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The worldwide incidence and prevalence of systemic lupus erythematosus: a systematic review of epidemiological studies
Abstract
Objectives: The aim was to review the worldwide incidence and prevalence of SLE and variation with age, sex, ethnicity and time. Methods: A systematic search of MEDLINE and EMBASE search engines was carried out using Medical Subject Headings and keyword search terms for Systemic Lupus Erythematosus combined with incidence, prevalence and epidemiology in August 2013 and updated in September 2016. Author, journal, year of publication, country, region, case-finding method, study period, number of incident or prevalent cases, incidence (per 100 000 person-years) or prevalence (per 100 000 persons) and age, sex or ethnic group-specific incidence or prevalence were collected. Results: The highest estimates of incidence and prevalence of SLE were in North America [23.2/100 000 person-years (95% CI: 23.4, 24.0) and 241/100 000 people (95% CI: 130, 352), respectively]. The lowest incidences of SLE were reported in Africa and Ukraine (0.3/100 000 person-years), and the lowest prevalence was in Northern Australia (0 cases in a sample of 847 people). Women were more frequently affected than men for every age and ethnic group. Incidence peaked in middle adulthood and occurred later for men. People of Black ethnicity had the highest incidence and prevalence of SLE, whereas those with White ethnicity had the lowest incidence and prevalence. There appeared to be an increasing trend of SLE prevalence with time. Conclusion: There are worldwide differences in the incidence and prevalence of SLE that vary with sex, age, ethnicity and time. Further study of genetic and environmental risk factors may explain the reasons for these differences. More epidemiological studies in Africa are warranted.
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Differences in ethnicity between the SARD-BDB and Toronto cohorts may impact results such as incidence, prevalence, and mortality rates.
“Such differences between two groups of patients may also impact results such as the incidence, prevalence and mortality rates (76–79).”
From Autoantibodies in Systemic Lupus Erythematosus Target Mitochondrial RNA (2019) · cites this paper as [79]
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Metadata
- Authors
- Rees, F., Doherty, M., Grainge, M. J., Lanyon, P., & Zhang, W.
- Affiliations
- Nottingham University Hospitals NHS Trust (GB)
- University of Nottingham (GB)
- Venue
- Rheumatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-08-09
- Volume
- 56
- Issue
- 11
- Pages
- 1945-1961
- ISSN
- 1462-0324 (ISSN-L)
- 1462-0332
- OpenAlex
- W2744484065
- Cited by
- 789
- References
- 111
- Citations by year
- 2026: 60 · 2025: 69 · 2024: 92 · 2023: 97 · 2022: 121 · 2021: 129 · 2020: 106 · 2019: 82 · 2018: 27 · 2017: 2
- FWCI
- 9.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Lara D. Veeken (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Systemic Lupus Erythematosus Research
- Health Sciences › Medicine › Rheumatology › Systemic Sclerosis and Related Diseases
- Health Sciences › Medicine › Rheumatology › Vasculitis and related conditions
- Keywords
- systemic lupus erythematosus, incidence, prevalence, global epidemiology, sex differences, age differences, ethnic differences, temporal trends, Black ethnicity, North America, Africa
- MeSH terms
- Africa, Asia, Central America, Europe, Humans, Lupus Erythematosus, Systemic, North America, South America, Incidence, Prevalence, Age Distribution, Sex Distribution, Australasia
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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