Systemic sclerosis & Raynaud's

Impact of autoantibody status on stratifying the risk of organ involvement and mortality in systemic sclerosis (SSc): experience from a multicentre French cohort of 1605 patients

RMD OpenPublished Retrospective cohort study

Authors' conclusion

This study unravels, by contrast with skin phenotype, a strong association between AAbs specificities, organ involvement and outcome in SSc and suggests that patients' classification based on only skin extension is not sufficient for defining prognosis and phenotype.

Study context

Population
Patients with SSc followed in seven French university hospitals367 dcSSc
Participants
1,605 patients
Exposure
Autoantibody specificities (full antinuclear panel, nine specificities) vs skin phenotype for stratifying risk of organ involvement and mortality
Outcome
Organ involvement and mortality
Methodological detailsmulticentre, multivariate analysis
  • Multicentre
  • Multivariate analysis

Main finding

As reported in the abstract

Estimate (95% CI)
ATAILD
OR 3.27(2.42–4.42)
ATAmortality
HR 1.9(1.01–3.58)
anti-RNAPIIIscleroderma renal crisis
OR 7.05(2.98–16.72)
anti-RNAPIIImortality
HR 2.35(1.12–4.93)
anti-U1RNParthritis
OR 3.79(2.16–6.67)
anti-Pm/Sclmyositis
OR 7.09(3.87–12.98)
anti-Kumyositis
OR 7.99(2.41–26.46)

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Impact of autoantibody status on stratifying the risk of organ involvement and mortality in SSc: experience from a multicentre French cohort of 1605 patients. RMD Open. Published 20 November 2024. doi:10.1136/rmdopen-2024-004580

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