Pediatric rheumatology

Nationwide analysis of childhood-onset systemic lupus erythematosus mortality in Mexico, 2000–2023

LupusPublished Cross-sectional study

Main finding · cSLE ASMR per 100,000 by sexResult — go to the resultIncidence rate ratio 0.24 95% CI 0.19–0.29

Authors' conclusion

cSLE mortality in Mexico has remained stable over time, with a marked female predominance.

Study context

Population
Children aged 1–14 years whose deaths were attributed to cSLE, Mexico, 2000–2023 (INEGI national death registry)cSLE deaths among 280,334 child deaths
Participants
637 children
Exposure
Male vs female; by region
Outcome
Trends in ASMRs (per 100,000 population) from cSLE, stratified by sex and region
Methodological detailsretrospective, nationwide death registry, Poisson regression with log link and population offset
  • Retrospective
  • Nationwide death registry
  • Poisson regression with log link and population offset

Main finding

cSLE ASMR per 100,000 by sex · 2000–2023

Incidence rate ratio

0.24

95% CI 0.19–0.29

P < 0.001

By group

Boysvs Girls
IRR 0.24 (95% CI 0.19–0.29); P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Further findings

Age-standardized mortality rates (ASMRs) similar across regions (range per 100,000)
0.08-0.09
Central and Midwest regions concentrated over 60% of total deaths
No statistically significant regional differences

Original publication

Nationwide analysis of childhood-onset systemic lupus erythematosus mortality in Mexico, 2000–2023. Lupus. Published 24 April 2026. doi:10.1177/09612033261445759

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