Systemic sclerosis & Raynaud's

Cardiovascular and venous thromboembolic events in systemic sclerosis: epidemiological analysis of the Clinical Practice Research Datalink

Rheumatology (Oxford)Published Matched cohort study

Main finding · CAD, PAD, peripheral venous thromboses and PE during follow-upResult — go to the resultAdjusted hazard ratio 1.84-3.01

Authors' conclusion

We have identified an increased risk of cardiovascular events and VTE, both prior to a diagnosis of SSc and within 8 years of SSc diagnosis.

Study context

Population
Systemic sclerosis (SSc) patients and matched non-SSc comparators in the Clinical Practice Research Datalink (83.7% female)mean follow-up 8 years
Participants
877 vs 5,262
Exposure
SSc vs matched non-SSc comparators
  • SScn = 877
  • Non-SScn = 5,262reference
Outcome
CAD, cerebrovascular disease, PAD and VTE
Methodological detailsmatched 1:6 by age, sex and location, Cox regression adjusted for traditional cardiovascular risk factors, validated case-ascertainment strategy, prevalent and incident SSc analysed separately
  • Matched 1:6 by age, sex and location
  • Cox regression adjusted for traditional cardiovascular risk factors
  • Validated case-ascertainment strategy
  • Prevalent and incident SSc analysed separately

Main finding

As reported in the abstract

CAD, PAD, peripheral venous thromboses and PE during follow-up

Adjusted hazard ratio

1.84-3.01

Observational data: associations, not effects.

Further findings

Baseline prevalence of coronary arterial disease (CAD), peripheral artery disease (PAD) and venous thromboembolism (VTE) (pre-dating diagnosis)

Higher background prevalence in the SSc cohort

Original publication

Cardiovascular and venous thromboembolic events in systemic sclerosis: epidemiological analysis of the Clinical Practice Research Datalink. Rheumatology (Oxford). Published 30 May 2025. doi:10.1093/rheumatology/keaf285

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