The Incidence and Prevalence of Systemic Lupus Erythematosus in New York County (Manhattan), New York

Details

• Alternative Title:
  Arthritis Rheumatol
• Personal Author:
  Izmirly, Peter M. ; Wan, Isabella ; Sahl, Sara ; Buyon, Jill P. ; Belmont, H. Michael ; Salmon, Jane E. ; Askanase, Anca ; Bathon, Joan M. ; Geraldino-Pardilla, Laura ; Ali, Yousaf ; Ginzler, Ellen M. ; Putterman, Chaim ; Gordon, Caroline ; Helmick, Charles G. ; Parton, Hilary
• Description:
  Objective.
  
  The Manhattan Lupus Surveillance Program (MLSP) is a population-based registry designed to determine the prevalence of systemic lupus erythematosus (SLE) in 2007 and the incidence from 2007 to 2009 among residents of New York County (Manhattan), New York, and to characterize cases by race/ethnicity, including Asians and Hispanics, for whom data are lacking.
  
  Methods.
  
  We identified possible SLE cases from hospital records, rheumatologist records, and administrative databases. Cases were defined according to the American College of Rheumatology (ACR) classification criteria, the Systemic Lupus International Collaborating Clinics (SLICC) classification criteria, or the treating rheumatologist’s diagnosis. Rates among Manhattan residents were age-standardized, and capture–recapture analyses were conducted to assess case underascertainment.
  
  Results.
  
  By the ACR definition, the age-standardized prevalence and incidence rates of SLE were 62.2 and 4.6 per 100,000 person-years, respectively. Rates were ~9 times higher in women than in men for prevalence (107.4 versus 12.5) and incidence (7.9 versus 1.0). Compared with non-Hispanic white women (64.3), prevalence was higher among non-Hispanic black (210.9), Hispanic (138.3), and non-Hispanic Asian (91.2) women. Incidence rates were higher among non-Hispanic black women (15.7) compared with non-Hispanic Asian (6.6), Hispanic (6.5), and non-Hispanic white (6.5) women. Capture–recapture adjustment increased the prevalence and incidence rates (75.9 and 6.0, respectively). Alternate SLE definitions without capture–recapture adjustment revealed higher age-standardized prevalence and incidence rates (73.8 and 6.2, respectively, by the SLICC definition and 72.6 and 5.0 by the rheumatologist definition) than the ACR definition, with similar patterns by sex and race/ethnicity.
  
  Conclusion.
  
  The MLSP confirms findings from other registries on disparities by sex and race/ethnicity, provides new estimates among Asians and Hispanics, and provides estimates using the SLICC criteria.
  
  
• Subjects:
  Adult Asian Black Or African American Databases, Factual Epidemiological Monitoring Ethnicity Female Hispanic Or Latino Humans Incidence Lupus Erythematosus, Systemic Male Middle Aged Prevalence Registries White People Young Adult

  More +
• Source:
  Arthritis Rheumatol. 69(10):2006-2017
• Pubmed ID:
  28891252
• Pubmed Central ID:
  PMC11102806
• Document Type:
  Journal Article
• Funding:
  U58 DP002827/DP/NCCDPHP CDC HHSUnited States/
• Place as Subject:
  New York City, NY
• Volume:
  69
• Issue:
  10
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:0b95a0ed4cc4c22bf9e59818053cbd9ae0fe799a041679e7f378da62b17f403d
• Download URL:
  https://stacks.cdc.gov/view/cdc/156916/cdc_156916_DS1.pdf
• File Type:
  [PDF - 1.18 MB ]