| Name of the Instrument/Tool | Systemic Lupus International Collaborating Clinics/American College Of Rheumatology Damage Index (SLICC/ACR DI, SDI) |
| First Description |
Gladman D, Ginzler E, Goldsmith C, et al. The development and initial validation of the Systemic Lupus International Collaborating Clinics/American College of Rheumatology damage index for systemic lupus erythematosus. Arthritis Rheum. 1996 Mar;39(3):363-9. |
| Year | 1996 |
| Domains | |
| Concept of constructs | Damage |
| Population/Disease | Disease specific |
| Originally developed for | Systemic Lupus Erythematosus (SLE) |
| Other rheumatic diseases where can be applied (only if validated) |
--- |
| Additional population with no rheumatic diseases |
No |
| Language: Originally published in | English |
| Available in Language | --- |
| REFERENCE IDENTIFICATION | |
| Author/s | Gladman D, Ginzler E, Goldsmith C, Fortin P, Liang M, Urowitz M, Bacon P, Bombardieri S, Hanly J, Hay E, Isenberg D, Jones J, Kalunian K, Maddison P, Nived O, Petri M, Richter M, Sanchez-Guerrero J, Snaith M, Sturfelt G, Symmons D, Zoma A. |
| Title | The development and initial validation of the Systemic Lupus International Collaborating Clinics/American College of Rheumatology damage index for systemic lupus erythematosus |
| Journal | Arthritis Rheum |
| Year | 1996 |
| Vol | 39 |
| Num | 3 |
| Pages | 363-9 |
| Country | Canada |
| Language | English |
| Other references of interest | |
| Link | https://pubmed.ncbi.nlm.nih.gov/9153540/ |
| Brief Description |
The reliability of the Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index in patients with systemic lupus erythematosus |
| Link | https://pubmed.ncbi.nlm.nih.gov/9034988/ |
| Brief Description |
Association of the Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index with measures of disease activity and health status in patients with systemic lupus erythematosus |
| Link | https://pubmed.ncbi.nlm.nih.gov/33091256/ |
| Brief Description |
Measures of Adult Systemic Lupus Erythematosus: Disease Activity and Damage |
| Instrument/Tool Translations References | |
| No other References. | |
| DEVELOPER CONTACT INFORMATION | |
| Correspondence to | Dafna D. Gladman |
| dafna.gladman@utoronto.ca | |
| Address | Krembil Research Institute, Toronto Western Hospital, University Health Network, 399 Bathurst Street, IE‐410B, Toronto, Ontario M5T 2S8, Canada |
| Website | --- |
| Available | --- |
| Links | --- |
| DESCRIPTION OF THE INSTRUMENT | |
| Type Of Measure | Composite Index |
| Brief Description |
The SLICC/ACR DI or SDI records accumulated damage occurring in patients with lupus regardless of cause. Damage may result from previous disease activity and may lead to organ dysfunction, adverse effects from medications, or concomitant disease. |
| Number of Items | 41 items covering 12 systems |
| Range | 0-47 |
| Responses options/scale |
Yes Variable for each item |
| Developed for | Research, Clinical practice |
| PRACTICAL APPLICATION | |
| Method of administration | Physician |
| Recommendations to score |
Each item is recorded as present or absent. Manifestations should be recorded as damage only if they develop after the onset of lupus, provided they fulfill the definition in the glossary and irrespective of attribution. |
| Score Interpretation | The SDI score is 0 at diagnosis by definition. Damage is considered if the score is greater than or equal to 1. |
| Cut-off points | Maximum score is 47, but patients rarely score above 10 points |
| Cut-off points applied to | --- |
| Smallest detectable change if described | --- |
| Smallest detectable change applied to | --- |
| Completion time by the patient | 15 minutes |
| Scoring time by the assessor | - minutes |
| Training to score | Not necessary |
| Strengths | Easy to use, Useful in clinical practice & research |
| Limitations | --- |
| OTHER COMMENTS | |
| Other Comments | --- |