Evidence map›Paper›PMID 34921094›Full record

SynthesisLupus science & medicine2021

Incidence rates of systemic lupus erythematosus in the USA: estimates from a meta-analysis of the Centers for Disease Control and Prevention national lupus registries.

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

Abstract readMeta-Analysis
In one paragraph

Synthesis in Lupus science & medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–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

26 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. A Systemic Lupus Erythematosus Incidence Surveillance Report Among DoD Beneficiaries During the COVID-19 Pandemic.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Mapping the spatial and temporal frequency of systemic lupus erythematosus in Brazil.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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 IzmirlyDepartment of Medicine, Division of Rheumatology, New York University Grossman School of Medicine, New York, New York, USA Peter.Izmirly@nyumc.org.ORCID 0000-0001-5445-2182
Elizabeth D FerucciDepartment of Research Services, Division of Community Health Services, Alaska Native Tribal Health Consortium, Anchorage, Alaska, USA.ORCID 0000-0003-0478-8205
Emily C SomersUniversity of Michigan Schools of Medicine & Public Health, Ann Arbor, Michigan, USA.ORCID 0000-0001-5234-3978
Lu WangDepartment of Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
S Sam LimDepartment of Medicine, Division of Rheumatology, Emory University, Atlanta, GA, USA.ORCID 0000-0003-2361-0787
Cristina DrenkardDepartment of Medicine, Division of Rheumatology, Emory University, Atlanta, GA, USA.ORCID 0000-0002-6832-7291
Maria Dall'EraUniversity of California, San Francisco, California, USA.
W Joseph McCuneDivision of Rheumatology, University of Michigan, Ann Arbor, Michigan, USA.
Caroline GordonRheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
Charles HelmickCenters for Disease Control and Prevention, Atlanta, Georgia, USA.
Hilary PartonNew York City Department of Health and Mental Hygiene, New York, New York, USA.

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
Strategic Vision & Impact on Environmental HealthP30ES017885 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Dana Dolinoy · 2011 to 2026
$21.3M
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 DP002827NIEHS NIH HHS P30 ES017885
6 · The paper itself

Abstract

objectiveTo estimate the annual incidence rate of SLE in the USA.

methodsA meta-analysis used sex/race/ethnicity-specific data spanning 2002-2009 from the Centers for Disease Control and Prevention network of four population-based state registries to estimate the incidence rates. SLE was defined as fulfilling the 1997 revised American College of Rheumatology classification criteria. Given heterogeneity across sites, a random effects model was employed. Applying sex/race/ethnicity-stratified rates, including data from the Indian Health Service registry, to the 2018 US Census population generated estimates of newly diagnosed SLE cases.

resultsThe pooled incidence rate per 100 000 person-years was 5.1 (95% CI 4.6 to 5.6), higher in females than in males (8.7 vs 1.2), and highest among black females (15.9), followed by Asian/Pacific Islander (7.6), Hispanic (6.8) and white (5.7) females. Male incidence was highest in black males (2.4), followed by Hispanic (0.9), white (0.8) and Asian/Pacific Islander (0.4) males. The American Indian/Alaska Native population had the second highest race-specific SLE estimates for females (10.4 per 100 000) and highest for males (3.8 per 100 000). In 2018, an estimated 14 263 persons (95% CI 11 563 to 17 735) were newly diagnosed with SLE in the USA.

conclusionsA network of population-based SLE registries provided estimates of SLE incidence rates and numbers diagnosed in the USA.

Indexed as

Lupus Erythematosus, SystemicCenters for Disease Control and Prevention, U.S.EthnicityFemaleHumansIncidenceMaleRegistriesUnited Statesautoimmune diseasesepidemiologysystemic lupus erythematosus

Identifiers

PMID34921094
PMCPMC8685969

What OpenQuestion holds

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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.