Lupus & antiphospholipid syndrome

Determination of four homogeneous subgroups of patients with antiphospholipid syndrome: a cluster analysis based on 509 cases

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Our study applied an unsupervised clustering method to distinguish four homogeneous APS patient subgroups that were predominantly venous; arterial; associated with SLE or another autoimmune disease; and arterial microthrombotic.

Study context

Population
APS patients meeting the Sydney classification criteria, French multicentre 'APS and SLE' registry77.8% women
Participants
509 patients
Exposure
Cluster 1 vs Cluster 2 vs Cluster 3 vs Cluster 4
Outcome
Distinct homogeneous phenotypes among APS patients by unsupervised hierarchical cluster analysis
Methodological detailsobservational, multicentre, unsupervised multiple correspondence analysis followed by hierarchical ascendant clustering, 27 variables
  • Observational
  • Multicentre
  • Unsupervised multiple correspondence analysis followed by hierarchical ascendant clustering
  • 27 variables

Main finding

As reported in the abstract

Homogeneous APS phenotype clusters
Four homogeneous groups of patients identified: predominantly venous; arterial; associated with SLE or another autoimmune disease; and arterial microthrombotic
4

Observational data: associations, not effects.

Further findings

Deaths — Cluster 4
16.7%
  • Deaths: more deaths in cluster 4

Age at APS diagnosis and follow-up since diagnosis

Mean (SD) age at APS diagnosis, years
36.2 (14.6)
Mean (SD) follow-up since diagnosis, years
10.3 (8.5)

Original publication

Determination of four homogeneous subgroups of patients with antiphospholipid syndrome: a cluster analysis based on 509 cases. Rheumatology (Oxford). Published 3 October 2022. doi:10.1093/rheumatology/keac548

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