Population--based prevalence and incidence estimates of primary discoid lupus erythematosus from the Manhattan Lupus Surveillance Program

被引:18
|
作者
Izmirly, Peter [1 ]
Buyon, Jill [1 ]
Belmont, H. Michael [1 ]
Sahl, Sara [2 ]
Wan, Isabella [1 ]
Salmon, Jane [3 ]
Askanase, Anca [4 ]
Bathon, Joan M. [4 ]
Geraldino-Pardilla, Laura [4 ]
Ali, Yusaf [5 ]
Ginzler, Ellen [6 ]
Putterman, Chaim [7 ]
Gordon, Caroline [8 ]
Helmick, Charles [9 ]
Parton, Hilary [10 ]
机构
[1] NYU, Sch Med, Dept Med, Div Rheumatol, New York, NY 10003 USA
[2] Harbor Univ Calif Med Ctr, Dept Pediat, Los Angeles, CA USA
[3] Hosp Special Surg, Div Rheumatol, Dept Med, Weill Cornell Med Coll, 535 E 70th St, New York, NY 10021 USA
[4] Columbia Univ Coll Phys & Surg, Dept Med, Div Rheumatol, New York, NY USA
[5] Icahn Sch Med Mt Sinai, Div Rheumatol, Dept Med, New York, NY 10029 USA
[6] State Univ New York Downstate Coll Med, Dept Med, Div Rheumatol, Brooklyn, NY USA
[7] Albert Einstein Coll Med, Dept Med, Div Rheumatol, Bronx, NY USA
[8] Univ Birmingham, Coll Med & Dent Sci, Inst Inflammat & Ageing, Rheumatol Res Grp, Birmingham, W Midlands, England
[9] Ctr Dis Control & Prevent, Arthrit Program, Atlanta, GA USA
[10] New York City Dept Hlth & Mental Hyg, Long Isl City, NY USA
来源
LUPUS SCIENCE & MEDICINE | 2019年 / 6卷 / 01期
关键词
EPIDEMIOLOGY; COUNTY;
D O I
10.1136/lupus-2019-000344
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective Epidemiological data for primary discoid lupus erythematosus (pDLE) remain limited, particularly for racial/ethnic populations in the USA. The Manhattan Lupus Surveillance Program (MLSP) is a population-based retrospective registry of cases with SLE and related diseases including pDLE in Manhattan and was used to provide estimates of the prevalence and incidence of pDLE across major racial/ethnic populations. Methods MLSP cases were identified from rheumatologists, hospitals and population databases. Two case definitions were used for pDLE: the primary case definition which was any physician diagnosis found in the chart and a secondary case definition which was limited to cases diagnosed by a rheumatologist and/or dermatologist. Rates among Manhattan residents were age-adjusted, and capture-recapture analyses were conducted to assess case under-ascertainment. Results Based on the primary definition, age-adjusted overall prevalence and incidence rates of pDLE among Manhattan residents were 6.5 and 0.8 per 100 000 person-years, which increased to 9.0 and 1.3 after capture-recapture adjustment. Prevalence and incidence rates were approximately two and six times higher, respectively, among women compared with men (p<0.0001). Higher prevalence was also found among non-Latino blacks (23.5) and Latinos (8.2) compared with non-Latino whites (1.8) and non-Latino Asians (0.6) (p<0.0001). Incidence was highest among non-Latino blacks (2.4) compared with all other racial/ethnic groups. Similar relationships were observed for the secondary case definition. Conclusion Data from the MLSP provide epidemiological estimates for pDLE among the major racial/ethnic populations in the USA and reveal disparities in pDLE prevalence and incidence by sex and race/ethnicity among Manhattan residents.
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页数:7
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