Lupus & antiphospholipid syndrome

Epidemiology of patients with moderate-to-severe SLE in Sweden

Lupus Sci MedPublished Register-based cohort study

Authors' conclusion

Using national register data, the estimated prevalence of SLE in Sweden is higher than published figures from previous years.

Study context

Population
Adult SLE patients in the Swedish National Patient Register, July 2005–December 20195,076 incident cases
Participants
10,186 patients
Exposure
SLE patients by severity level vs matched non-SLE comparators
  • SLEn = 10,186
Outcome
Prevalence and incidence of SLE in Sweden; proportion with moderate-to-severe disease; association of severity with survival
Methodological detailsnationwide, matched 5:1 with non-SLE comparators, Cox regression
  • Nationwide
  • Matched 5:1 with non-SLE comparators
  • Cox regression

Main finding

As reported in the abstract

Average incidence of adult SLE, 2015–2019 (per 100 000)

4.1

Prevalence in 2019 (per 100 000)

93.8

Observational data: associations, not effects.

Further findings

Moderate-to-severe disease · first year postdiagnosis — SLE
61%
Moderate-to-severe disease — Stabilising at approximately (after 3-4 years, patients still in follow-up)
45%

Survival

Across all severity levels, SLE patients had poorer survival than comparators
High severity in the year after diagnosis independently associated with increased mortality vs mild disease, regardless of age, sex or prescribed treatments

Original publication

Epidemiology of patients with moderate-to-severe SLE in Sweden. Lupus Sci Med. Published 2 October 2025. doi:10.1136/lupus-2025-001525

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