Inflammatory myopathies

Epidemiology of idiopathic inflammatory myopathies: a population-based cohort in England, 2002–2021

RMD OpenPublished Population-based cohort study

Authors' conclusion

There are major demographic differences in IIM incidence, notably by sex and ethnicity.

Study context

Population
All patients (aged >2 years) in England registered in Clinical Practice Research Datalink (CPRD) Aurum, 1 March 2002 to 31 March 2021incident cases by subtype
Participants
1,590 / 432 / 2,083
Exposure
Dermatomyositis (DM) vs inclusion body myositis (IBM) vs Other idiopathic inflammatory myopathies (IIM)
  • DMn = 1,590
  • IBMn = 432
  • Other IIMn = 2,083
Outcome
Incidence of three main IIM subtypes: DM, IBM and other IIM
Methodological detailsprimary care database (CPRD Aurum) with linkage to hospital episode data, Poisson models
  • Primary care database (CPRD Aurum) with linkage to hospital episode data
  • Poisson models

Main finding

As reported in the abstract

Incidence per 100 000 person-years

Observational data: associations, not effects.

Further findings

OutcomeaIRR (95% CI)
Incidence by sex (females vs males)Females (DM)vs Males (DM)1.84 (1.66–2.04)
Incidence by sex (females vs males)Females (other IIM)vs Males (other IIM)1.09 (1.00–1.19)
Incidence by sex (females vs males)Females (IBM)vs Males (IBM)0.73 (0.60–0.89)
Incidence by ethnicity (vs white)2.80 (2.32–3.37)

Point prevalence at study end

Incidence by ethnicity (vs white)

South Asian, black, other and unknown ethnic groups had a higher incidence of DM and other IIM vs white ethnicity

Original publication

Epidemiology of idiopathic inflammatory myopathies: a population-based cohort in England, 2002–2021. RMD Open. Published 15 July 2026. doi:10.1136/rmdopen-2026-006966

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