Lupus & antiphospholipid syndrome

Cardiovascular risk factors and complications in patients with systemic lupus erythematosus with and without nephritis: a systematic review and meta-analysis

Lupus Sci MedPublished Systematic review and meta-analysis

Authors' conclusion

Patients with SLE with LN show increased risk of CV risk factors including DM, HT and hyperlipidaemia.

Study context

Population
Patients with SLE with or without lupus nephritis (LN); studies published 1947–2022 (PubMed, EMBASE, MEDLINE, Scopus)58 studies evaluated
Comparison
SLE with LN vs SLE without LN
Outcome
Cardiovascular (CV) risk factors and complications
Methodological detailstwo-arm meta-analysis, proportional meta-analysis
  • Two-arm meta-analysis
  • Proportional meta-analysis

Pooled result

As reported in the abstract

CV risk factors
LN vs Without LNOdds ratio (95% CI)P value
Hypertension; I2=56%
4.93(3.17–7.65)
P < 0.00001
Hyperlipidaemia; I2=0%
11.03(4.20–28.95)
P < 0.00001
DM; I2=32%
1.88(1.09–3.25)
P = 0.02

Further pooled results

OutcomeOR (95% CI)P value
MII2=78%; comparator printed as general patients with SLE1.35 (0.53–3.45)P = 0.52
Cerebrovascular accidentI2=23%; comparator printed as general patients with SLE1.64 (0.79–3.39)P = 0.27

CV mortality incidence rate

Original publication

Cardiovascular risk factors and complications in patients with systemic lupus erythematosus with and without nephritis: a systematic review and meta-analysis. Lupus Sci Med. Published 21 March 2024. doi:10.1136/lupus-2024-001152

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