< 0.0542 (40)< 0.001
No. of patients with a SLEDAI-2K increase by 4Baseline00
6 mos5 (6.9)6 (5.7)
12 mos7 (9.7)0.326 (5.7)1
Clinical SLEDAI-2K, excluding immunological and hematological abnormalitiesBaseline4.8 ± 4.112.5 ± 6.2
6 mos3.4 ± 3.80.00728.6 ± 5.5< 0.001
12 mos3.8 ± 4.70.13327.9 ± 5.9< 0.001
No. patients who reduced prednisone doseBaseline00
6 mos33 (45.8)< 0.00166 (62.9)< 0.0001
12 mos44 (61.1)< 0.00173 (69.5)< 0.0001
No. patients who increased prednisone doseBaseline19 (26.4)33 (31.4)
6 mos16 (22.2)< 0.00118 (17.1)< 0.001
12 mos11 (15.3)< 0.00115 (14.3)< 0.001
Average prednisone dose, mg/dayBaseline18.4 ± 12.629.2 ± 16.6
6 mos15.6 ± 10.5< 0.0521.2 ± 12.4< 0.005
12 mos12.1 ± 9.0< 0.0515.3 ± 9.7< 0.005
MMF dose, mg/dayBaseline1350 ± 712.51687.5 ± 1000
6 mos1512.5 ± 7251625 ± 950
12 mos1662.5 ± 8001687.5 ± 1000
Anti-dsDNA, Farr assay, +Baseline34 (47.2)72 (69.9)
6 mos27 (38)61 (58.1)< 0.05
12 mos26 (36.1)59 (57.3)< 0.05
Low C3Baseline25 (34.7)64 (60.9)
6 mos18 (25.0)< 0.0544 (41.9)< 0.05
12 mos19 (26.4)< 0.0544 (42.3)< 0.05
Low C4Baseline12 (16.7)29 (27.6)
6 mos8 (11.1)< 0.0515 (14.3)< 0.05
12 mos7 (9.7)< 0.0519 (18.3)< 0.05
  • SLEDAI-2K: Systemic Lupus Erythematosus Disease Activity Index 2000; MMF: mycophenolate mofetil; C3: complement factor 3; C4: complement factor 4.