Systemic sclerosis & Raynaud's

Systemic sclerosis and risk of bronchiectasis: a nationwide longitudinal cohort study

Arthritis Res TherPublished Retrospective cohort study

Main finding · Incident bronchiectasisResult — go to the resultAdjusted hazard ratio 2.63 95% CI 2.22–3.12

Authors' conclusion

The risk of incident bronchiectasis is higher in individuals with systemic sclerosis than those without.

Study context

Population
Korean National Health Insurance Service dataset, 2010–2017: adults aged ≥ 20 years with SSc and age- and sex-matched individuals without SScmedian follow-up 6.0 years
Participants
4,845 vs 24,225
Exposure
SSc vs matched individuals without SSc
  • SScn = 4,845
  • Matchedn = 24,225reference
Outcome
Incident bronchiectasis
Methodological detailsnationwide, longitudinal, matched 1:5 by age and sex
  • Nationwide
  • Longitudinal
  • Matched 1:5 by age and sex

Main finding

As reported in the abstract

median follow-up 6.0 (IQR 3.2-8.7) years

Adjusted hazard ratio

2.63

95% CI 2.22–3.12

By group

SScvs Matched
aHR 2.63 (95% CI 2.22–3.12)

Observational data: associations, not effects.

Further findings

Incident bronchiectasis within SSc by age (subgroup): higher risk in those aged 20-39 years

Risk notably higher in younger individuals aged 20-39 years than counterparts
P for interaction = 0.048

Incident bronchiectasis within SSc by coexisting connective tissue disease (subgroup)

Risk notably higher in those without other coexisting connective tissue diseases than counterparts
P for interaction = 0.006

Original publication

Systemic sclerosis and risk of bronchiectasis: a nationwide longitudinal cohort study. Arthritis Res Ther. Published 23 October 2023. doi:10.1186/s13075-023-03189-2

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