Lupus & antiphospholipid syndrome

Incidence of and risk factors for myelodysplastic syndrome in patients with rheumatologic diseases

Rheumatology (Oxford)Published Retrospective cohort study

Main finding · Incidence of MDSResult — go to the resultAdjusted hazard ratio 2.61 CI 1.19–36.06

Authors' conclusion

SLE is a significant risk factor for MDS among patients with rheumatologic diseases. A lower haemoglobin level at the time of diagnosis of rheumatologic disease was associated with the future development of MDS.

Study context

Population
Patients diagnosed with rheumatologic diseases at a tertiary care hospital, May 2009–July 202255,841 person-years of follow-up
Exposure
Patients with rheumatologic disease who developed myelodysplastic syndrome (MDS) vs age- and sex-matched controls with the same rheumatologic disease
  • MDSn = 64
Outcome
Incidence of and risk factors for MDS
Methodological detailssingle tertiary care hospital, 5 age- and sex-matched controls per MDS case
  • Single tertiary care hospital
  • 5 age- and sex-matched controls per MDS case

Main finding

Incidence of MDS

Adjusted hazard ratio

2.61

CI 1.19–36.06

P = 0.01

Events by group

MDS

1.15/1000 PY

64 of 64

Patients with rheumatologic disease who developed MDSvs age- and sex-matched controls with the same rheumatologic disease
adjusted hazard ratio 2.61 (CI 1.19–36.06); P = 0.01

As reported in the abstract

Observational data: associations, not effects.

Further findings

Characteristics of MDS patients
57.0 · median · IQR 41.0–69.0 · years

Haemoglobin at diagnosis of rheumatologic disease

RA, SLE and AS patients with MDS had lower haemoglobin than matched controls

GC use

MDS patients with SLE and BD had higher GC use (frequency and mean dose) than controls

Original publication

Incidence of and risk factors for myelodysplastic syndrome in patients with rheumatologic diseases. Rheumatology (Oxford). Published 27 July 2023. doi:10.1093/rheumatology/kead374

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.