Evidence map›Paper›PMID 42562426›Full record

ArticleLupus science & medicine2026

Occurrence of venous thromboembolism in SLE: findings from a nationwide cohort and a clinical cohort in Sweden.

Tamara Vojinovic, Natali Karandyszowska, Iva Gunnarsson, Elisabet Svenungsson, Aleksandra Antovic, Elizabeth V Arkema

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Article in Lupus science & medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Tamara VojinovicDepartment of Internal Medicine, University of Genoa, Genoa, Italy.ORCID 0000-0003-1720-1151
Natali KarandyszowskaDepartment of Medicine Solna, Division of Rheumatology, Karolinska Institutet, Stockholm, Sweden.ORCID 0009-0002-2610-7968
Iva GunnarssonDepartment of Medicine Solna, Division of Rheumatology, Karolinska Institutet, Stockholm, Sweden.
Elisabet SvenungssonDepartment of Medicine Solna, Division of Rheumatology, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-3396-3244
Aleksandra AntovicDepartment of Medicine Solna, Division of Rheumatology, Karolinska Institutet, Stockholm, Sweden.
Elizabeth V ArkemaDepartment of Medicine Solna, Division of Clinical Epidemiology, Karolinska Institutet, Stockholm, Sweden elizabeth.arkema@ki.se.ORCID 0000-0002-3677-9736

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo estimate the risk of venous thromboembolism (VTE) in a nationwide cohort of newly diagnosed patients with SLE and in a cohort of established patients with SLE at Karolinska University Hospital compared with the general population.

methodsIndividuals with SLE were identified from the National Patient Register and matched to general population comparators on age, sex and residence. Follow-up was from diagnosis/matching until incident VTE, death, emigration or study end. The Karolinska cohort was followed from enrolment and additionally stratified by lupus nephritis (LN) and antiphospholipid antibody (aPL) positivity. Incidence rates (IR) of VTE were estimated and adjusted HRs with 95% CIs were estimated using Cox models. Time-dependent adjusted HRs were estimated using flexible parametric survival models.

resultsIn the nationwide cohort (N=4335), the mean age at inclusion was 49 years, 83% were female and mean follow-up was 7.4 years. The VTE IR was 8.8 per 1000 person-years compared with 2.8 in comparators, corresponding to an HR of 3.3 (95% CI 2.9 to 3.8). In the Karolinska cohort (N=784), the HR was 4.9 (95% CI 3.7 to 6.5). VTE risk was highest in the first few years after SLE diagnosis. LN was not significantly associated with VTE, and aPL positivity was associated with a 60% higher hazard, which was non-significant and attenuated after excluding individuals with prior VTE.

conclusionSLE is associated with an over threefold increased risk of VTE, in particular soon after SLE diagnosis, underscoring the need for individualised VTE risk assessment.

Indexed as

Lupus Erythematosus, SystemicVenous ThromboembolismAdultAntibodies, AntiphospholipidCohort StudiesFemaleFollow-Up StudiesHumansIncidenceLupus NephritisMaleMiddle AgedProportional Hazards ModelsRegistriesRisk FactorsSwedenAntibodies, AntiphospholipidAntibodies, AntiphospholipidEpidemiologyHematologyLupus Erythematosus, SystemicLupus Nephritis

Identifiers

PMID42562426
PMCPMC13448581

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