Abstract
Objectives: Childhood-onset systemic lupus erythematosus (cSLE), representing 15%-20% of individuals with SLE, has been difficult to study globally due to differences between registries. This initiative, supported by Childhood Arthritis Rheumatology Research Alliance (CARRA) and Paediatric Rheumatology European Society (PReS), aims to create Core and Expanded cSLE Datasets to standardise and enhance research worldwide. Methods: 21 international cSLE experts and 4 patients participated in a Delphi process (questionnaires, 2 topic-specific focus groups and 3 virtual consensus meetings) to create 2 standardised cSLE datasets. The Core cSLE Dataset was designed to include data essential to meaningful clinical research across many settings. The Expanded cSLE Dataset was designed for centres able to consistently collect data to address broader research questions. Final data items for the Core and Expanded datasets were determined by consensus defined as >80% agreement) using an adapted nominal group technique and voting. Results: The resulting Core cSLE Dataset contains 46 items, including demographics, clinical features, laboratory results, medications and significant adverse events. The Expanded cSLE Dataset adds 26 additional items and includes patient-reported outcomes. Consensus was also achieved regarding the frequency and time points for data collection: baseline, quarterly follow-up visits, annually and flare visits. Conclusion: Standardised Core and Expanded cSLE Datasets for registry-based international cSLE research were defined through the consensus of global experts and patient/caregiver representatives, endorsed by CARRA and PReS. These datasets incorporate disease-specific and patient-specific features, optimised for diverse settings to facilitate international collaborative research for children and adolescents with SLE worldwide.
Original language | English (US) |
---|---|
Journal | Annals of the rheumatic diseases |
DOIs | |
State | Accepted/In press - 2024 |
Funding
This project was funded by the CARRA/PReS Collaborative Award, and the authors wish to acknowledge the ongoing Arthritis Foundation financial support of CARRA. The authors would like to thank Katherine Cowan, Anne Dennos, Fran\u00E7ois Hofer, Carla Roberts and Laura Whitty for their invaluable contributions. In addition, we are grateful to CARRA leadership and the CARRA SLE Committee, PReS leadership and SLE working party for their support of this project. We would like to thank the CARRA Registry, the JIR Lupus Cohort (Pedialup) study, and the UK JSLE Cohort Study and Repository, led by and the UK\u2019s Experimental Arthritis Treatment Centre for Children, for providing access to their data dictionaries and experience in developing and collecting real-world data in cSLE. Furthermore, we are grateful to all those individuals and centres who support these studies, and to all the patients and families who have helped inform and contribute data by participating in them. This research was funded by the inaugural CARRA/PReS Collaborative Research Award (JXR30630). LBL was funded by the NIAMS Intramural Program.
Keywords
- Child
- Lupus Erythematosus, Systemic
- Lupus Nephritis
- Outcome Assessment, Health Care
- Patient Reported Outcome Measures
ASJC Scopus subject areas
- Rheumatology
- Immunology and Allergy
- Immunology
- General Biochemistry, Genetics and Molecular Biology