Evidence map›Paper›PMID 33474834›Full record

SynthesisArthritis & rheumatology (Hoboken, N.J.)2021

Prevalence of Systemic Lupus Erythematosus in the United States: Estimates From a Meta-Analysis of the Centers for Disease Control and Prevention National Lupus Registries.

Peter M Izmirly, Hilary Parton, Lu Wang, W Joseph McCune, S Sam Lim, Cristina Drenkard, Elizabeth D Ferucci, Maria Dall'Era, Caroline Gordon, Charles G Helmick and 1 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Arthritis & rheumatology (Hoboken, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 172 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
172citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

172 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Observational
  20. Article

112 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Peter M IzmirlyNew York University School of Medicine, New York, New York.ORCID 0000-0001-5445-2182
Hilary PartonNew York City Department of Health and Mental Hygiene, Long Island City, New York.
Lu WangUniversity of Michigan, Ann Arbor.
W Joseph McCuneUniversity of Michigan, Ann Arbor.
S Sam LimEmory University, Atlanta, Georgia.ORCID 0000-0003-2361-0787
Cristina DrenkardEmory University, Atlanta, Georgia.ORCID 0000-0002-6832-7291
Elizabeth D FerucciAlaska Native Tribal Health Consortium, Anchorage.ORCID 0000-0003-0478-8205
Maria Dall'EraUniversity of California, San Francisco.
Caroline GordonUniversity of Birmingham, Birmingham, UK.ORCID 0000-0002-1244-6443
Charles G HelmickCDC, Atlanta, GA.
Emily C SomersUniversity of Michigan, Ann Arbor.ORCID 0000-0001-5234-3978

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
State Approaches to Estimating Incidence and Prevalence of LupusU58DP002827 · DP · NEW YORK CITY HEALTH/MENTAL HYGIENE · PI PARTON, HILARY · 2010 to 2013
$5.4M
PUBLIC HLTH APPROACHES TO ARTHRITIS IN MICHIGANU58DP001441 · DP · MICHIGAN STATE DEPARTMENT OF HEALTH AND HUMAN SERVICES · PI LYLES, JUDITH S · 2008 to 2011
$5.0M
Michigan Lupus Epidemiology and Surveillance (MILES) Program Longitudinal Cohort & BiobankU01DP006489 · DP · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SOMERS, EMILY CATHERINE · 2019 to 2021
$2.6M
NCATS NIH HHS UL1 TR002240NCCDPHP CDC HHS U01 DP006489NCCDPHP CDC HHS U58 DP001441NCCDPHP CDC HHS U58 DP002827
6 · The paper itself

Abstract

objectiveEpidemiologic data on systemic lupus erythematosus (SLE) are limited, particularly for racial/ethnic subpopulations in the US. This meta-analysis leveraged data from the Centers for Disease Control and Prevention (CDC) National Lupus Registry network of population-based SLE registries to estimate the overall prevalence of SLE in the US.

methodsThe CDC National Lupus Registry network includes 4 registries from unique states and a fifth registry from the Indian Health Service. All registries defined cases of SLE according to the American College of Rheumatology (ACR) 1997 revised classification criteria for SLE. Case findings spanned either 2002-2004 or 2007-2009. Given the heterogeneity across sites, a random-effects model was used to calculate the pooled prevalence of SLE. An estimate of the number of SLE cases in the US was generated by applying sex/race-stratified estimates to the 2018 US Census population.

resultsIn total, 5,417 cases were identified as fulfilling the ACR SLE classification criteria. The pooled prevalence of SLE from the 4 state-specific registries was 72.8 per 100,000 person-years (95% confidence interval [95% CI] 65.3-81.0). The prevalence estimate was 9 times higher among females than among males (128.7 versus 14.6 per 100,000), and highest among Black females (230.9 per 100,000), followed by Hispanic females (120.7 per 100,000), White females (84.7 per 100,000), and Asian/Pacific Islander females (84.4 per 100,000). Among males, the prevalence of SLE was highest in Black males (26.7 per 100,000), followed by Hispanic males (18.0 per 100,000), Asian/Pacific Islander males (11.2 per 100,000), and White males (8.9 per 100,000). The American Indian/Alaska Native population had the highest race-specific SLE estimates, both among females (270.6 per 100,000) and among males (53.8 per 100,000). In 2018, an estimated 204,295 individuals (95% CI 160,902-261,725) in the US fulfilled the ACR classification criteria for SLE.

conclusionA coordinated network of population-based SLE registries provides more accurate estimates of the prevalence of SLE and the numbers of individuals affected with SLE in the US in 2018.

Indexed as

Alaska NativesAmerican Indian or Alaska NativeAsianBlack or African AmericanCenters for Disease Control and Prevention, U.S.Hispanic or LatinoHumansLupus Erythematosus, SystemicNative Hawaiian or Pacific IslanderPrevalenceRegistriesSex DistributionUnited StatesWhite People

Identifiers

PMID33474834
PMCPMC8169527

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.