Lupus & antiphospholipid syndrome

Mortality patterns of SLE and the associated risk factors in Korean patients: a nationwide cohort study

Lupus Sci MedPublished Nationwide cohort study

Authors' conclusion

Among Korean patients with SLE, SLE-related conditions were the leading causes of mortality. However, CVD and cancer were also identified as the main causes of mortality. Furthermore, pulmonary manifestations were significantly associated with SLE-related mortality.

Study context

Population
Korean patients aged 10–79 years with incident SLE, National Health Insurance database 2008–2018 (mean age 42.3±16.7 years; 86.1% female)
Participants
11,375 patients57,658 person-years (PYs)
Exposure
Men vs Women
Outcome
All-cause and cause-specific mortality (MR, deaths per 100 000 PYs)
Methodological detailsNational Health Insurance database 2008–2018, generalised estimating equation model
  • National Health Insurance database 2008–2018
  • Generalised estimating equation model

Main finding

As reported in the abstract

All-cause mortality
Deaths, all patients
728
Overall mortality rate (MR) (/100 000 PYs)
1262.62

Observational data: associations, not effects.

Further findings

Leading causes of death (MR /100 000 PYs)

SLE-related conditions
381.56
Cardiovascular disease (CVD)
202.92
Cancer
175.17
Infection
143.95

Risk factors for SLE-related mortality

Pulmonary alveolar haemorrhage, OR
9.93
PAH, OR
3.77
ILD, OR
3.27

Original publication

Mortality patterns of SLE and the associated risk factors in Korean patients: a nationwide cohort study. Lupus Sci Med. Published 26 February 2025. doi:10.1136/lupus-2024-001361

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