Lupus & antiphospholipid syndrome

Causes of Death Among Individuals With Systemic Lupus Erythematosus by Race and Ethnicity: A Population‐Based Study

Arthritis Care Res (Hoboken)Published Population-based cohort study

Main finding · Causes of deathResult — go to the resultAge-standardized mortality ratio, CVD as underlying cause of death 3.63

Authors' conclusion

Individuals with SLE experience a disproportionate burden of CVD mortality compared to the general population, which is magnified for Asian and Hispanic groups.

Study context

Population
Systemic lupus erythematosus (SLE) cases among residents of San Francisco County, CA (California Lupus Surveillance Project), January 1, 2007 to December 31, 2009135 deaths
Participants
812 residents
Exposure
SLE cases vs the corresponding general population; causes of death by race, ethnicity and sex
  • SLEn = 812
Outcome
Specific causes of death by race and ethnicity
Follow-up
10-year period
Methodological detailsmatched to the National Death Index over a 10-year period, logistic regression, age-adjusted, age-standardized mortality ratios
  • Matched to the National Death Index over a 10-year period
  • Logistic regression, age-adjusted
  • Age-standardized mortality ratios

Main finding

Causes of death

Age-standardized mortality ratio, cardiovascular disease (CVD) as underlying cause of death

3.63

As reported in the abstract

CVD, leading cause of death overall and across all racial and ethnic groups
33%
Rheumatic disease
18%
Hematologic/oncologic conditions
18%

Observational data: associations, not effects.

Further findings

Deaths recorded and age at death · 10-year follow-up

Deaths
135
Mean ± SD age at death (years)
62.2 ± 15.6

Leading causes of death after CVD

Rheumatic disease
18%
Hematologic/oncologic conditions
18%

CVD deaths by race/ethnicity, SLE vs general population

Asian individuals with SLE vs general population
nearly 4 times higher
Hispanic individuals with SLE vs general population
6 times higher

Original publication

Causes of Death Among Individuals With Systemic Lupus Erythematosus by Race and Ethnicity: A Population‐Based Study. Arthritis Care Res (Hoboken). Published 15 September 2022. doi:10.1002/acr.24988

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