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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004579naa a2200685 4500
001oai:lup.lub.lu.se:497f455d-dab2-496d-903a-2d4623804cdb
003SwePub
008160401s2006 | |||||||||||000 ||eng|
024a https://lup.lub.lu.se/record/3985272 URI
024a https://doi.org/10.1002/art.219552 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Bernatsky, S.4 aut
2451 0a Mortality in systemic lupus erythematosus
264 c 2006
264 1b Wiley,c 2006
520 a Objective. To examine mortality rates in the largest systemic lupus erythematosus (SLE) cohort ever assembled. Methods. Our sample was a multisite international SLE cohort (23 centers, 9,547 patients). Deaths were ascertained by vital statistics registry linkage. Standardized mortality ratio (SMR; ratio of deaths observed to deaths expected) estimates were calculated for-all deaths and by cause. The effects of sex, age, SLE duration, race, and calendar-year periods were determined. Results. The overall SMR was 2.4 (95% confidence interval 2.3-2.5). Particularly high mortality was seen for circulatory disease, infections, renal disease, non-Hodgkin's lymphoma, and lung cancer. The highest SMR estimates were seen in patient groups characterized by female sex, younger age, SLE duration < 1 year, or black/African American race. There was a dramatic decrease in total SMR estimates across calendar-year periods, which was demonstrable for specific causes including death due to infections and death due to renal disorders. However, the SMR due to circulatory diseases tended to increase slightly from the 1970s to the year 2001. Conclusion. Our data from a very large multicenter international cohort emphasize what has been demonstrated previously in smaller samples. These results highlight the increased mortality rate in SLE patients compared with the general population, and they suggest particular risk associated with female sex, younger age, shorter SLE duration, and black/African American race. The risk for certain types of deaths, primarily related to lupus activity (such as renal disease), has decreased over time, while the risk for deaths due to circulatory disease does not appear to have diminished.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reumatologi och inflammation0 (SwePub)302102 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Rheumatology and Autoimmunity0 (SwePub)302102 hsv//eng
700a Boivin, J. -F.4 aut
700a Joseph, L.4 aut
700a Manzi, S.4 aut
700a Ginzler, E.4 aut
700a Gladman, D. D.4 aut
700a Urowitz, M.4 aut
700a Fortin, P. R.4 aut
700a Petri, M.4 aut
700a Barr, S.4 aut
700a Gordon, C.4 aut
700a Bae, S. -C.4 aut
700a Isenberg, D.4 aut
700a Zoma, A.4 aut
700a Aranow, C.4 aut
700a Dooley, M. -A.4 aut
700a Nived, Olau Lund University,Lunds universitet,Reumatologi och molekylär skelettbiologi,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Rheumatology,Section III,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)reum-oni
700a Sturfelt, Gunnaru Lund University,Lunds universitet,Reumatologi och molekylär skelettbiologi,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Rheumatology,Section III,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)reum-gst
700a Steinsson, K.4 aut
700a Alarcon, G.4 aut
700a Senecal, J. -L.4 aut
700a Zummer, M.4 aut
700a Hanly, J.4 aut
700a Ensworth, S.4 aut
700a Pope, J.4 aut
700a Edworthy, S.4 aut
700a Rahman, A.4 aut
700a Sibley, J.4 aut
700a El-Gabalawy, H.4 aut
700a McCarthy, T.4 aut
700a Pierre, Y. St.4 aut
700a Clarke, A.4 aut
700a Ramsey-Goldman, R.4 aut
710a Reumatologi och molekylär skelettbiologib Sektion III4 org
773t Arthritis and Rheumatismd : Wileyg 54:8, s. 2550-2557q 54:8<2550-2557x 1529-0131x 0004-3591
856u http://dx.doi.org/10.1002/art.21955y FULLTEXT
856u https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/art.21955
8564 8u https://lup.lub.lu.se/record/398527
8564 8u https://doi.org/10.1002/art.21955

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