The incidence, prevalence and survival of systemic sclerosis in the UK Clinical Practice Research Datalink

Objective: To estimate the incidence, prevalence and survival of systemic sclerosis in the United Kingdom. Methods: We conducted a historical cohort study using data from the Clinical Practice Research Datalink (CPRD). We calculated the incidence and survival of systemic sclerosis between 1994 and...

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Main Authors: Royle, Jeremy G., Lanyon, Peter C., Grainge, Matthew J., Abhishek, Abhishek, Pearce, Fiona A.
Format: Article
Published: Springer 2018
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Online Access:https://eprints.nottingham.ac.uk/52488/
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author Royle, Jeremy G.
Lanyon, Peter C.
Grainge, Matthew J.
Abhishek, Abhishek
Pearce, Fiona A.
author_facet Royle, Jeremy G.
Lanyon, Peter C.
Grainge, Matthew J.
Abhishek, Abhishek
Pearce, Fiona A.
author_sort Royle, Jeremy G.
building Nottingham Research Data Repository
collection Online Access
description Objective: To estimate the incidence, prevalence and survival of systemic sclerosis in the United Kingdom. Methods: We conducted a historical cohort study using data from the Clinical Practice Research Datalink (CPRD). We calculated the incidence and survival of systemic sclerosis between 1994 and 2013 and examined its association with age, sex, and socio-economic status. We calculated point prevalence on 1 July 2013, and examined its association with the same exposures. Results: We identified 1,327 cases with incident systemic sclerosis. Annual incidence was 19.4 per million person-years between 1994 and 2013. The incidence was 4.7 times higher in women than in men, was not influenced by socioeconomic status, and has remained stable over the 20 year study period. The peak age of onset was 55-69 years. Survival at 1, 5 and 10 years was 94.2%, 80.0% and 65.7% respectively. The prevalence was 307 (290-323) per million with the highest prevalence in the 70-84 years age group. We estimate there are currently 1180 new cases of systemic sclerosis each year in the UK, and 19,390 people living with systemic sclerosis. Due to the predicted growth and aging of the population, we predict a 24% increase in incident cases and 26% increase in prevalent cases in 20 years’ time. Conclusion: Our estimates of incidence and prevalence are higher than previously reported in the UK, but similar to recent USA and Swedish studies, and do not support a north-south gradient of the occurrence of systemic sclerosis in Europe.
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spelling nottingham-524882020-05-04T19:44:15Z https://eprints.nottingham.ac.uk/52488/ The incidence, prevalence and survival of systemic sclerosis in the UK Clinical Practice Research Datalink Royle, Jeremy G. Lanyon, Peter C. Grainge, Matthew J. Abhishek, Abhishek Pearce, Fiona A. Objective: To estimate the incidence, prevalence and survival of systemic sclerosis in the United Kingdom. Methods: We conducted a historical cohort study using data from the Clinical Practice Research Datalink (CPRD). We calculated the incidence and survival of systemic sclerosis between 1994 and 2013 and examined its association with age, sex, and socio-economic status. We calculated point prevalence on 1 July 2013, and examined its association with the same exposures. Results: We identified 1,327 cases with incident systemic sclerosis. Annual incidence was 19.4 per million person-years between 1994 and 2013. The incidence was 4.7 times higher in women than in men, was not influenced by socioeconomic status, and has remained stable over the 20 year study period. The peak age of onset was 55-69 years. Survival at 1, 5 and 10 years was 94.2%, 80.0% and 65.7% respectively. The prevalence was 307 (290-323) per million with the highest prevalence in the 70-84 years age group. We estimate there are currently 1180 new cases of systemic sclerosis each year in the UK, and 19,390 people living with systemic sclerosis. Due to the predicted growth and aging of the population, we predict a 24% increase in incident cases and 26% increase in prevalent cases in 20 years’ time. Conclusion: Our estimates of incidence and prevalence are higher than previously reported in the UK, but similar to recent USA and Swedish studies, and do not support a north-south gradient of the occurrence of systemic sclerosis in Europe. Springer 2018-06-30 Article PeerReviewed Royle, Jeremy G., Lanyon, Peter C., Grainge, Matthew J., Abhishek, Abhishek and Pearce, Fiona A. (2018) The incidence, prevalence and survival of systemic sclerosis in the UK Clinical Practice Research Datalink. Clinical Rheumatology . ISSN 1434-9949 Systemic sclerosis ; Epidemiology ; Incidence ; Prevalence ; Mortality https://link.springer.com/article/10.1007%2Fs10067-018-4182-3 doi:0.1007/s10067-018-4182-3 doi:0.1007/s10067-018-4182-3
spellingShingle Systemic sclerosis ; Epidemiology ; Incidence ; Prevalence ; Mortality
Royle, Jeremy G.
Lanyon, Peter C.
Grainge, Matthew J.
Abhishek, Abhishek
Pearce, Fiona A.
The incidence, prevalence and survival of systemic sclerosis in the UK Clinical Practice Research Datalink
title The incidence, prevalence and survival of systemic sclerosis in the UK Clinical Practice Research Datalink
title_full The incidence, prevalence and survival of systemic sclerosis in the UK Clinical Practice Research Datalink
title_fullStr The incidence, prevalence and survival of systemic sclerosis in the UK Clinical Practice Research Datalink
title_full_unstemmed The incidence, prevalence and survival of systemic sclerosis in the UK Clinical Practice Research Datalink
title_short The incidence, prevalence and survival of systemic sclerosis in the UK Clinical Practice Research Datalink
title_sort incidence, prevalence and survival of systemic sclerosis in the uk clinical practice research datalink
topic Systemic sclerosis ; Epidemiology ; Incidence ; Prevalence ; Mortality
url https://eprints.nottingham.ac.uk/52488/
https://eprints.nottingham.ac.uk/52488/
https://eprints.nottingham.ac.uk/52488/