Lupus & antiphospholipid syndrome

Factors associated with delay in the diagnosis and treatment of systemic lupus erythematosus in adult patients: a systematic review

Rheumatology (Oxford)Published Systematic review

Authors' conclusion

The reported median delays in the diagnosis and treatment of SLE are 18 months and 2.09 months, respectively.

Study context

Population
Adult patients with SLE; studies estimating delay in diagnosis and/or treatment (Scopus, PubMed, Web of Science, up to 15 July 2024)25 studies
Comparison
Men vs Women vs Early-onset SLE vs Late-onset SLE
Outcome
Factors associated with delay in diagnosing and treating SLE
Methodological detailsquantitative studies, Joanna Briggs Institute (JBI) Checklist quality assessment
  • Quantitative studies
  • JBI Checklist quality assessment

Pooled result

As reported in the abstract

Median delay in diagnosis, months (IQR 0-32.3)

18

Median time to treatment from diagnosis, months (IQR 0.0-5.05)

2.09

Further pooled results

Median, months

OutcomeMenWomenEarly-onset SLELate-onset SLE
Median delay in diagnosis by sex14.09 (IQR 0.0–18.5)29.55 (IQR 1.1–144.0)— not stated in the abstract— not stated in the abstract
Median delay by age at onset— not stated in the abstract— not stated in the abstract3.88 (IQR 1.5–9.1)10.10 (IQR 3.0–38.0)

— not stated in the abstract

  • Median delay in diagnosis by sex: n = 5 studies
  • Median delay by age at onset: n = 3 studies

Average quality of the studies (JBI)

Average quality score
6.4

Original publication

Factors associated with delay in the diagnosis and treatment of systemic lupus erythematosus in adult patients: a systematic review. Rheumatology (Oxford). Published 11 July 2025. doi:10.1093/rheumatology/keaf384

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