Systemic sclerosis & Raynaud's

Immunosuppressive Drugs in Early Systemic Sclerosis and Prevention of Damage Accrual

Arthritis Care Res (Hoboken)Published Retrospective cohort study

Authors' conclusion

In this retrospective observational cohort study, using IPTW to adjust for confounders, we found a protective effect of receiving ISs on damage accrual in patients with lcSSc.

Study context

Population
Patients with early systemic sclerosis (SSc) (≤2 years disease duration), limited cutaneous SSc (lcSSc) and diffuse cutaneous SSc (dcSSc), Canadian and Australian cohortslcSSc 210
Exposure
Ever vs never exposed to immunosuppressive drugs, separately in lcSSc and dcSSc
Outcome
Global organ damage (Scleroderma Clinical Trials Consortium Damage Index (SCTC-DI))
Methodological detailsinverse probability of treatment weighting (IPTW), marginal structural generalized estimating equation model, Canadian and Australian cohorts
  • Inverse probability of treatment weighting (IPTW)
  • Marginal structural generalized estimating equation model
  • Canadian and Australian cohorts

Main finding

As reported in the abstract

Damage scores (SCTC-DI)
  • lcSSc (n=210; 34% exposed to ISs): IS exposure associated with lower damage scores
  • dcSSc (n=192; 76% exposed to ISs): IS exposure not associated with damage scores
  • IPTW-adjusted

Observational data: associations, not effects.

Original publication

Immunosuppressive Drugs in Early Systemic Sclerosis and Prevention of Damage Accrual. Arthritis Care Res (Hoboken). Published 2 February 2025. doi:10.1002/acr.25467

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