Lupus & antiphospholipid syndrome

Vaccination and the risk of systemic lupus erythematosus: a meta-analysis of observational studies

Arthritis Res TherPublished Systematic review and meta-analysis of observational studies

Pooled result · Risk of SLE (pooled)Result — go to the resultOdds ratio 1.14 95% CI 0.86–1.52

Authors' conclusion

This study suggests that vaccinations are not linked to an increased risk of SLE.

Study context

Population
Observational studies from PubMed, Cochrane Library and Embase, inception to September 3, 2023; follow-up 0.5 to 2 years
Participants
45,067,349 participants17 studies
Comparison
Vaccination vs no vaccination
Outcome
Risk of systemic lupus erythematosus (SLE)
Methodological detailsNOS quality assessment, funnel plots and Egger's regression for publication bias
  • NOS quality assessment
  • Funnel plots and Egger's regression for publication bias

Pooled result

Risk of SLE (pooled)

Odds ratio

1.14

95% CI 0.86–1.52

P = 0.348

Vaccinationvs No vaccination
OR 1.14 (95% CI 0.86–1.52); P = 0.348

As reported in the abstract

Further pooled results

OutcomeOR (95% CI)P value
Risk of SLE, HBV vaccination (subgroup)I2 = 63.3%2.11 (1.11–4.00)P = 0.02
Risk of SLE, HPV vaccination (subgroup)I2 = 72.4%1.43 (0.88–2.31)P = 0.148
Risk of SLE, influenza vaccination (subgroup)I2 = 0.0%0.96 (0.82–1.12)P = 0.559
Risk of SLE, COVID-19 vaccine (subgroup)I2 = 91.3%0.44 (0.18–1.21)P = 0.118

Original publication

Vaccination and the risk of systemic lupus erythematosus: a meta-analysis of observational studies. Arthritis Res Ther. Published 4 March 2024. doi:10.1186/s13075-024-03296-8

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