Lupus & antiphospholipid syndrome

Risk of falls, recurrent falls and osteoporotic fractures in SLE patients with comorbid fibromyalgia: a propensity score-matched cohort study using the TriNetX Network

Lupus Sci MedPublished Retrospective cohort study

Authors' conclusion

Comorbid FM is significantly and independently associated with increased fall and fracture risk in SLE.

Study context

Population
Adult SLE patients, TriNetX US Collaborative Network23,775 matched pairs
Exposure
SLE with comorbid fibromyalgia (FM) vs SLE without FM
Outcome
Incident falls, recurrent falls, thoracolumbar vertebral fractures and osteoporotic fractures
Follow-up
5 years
Methodological detailspropensity score-matched (1:1), TriNetX US Collaborative Network, 6 month washout period, Kaplan-Meier curves and Cox proportional hazards regression
  • Propensity score-matched (1:1)
  • TriNetX US Collaborative Network
  • 6 month washout period
  • Kaplan-Meier curves and Cox proportional hazards regression

Main finding

As reported in the abstract

Falls, recurrent falls, thoracolumbar vertebral fractures and osteoporotic fractures
SLE+FM vs SLE-onlyAdjusted hazard ratio (95% CI)
Incident falls
1.38(1.29–1.48)
Recurrent falls
1.53(1.32–1.76)
Thoracolumbar vertebral fractures
1.18(1.01–1.37)
Osteoporotic fractures
1.14(1.02–1.27)

Observational data: associations, not effects.

Further findings

All outcomes at 3 years and across prespecified subgroups

Associations directionally consistent at 3 years and across all prespecified subgroups

Original publication

Risk of falls, recurrent falls and osteoporotic fractures in SLE patients with comorbid fibromyalgia: a propensity score-matched cohort study using the TriNetX Network. Lupus Sci Med. Published 27 July 2026. doi:10.1136/lupus-2026-002188

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