Vasculitis & polymyalgia rheumatica

Epidemiology of anti-neutrophil cytoplasmic antibodies (ANCA) vasculitis in northern Spain

Rheumatology (Oxford)Published Population-based incidence study

Authors' conclusion

During a 20-year period we found that the incidence of AAV (GPA and MPA) in northern Spain was higher than in southern Spain, but lower than northern European countries. An increase in the incidence was observed in the last years.

Study context

Population
AAV patients diagnosed Jan 2000–Dec 2023 in Cantabria, northern Spain; EGPA excluded80M/72F
Participants
152 patients
Exposure
Microscopic polyangiitis (MPA) vs granulomatosis with polyangiitis (GPA) vs Unclassified vasculitis
  • MPAn = 67
  • GPAn = 64
  • Unclassified vasculitisn = 21
Outcome
Annual incidence of AAV (cases per 10^6)
Methodological detailsACR/EULAR 2022 classification criteria, literature review
  • ACR/EULAR 2022 classification criteria
  • Literature review

Main finding

As reported in the abstract

Annual incidence of AAV, per 10^6
Overall annual incidence (95% CI 10, 16.8) /10^6
13.4
Male
14.5 (95% CI 10.5, 18.5)
Female
12.1 (95% CI 8.7, 15.6)
MPA (95% CI 4, 7.8) /10^6
5.9
GPA (95% CI 3.9, 7.3) /10^6
5.6

Observational data: associations, not effects.

Further findings

Trend in mean annual incidence of AAV, per 10^6 · last 3 years

Earlier mean annual incidence
6.1 (95% CI 4.5, 7.7)
Last 3 years
16.5 (595% CI: .6, 27.4, as printed)
GPA earlier
2.3 (95% CI 0.3, 4.9)
GPA last 3 years
8.2 (95% CI 2, 14.5)

Prevalence of AAV, per 10^6

Prevalence
184.7 (95% CI 181, 188)

Original publication

Epidemiology of ANCA vasculitis in northern Spain. Rheumatology (Oxford). Published 6 August 2024. doi:10.1093/rheumatology/keae413

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