Systemic sclerosis & Raynaud's

Gastroesophageal reflux disease is associated with a more severe interstitial lung disease in systemic sclerosis in the EUSTAR cohort

Rheumatology (Oxford)Published Cohort study

Authors' conclusion

SSc-ILD patients with GERD appear to suffer from a more severe SSc disease. In this population, female sex may be considered a risk factor for ILD progression.

Study context

Population
Systemic sclerosis (SSc) patients with interstitial lung disease (ILD) from the EUSTAR database
Participants
5,462 patients
Exposure
SSc-ILD with gastroesophageal reflux disease (GERD) vs without GERD
  • GERDn = 4,400
Outcome
Prevalence of GERD among SSc-ILD patients
Methodological detailsEUSTAR database, multivariable Cox regression
  • EUSTAR database
  • Multivariable Cox regression

Main finding

As reported in the abstract

Prevalence of GERD · baseline

GERD

80.6%

4400

Observational data: associations, not effects.

Further findings

OutcomeOR (CI)P value
Diffuse cutaneous SSc · baseline1.44 (1.22–1.69)P < 0.001
OutcomeGERDNo GERDP value
FVC · baseline85.8 ± 22.190.2 ± 20.1P < 0.001
DLCO · baseline60.8 ± 19.765.3 ± 20.6P < 0.001

6-min walking test · baseline

Worse performance with GERD

Predictors of ILD progression in SSc-ILD with GERD (multivariable Cox) · 12 ± 3 months

Female sex, HR [1.07-1.80], P = 0.012
1.39
Older age, HR [1.01-1.03], P < 0.001
1.02

Original publication

Gastroesophageal reflux disease is associated with a more severe interstitial lung disease in systemic sclerosis in the EUSTAR cohort. Rheumatology (Oxford). Published 8 January 2025. doi:10.1093/rheumatology/keaf016

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