Lupus & antiphospholipid syndrome

Association of race and ethnicity with mortality in adults with SLE: a systematic literature review and meta-analysis

Lupus Sci MedPublished Systematic review and meta-analysis

Authors' conclusion

Overall, patients with SLE from Black or Indigenous racial and ethnic groups had higher mortality than those of White race and ethnicity. We observed no significant association in the mortality of Black patients compared with White patients from non-USA cohorts, but a scarcity of data outside of the USA was highlighted.

Study context

Population
Adults with SLE in studies reporting mortality stratified by racial and ethnic group
Participants
85,578 adults37 studies
Comparison
Underserved racial and ethnic groups vs White race and ethnicity
Outcome
Mortality (pooled OR of death)
Methodological detailspairwise meta-analysis
  • Pairwise meta-analysis

Pooled result

As reported in the abstract

Mortality
Each group vs whiteOdds ratio (95% CI)
Black
1.30(1.16–1.46)
Indigenous
1.47(1.11–1.94)

Further pooled results

OutcomeOR (95% CI)
Mortality, excluding USA studies (70% of studies were from the USA)Blackvs WhiteSignificant difference no longer seen0.84 (0.54–1.31)

Original publication

Association of race and ethnicity with mortality in adults with SLE: a systematic literature review and meta-analysis. Lupus Sci Med. Published 11 February 2025. doi:10.1136/lupus-2024-001383

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