Systemic sclerosis & Raynaud's

Association of SSc with risk of premature ovarian insufficiency: a retrospective cohort study

Rheumatology (Oxford)Published Retrospective cohort study

Main finding · POIResult — go to the resultHazard ratio 1.6 95% CI 1.1–2.2

Authors' conclusion

Our study indicates that SSc is associated with a 1.6 times higher risk of developing POI.

Study context

Population
Females aged 20–40 with and without SSc, Collaborative EHR Network, worldwide, 2005 to 2022matched cohort 1:1
Participants
6,417 vs 6,417
Exposure
SSc vs matched non-SSc
  • SScn = 6,417
  • Non-SScn = 6,417reference
Outcome
Incident POI
Methodological detailspropensity-score matched (1:1)
  • Propensity-score matched (1:1)

Main finding

POI

Hazard ratio

1.6

95% CI 1.1–2.2

log-rank test P = 0.017

SScvs Non-SSc
HR 1.6 (95% CI 1.1–2.2); log-rank test P = 0.017

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
POI, SSc aged 30-40 (subgroup)1.8 (1.2–2.8)

Premature ovarian insufficiency (POI), by race (white and black)

This association was consistent across both white and black populations

Original publication

Association of SSc with risk of premature ovarian insufficiency: a retrospective cohort study. Rheumatology (Oxford). Published 17 September 2025. doi:10.1093/rheumatology/keaf479

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