Across rheumatic diseases

10-year survival of pulmonary arterial hypertension associated with connective tissue disease: insights from a multicentre PAH registry

Rheumatology (Oxford)Published Prospective registry cohort study

Authors' conclusion

The 10-year survival rate of CTD-PAH patients was reported for the first time. The 10-year prognosis was poor, but there was a tendency for more standardized treatment and better survival in patients enrolled after 2015. The recommended four-strata model at follow-up can effectively predict 10-year survival in CTD-PAH patients.

Study context

Population
Chinese patients with PAH associated with connective tissue disease (CTD-PAH), national multicentre registry, 2009 to 2019median follow-up 4.85 years
Participants
266 patients
Exposure
Patients enrolled 2009-2014 vs 2015-2019
Outcome
10-year survival rate
Follow-up
10 years
Methodological detailsmulticentre, national registry
  • Multicentre
  • National registry

Main finding

As reported in the abstract

10-year survival rate, all CTD-PAH patients

59.9%

Observational data: associations, not effects.

Further findings

PAH-targeted combination therapy

Binary therapy (both CTD and PAH-targeted therapy)

1-year survival rate

P > 0.05

3-year survival rate

P > 0.05

Four-strata model at follow-up predicting 10-year survival

C-index
0.742

Original publication

10-year survival of pulmonary arterial hypertension associated with connective tissue disease: insights from a multicentre PAH registry. Rheumatology (Oxford). Published 13 March 2023. doi:10.1093/rheumatology/kead103

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