Inflammatory myopathies

Time-dependent changes in RPILD and mortality risk in anti-MDA5+ DM patients: a cohort study of 272 cases in China

Rheumatology (Oxford)Published Cohort study

Authors' conclusion

These results suggest significant, time-dependent changes in RPILD and mortality risk in anti-MDA5+ DM patients, providing a cut-off time window to estimate disease progression and poor prognosis.

Study context

Population
Patients with anti-MDA5+ DM, China
Participants
272 patients
Outcome
Time-dependent risk of RPILD and death
Methodological detailsmultivariate Cox regression
  • Multivariate Cox regression

Main finding

As reported in the abstract

RPILD occurring in the first 6 months after disease onset

>90%

Mortality occurring in the first 6 months after disease onset

84%

RPILD occurring in the first 3 months

50%

Deaths occurring in the first 3 months

46%

Observational data: associations, not effects.

Further findings

Independent risk factors for RPILD (multivariate Cox regression)

Short disease course, high CRP, anti-Ro52 positive and anti-MDA5 titre (++∼+++) were independent risk factors of RPILD

Independent risk factors for death (multivariate Cox regression)

High creatine kinase, high CRP and RPILD were independent risk factors for death

Original publication

Time-dependent changes in RPILD and mortality risk in anti-MDA5+ DM patients: a cohort study of 272 cases in China. Rheumatology (Oxford). Published 12 August 2022. doi:10.1093/rheumatology/keac450

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