Systemic sclerosis & Raynaud's

Steady decrease in systemic sclerosis mortality rates at younger ages over the past five decades

Rheumatology (Oxford)Published Population-based study

Authors' conclusion

Mortality for SSc has steadily decreased at younger ages over the past five decades.

Study context

Population
All US residents, 1968 through 2015; decedents with SSc recorded as the underlying cause of deathSSc decedents by age group
Participants
5,457 / 18,395 / 22,946
Exposure
SSc vs all other causes of death, by age group, 1968–2015
  • ≤44 yearsn = 5,457
  • 45-64n = 18,395
  • ≥65n = 22,946
Outcome
SSc mortality by age: proportion of deaths, ASMR and SSc-ASMR:non-SSc-ASMR ratio, as AAPC
Follow-up
1968 through 2015
Methodological detailsnational mortality database, US census data, joinpoint regression
  • National mortality database
  • US census data
  • Joinpoint regression

Main finding

As reported in the abstract

SSc mortality trends by age
Ages ≤44: Average annual percent change (AAPC) in proportion of annual deaths, SSc
−2.2% (95% CI, −2.4% to −2.0%)
Ages ≤44: AAPC in proportion of annual deaths, non-SSc (−1.9% to −1.1%)
−1.5%
Ages ≤44: SSc-ASMR per million persons, 1968
1.0 (95% CI, 0.8-1.2)
Ages ≤44: SSc-ASMR per million persons, 2015 (0.3-0.5)
0.4
Ages ≤44: SSc-ASMR cumulative decrease
60%
Ages ≤44: SSc-ASMR AAPC
−1.9% (95% CI, −2.5% to −1.2%)
Ages ≤44: SSc-ASMR:non-SSc-ASMR ratio cumulative change
−20%
Ages ≤44: SSc-ASMR:non-SSc-ASMR ratio AAPC
−0.3% (95% CI, −1.15% to 0.55%)
Ages ≥65: SSc-ASMR cumulative increase
187.0%
Ages ≥65: SSc-ASMR AAPC
2.0% (95% CI, 1.8-2.2)
Ages ≥65: SSc-ASMR:non-SSc-ASMR ratio cumulative increase
395.4%
Ages ≥65: SSc-ASMR:non-SSc-ASMR ratio AAPC
3.3% (95% CI, 2.9-3.7)

Observational data: associations, not effects.

Original publication

Steady decrease in systemic sclerosis mortality rates at younger ages over the past five decades. Rheumatology (Oxford). Published 22 May 2023. doi:10.1093/rheumatology/kead233

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