Systemic sclerosis & Raynaud's

A Prospective Observational Study of Disease Severity and Mortality in Hispanic American Patients With Systemic Sclerosis

Arthritis Care Res (Hoboken)Published Prospective observational cohort study

Main finding · FVC % predicted (longitudinal)Result — go to the resultPoint estimate −9.3%

Authors' conclusion

Hispanic patients have higher likelihood of having U1-RNP positivity and SLE overlap, more severe restrictive lung disease, as well as higher rate of mortality than non-Hispanic White patients.

Study context

Population
Patients fulfilling systemic sclerosis (SSc) classification criteria with disease duration <5 years at enrollment, Genetics versus Environment in Scleroderma Outcome Study cohort
Participants
427 patients
Exposure
Hispanic vs non-Hispanic White and non-Hispanic Black patients with SSc
  • Hispanicn = 124
  • Non-Hispanic Whiten = 220reference
  • Non-Hispanic Blackn = 83
Outcome
Disease manifestations of Hispanic vs non-Hispanic White and Black patients with SSc
Methodological detailslongitudinal
  • Longitudinal

Main finding

FVC % predicted (longitudinal)

Point estimate

−9.3%

P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomePoint estimateP value
mRSS (longitudinal)Hispanic vs Non-Hispanic Black−3.2P = 0.029
Perceived functional disability scores (serial)Hispanic vs Non-Hispanic White0.29P < 0.001

mRSS (longitudinal)

Similar mRSS in Hispanic and non-Hispanic White patients

Mortality

Higher mortality rates in Hispanic than White patients, even after adjustment for age, gender and socioeconomic status

Baseline characteristics · enrollment

vs non-Hispanic White: Hispanic patients younger, longer disease duration, more U1-RNP positivity and concurrent systemic lupus erythematosus (SLE), lower income and education
vs non-Hispanic Black: Hispanic patients more often limited cutaneous involvement and anticentromere antibodies

Original publication

A Prospective Observational Study of Disease Severity and Mortality in Hispanic American Patients With Systemic Sclerosis. Arthritis Care Res (Hoboken). Published 25 March 2024. doi:10.1002/acr.25300

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