Factors associated with damage accrual in patients with systemic lupus erythematosus: results from the Systemic Lupus International Collaborating Clinics (SLICC) Inception Cohort

Autor: Bernatsky, Sasha, Ramsey-Goldman, Rosalind, Bae, Sang-Cheol, Rahman, Anisur, Mackay, Meggan, Wallace, Daniel J, Dooley, Mary Anne, Hanly, John G, Sturfelt, Gunnar K, Ginzler, Ellen M, O'Keeffe, Aidan G, Manzi, Susan, Merrill, Joan T, Fortin, Paul R, Ramos-Casals, Manuel, Alarcón, Graciela S, Aranow, Cynthia, Nived, Ola, Steinsson, Kristjan, Bruce, Ian N, Petri, Michelle, Khamashta, Munther A, Sanchez-Guerrero, Jorge, Clarke, Ann E, Gordon, Caroline, Fessler, Barri J, Su, Li, Gladman, Dafna D, Isenberg, David A, Zoma, Asad A, Romero-Diaz, Juanita, Farewell, Vern
Jazyk: angličtina
Rok vydání: 2015
DOI: 10.17615/tp5s-ds90
Popis: Background and aimsWe studied damage accrual and factors determining development and progression of damage in an international cohort of systemic lupus erythematosus (SLE) patients.MethodsThe Systemic Lupus International Collaborating Clinics (SLICC) Inception Cohort recruited patients within 15 months of developing four or more 1997 American College of Rheumatology (ACR) criteria for SLE; the SLICC/ACR damage index (SDI) was measured annually. We assessed relative rates of transition using maximum likelihood estimation in a multistate model. The Kaplan–Meier method estimated the probabilities for time to first increase in SDI score and Cox regression analysis was used to assess mortality.ResultsWe recruited 1722 patients; mean (SD) age 35.0 (13.4) years at cohort entry. Patients with damage at enrolment were more likely to have further worsening of SDI (SDI 0 vs ≥1; p
Databáze: OpenAIRE