Vasculitis & polymyalgia rheumatica

Incidence of ANCA-associated vasculitis and polyarteritis nodosa in Norfolk, UK, from 2011 to 2020

Rheumatology (Oxford)Published Population-based incidence study

Authors' conclusion

The incidence of AAV, specifically that of granulomatosis with polyangiitis and of microscopic polyangiitis, is slowly rising over time. It is most notable among the elderly population, among whom the incidence rates for granulomatosis with polyangiitis and microscopic polyangiitis peak.

Study context

Population
Adults newly diagnosed with AAV or PAN, 2011–2020, residing in postal areas NR1-NR30, Norfolk County, UK
Participants
164 adults4.7 million person-years
Outcome
Annual and age-specific incidence of AAV and PAN
Methodological detailsEuropean Medicines Agency classification algorithm
  • European Medicines Agency classification algorithm

Main finding

As reported in the abstract

Annual incidence (per million person-years)
AAV
34.3 (95% CI 29.2, 40)/million person-years
GPA
18.9 (95% CI 15.2, 23.3)/million person-years
MPA
12.8 (95% CI 9.7, 16.4)/million person-years
EGPA
2.6 (95% CI 1.3, 4.5)/million person-years
PAN
0.6 (95% CI 0.1, 1.9)/million person-years

Observational data: associations, not effects.

Further findings

Peak age-specific incidence (rose with each decade of life)

GPA, 8th decade
53.2 (95% CI 36.2, 75.6) per million
MPA, 9th decade
48.4 (95% CI 27.1, 79.8) per million

Original publication

Incidence of ANCA-associated vasculitis and polyarteritis nodosa in Norfolk, UK, from 2011 to 2020. Rheumatology (Oxford). Published 30 January 2025. doi:10.1093/rheumatology/keaf052

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