Lupus & antiphospholipid syndrome

Polypharmacy in Adults With Systemic Lupus Erythematosus

Arthritis Care Res (Hoboken)Published Cross-sectional study

Study context

Population
US adults with validated systemic lupus erythematosus (SLE) from a population-based cohort in Atlanta, Georgia (15.3% ≥60 years old, 91.8% women, 81.8% Black)
Participants
451 adults
Outcome
Prevalence of polypharmacy (five or more prescription or over-the-counter (OTC) medications, self-reported)
Methodological detailspopulation-based cohort, crude logistic regression and postestimation marginals
  • Population-based cohort
  • Crude logistic regression and postestimation marginals

Main finding

As reported in the abstract

Polypharmacy prevalence

Participants reporting polypharmacy

56.3%

Observational data: associations, not effects.

Further findings

Age-adjusted polypharmacy prevalence by participant characteristics

Age ≥60 years
68.1%
Age 40-59 years
59.8%
Age 18-39 years
43.0%
Higher vs lower disease activity
65.8% vs 46.2%
Higher vs lower cumulative SLE-related damage
68.5% vs 42.4%
Longer vs shorter disease duration
62.4% vs 50.0%
Three to five vs zero to one immunomodulating medications
79.6% vs 38.0%
Not statistically significantly different by sex, race, or education

Most common medications used

HCQ
71.4%
GC
44.3%
Other immunomodulating drugs
50.3%
Antihypertensives
61.9%
Nonopioid pain relievers
51.7%
Allergy treatments
22.4%
Antidepressants
22.2%
Gastric reflux medications
21.7%
  • Polypharmacy was most often driven by other medications

Original publication

Polypharmacy in Adults With Systemic Lupus Erythematosus. Arthritis Care Res (Hoboken). Published 14 January 2026. doi:10.1002/acr.25686

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

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