Lupus & antiphospholipid syndrome

Multimorbidity in systemic lupus erythematosus in a population-based cohort: the Lupus Midwest Network

Rheumatology (Oxford)Published Population-based cohort study

Main finding · Multimorbidity, prevalent cohortResult — go to the resultOdds ratio 2.98 95% CI 2.18–4.11

Authors' conclusion

Patients with SLE had a higher burden of multimorbidity, even before the onset of the disease. The risk disparity continued after SLE classification and was also seen in a prevalent SLE cohort. Multimorbidity was driven both by SDI-related and unrelated conditions.

Study context

Population
Prevalent and incident population-based cohorts of patients with SLE and matched comparators (Lupus Midwest Network); 57 chronic conditions assessed449 prevalent
Exposure
SLE vs matched non-SLE comparators
Outcome
Multimorbidity (≥2 chronic conditions): prevalence and incidence
Methodological detailsmatched comparators, prevalent and incident cohorts, logistic regression, Cox models
  • Matched comparators
  • Prevalent and incident cohorts
  • Logistic regression
  • Cox models

Main finding

Multimorbidity, prevalent cohort · 1 January 2015

Odds ratio

2.98

95% CI 2.18–4.11

SLEvs Comparators
OR 2.98 (95% CI 2.18–4.11)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeEstimate
Multimorbidity at SLE incidence, incident cohortOR 2.27 (95% CI 1.59–3.27)
Development of multimorbidity after SLE incidenceHR 2.11 (95% CI 1.59–2.80)
Development of multimorbidity, SDI-related conditions · after incidenceHR 2.91 (95% CI 2.17–3.88)
Development of multimorbidity, SDI-unrelated conditions · after incidenceHR 1.73 (95% CI 1.32–2.26)

Original publication

Multimorbidity in systemic lupus erythematosus in a population-based cohort: the Lupus Midwest Network. Rheumatology (Oxford). Published 24 November 2023. doi:10.1093/rheumatology/kead617

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