Lupus & antiphospholipid syndrome

Association of systemic lupus erythematosus with clinical and psychosocial outcomes, health care resource utilization and expenditures: A nationally representative US-based analysis

LupusPublished Retrospective cross-sectional study

Authors' conclusion

Poor physical HRQoL, increased cognitive and functional limitations, and psychological distress are common among patients with SLE.

Study context

Population
US 2017–2022 Medical Expenditure Panel Survey respondents
Exposure
Systemic lupus erythematosus (SLE) vs matched individuals without SLE
Outcome
Clinical and psychosocial outcomes
Methodological detailsUS population-based, Medical Expenditure Panel Survey 2017-2022, matched (eight patients without SLE per patient with SLE) on survey year, age and sex, multivariable regression
  • US population-based
  • Medical Expenditure Panel Survey 2017-2022
  • Matched (eight patients without SLE per patient with SLE) on survey year, age and sex
  • Multivariable regression

Main finding

As reported in the abstract

SLE vs Without SLEAdjusted odds ratio (95% CI)
Pain interference with activities
1.998(1.372–2.909)
Fair to poor physical health status
3.141(1.993–4.949)
Cognitive limitations
2.665(1.465–4.849)
Functional limitations
2.594(1.646–4.089)
Social limitations
2.227(1.437–3.451)
Psychological distress
2.023(1.447–2.827)

Observational data: associations, not effects.

Further findings

Average annual healthcare expenditures (unadjusted)

P < 0.0001

Average annual healthcare expenditures (adjusted)

P < 0.05

OutcomeAdjusted annualized event rate ratioP value
Healthcare resource utilizationOutpatient visits2.603P < 0.05
Healthcare resource utilizationOffice-based visits1.447P < 0.05
Healthcare resource utilizationED visits1.518P < 0.05

Average annual healthcare expenditures (unadjusted)

Consistent across each healthcare resource component

Original publication

Association of systemic lupus erythematosus with clinical and psychosocial outcomes, health care resource utilization and expenditures: A nationally representative US-based analysis. Lupus. Published 25 February 2026. doi:10.1177/09612033261430565

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