Lupus & antiphospholipid syndrome

Changes in the incidence and prevalence of systemic lupus erythematosus between 1990 and 2020: an observational study using the Clinical Practice Research Datalink (CPRD)

Lupus Sci MedPublished Retrospective cohort study

Authors' conclusion

The observed fivefold increase in prevalence of SLE over the last 30 years, in the context of a modest decline in incidence rate, may suggest improved outcomes in SLE

Study context

Population
Patients with systemic lupus erythematosus (SLE) in the UK, CPRD, 1990–20205,278 incident cases
Participants
9,443 patients
Outcome
Incidence (per 100 000 person-years) and point prevalence (per 100 000, mid-year) of SLE
Follow-up
1990-2020
Methodological detailscase ascertainment algorithm, stratified by sex
  • Case ascertainment algorithm
  • Stratified by sex

Main finding

As reported in the abstract

Overall SLE incidence rate

Overall incidence rate, cases per 100 000 person-years

5.47

95% CI 5.33 to 5.62

Observational data: associations, not effects.

Further findings

Point prevalence of SLE per 100 000 · 1990 and 2020

Point prevalence in 1990, per 100 000
21.4 (95% CI 17.68 to 25.67)
Point prevalence in 2020, per 100 000
107.14 (95% CI 103.26 to 111.12)

Incident cases by sex

Incident cases, women
4538
Incident cases, men
740

Original publication

Changes in the incidence and prevalence of systemic lupus erythematosus between 1990 and 2020: an observational study using the Clinical Practice Research Datalink (CPRD). Lupus Sci Med. Published 27 July 2024. doi:10.1136/lupus-2024-001213

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