Lupus & antiphospholipid syndrome

Epidemiology changes in systemic lupus erythematosus in Italy: the EASIEST study

Lupus Sci MedPublished Cross-sectional study

Authors' conclusion

Over a decade, this GP-based study shows an increase in SLE prevalence and incidence within participating practices, accompanied by evolving therapeutic strategies and an increasing proportion of patients off treatment, including glucocorticoids.

Study context

Population
Systemic lupus erythematosus (SLE) cases identified among general practitioner (GPs) in the Florence District, Tuscany, Italy
Exposure
2022 vs 2010
Outcome
Changes in SLE incidence and prevalence
Follow-up
2010 vs 2022
Methodological detailstwo cross-sectional surveys (2010 vs 2022), GP-based
  • Two cross-sectional surveys (2010 vs 2022)
  • GP-based

Main finding

As reported in the abstract

GroupValuePrevalence per 100 000 persons
20105.4 per 100 000 person-years75
202210.9 per 100 000 person-years120

Value

20105.4 per 100 000 person-years
202210.9 per 100 000 person-years

Prevalence per 100 000 persons

201075
2022120

Observational data: associations, not effects.

Further findings

Renal involvement · 2010 vs 2022

Renal involvement declined
22% to 16%

Biologic therapy use

Use of biologic therapies grew substantially over time, while GC remained pivotal in management

Patients not receiving any treatment (GC included)

Proportion of patients not receiving any treatment (GC included) increased

Ethnic composition

Ethnic composition of the SLE cohort remained largely stable, with most patients of Caucasian origin

Original publication

Epidemiology changes in systemic lupus erythematosus in Italy: the EASIEST study. Lupus Sci Med. Published 2 June 2026. doi:10.1136/lupus-2026-001956

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