Skip to main content

Table 1 Characteristics of patients with SSc-ILD never or ever using immunosuppressive therapy

From: Systemic sclerosis associated interstitial lung disease - individualized immunosuppressive therapy and course of lung function: results of the EUSTAR group

 

Total

Never used IS therapy

Ever used IS therapy

P value

Number of patients

3778

1097 (29%)

2681 (71%)

 

Age (mean, SD)

55.5 ± 13.4

59.0 ± 13.6

54.0 ± 13.0

<0.001

Female

83.6%

86.5%

82.4%

0.002

BMI (mean, SD) (n = 1901)

24.6 ± 4.7

24.5 ± 5.1

24.7 ± 4.6

n.s.

Duration of SSc, years (mean, SD)

8.5 ± 7.9

10.8 ± 9.2

7.6 ± 7.1

<0.001

(median (IQR))

6.2 (2.8; 11.9)

8.4 (4.3; 15.0)

5.4 (2.4; 10.8)

mRSS (n = 3515)

 (mean, SD)

10.6 ± 8.7

8.9 ± 7.6

11.3 ± 9.0

<0.001

 (median (IQR))

8.0 (4.0; 17.0)

7.0 (4.0; 17.0)

9.0 (4.0; 17.0)

Extent of skin involvement (n = 3713)

 diffuse

44.4%

29.4%

50.3%

 

 limited

46.9%

60.9%

41.3%

<0.001

 sclerodactyly only

7.5%

7.4%

7.6%

 

 none

1.2%

2.4%

0.8%

 

Present scleroderma pattern (n = 1081)

92.6%

92.3%

92.7%

n.s.

 active

40.7%

41.5%

40.4%

 

 early

21.1%

25.3%

19.4%

0.076

 late

38.2%

33.2%

40.2%

 

SSc activity index ≥3 (n = 3557)

20.0%

12.8%

22.9%

<0.001

DLCO, % predicted (mean, SD) (n = 2909)

62.0 ± 20.2

67.4 ± 19.8

59.9 ± 20.0

<0.001

FVC, % predicted (mean, SD) (n = 2239)

87.5 ± 21.8

94.9 ± 20.9

84.4 ± 21.5

<0.001

FVC:DLCO ratio (n = 2072)

1.5 ± 0.5

1.5 ± 0.5

1.5 ± 0.5

n.s.

FEV-1, % predicted (mean, SD) (n = 2239)

86.2 ± 19.9

90.7 ± 19.0

84.2 ± 20.0

<0.001

TLC, % predicted (mean, SD) (n = 2239)

85.0 ± 20.5

90.6 ± 20.1

82.6 ± 20.2

<0.001

History (n = 3755)

 worsening of skin

18.2%

12.5%

20.6%

<0.001

 worsening of fingers

22.7%

20.7%

23.6%

n.s.

 esophageal symptoms

66.2%

65.0%

66.6%

n.s.

 stomach symptoms

25.9%

22.1%

27.5%

<0.001

 intestinal symptoms

24.9%

24.2%

25.2%

n.s.

 arterial hypertension

23.2%

23.7%

23.0%

n.s.

 renal crisis

2.0%

1.7%

2.1%

n.s.

 dyspnoea

17.3%

12.2%

19.4%

<0.001

 worsening of cardiopulmonary manifestations

19.1%

14.8%

20.9%

<0.001

 palpitations

27.9%

23.8%

29.5%

<0.001

 Raynaud’s present

96.7%

96.1%

97.0%

n.s.

NYHA class (n = 2426)

 I

44.0%

49.9%

41.6%

 

 II

38.7%

37.8%

39.0%

<0.001

 III

15.2%

10.1%

17.3%

 

 IV

2.1%

2.1%

2.1%

 

Laboratory measures (n = 1346 –,648)

 ANA+

94.9%

95.6%

94.6%

n.s.

 ACA+

21.9%

38.6%

15.1%

<0.001

 SCL70+

48.8%

36.4%

53.8%

<0.001

 U1 RNP+

6.4%

2.9%

7.9%

<0.001

 RNA+

4.5%

4.1%

4.7%

n.s.

 PM-Scl+

4.5%

3.7%

4.9%

n.s.

 CRP elevation

27.5%

18.5%

31.3%

<0.001

 CK elevation

9.3%

5.8%

10.7%

<0.001

 Proteinuria

6.4%

5.7%

6.7%

n.s.

 Hypocomplementemia

6.0%

4.9%

6.4%

n.s.

 ESR mm/h (mean, SD)

25.8 ± 20.7

23.7 ± 17.6

26.7 ± 21.7

0.048

Conduction blocks (n = 3451)

14.1%

12.8%

14.6%

n.s.

Pulmonary hypertension (n = 3451)

23.2%

22.7%

23.3%

n.s.

Diastolic function abnormal (n = 3363)

24.3%

21.1%

25.5%

0.008

Pericardial effusion (n = 2227)

12.6%

13.2%

12.4%

n.s.

Ground glass opacification (n = 2014)

41.1%

30.3%

45.5%

<0.001

PFT restrictive defect (n = 3457)

45.9%

35.6%

49.9%

<0.001

Echo

    

LVEF (%) (n = 2095)

61.4 ± 6.2

62 ± 6.6

61.8 ± 6.5

0.005

PAPsys (mmHg) (n = 1835)

33 ± 14.9

32.4 ± 12.7

32.6 ± 13.4

n.s.

Right heart catheter

    

RVSP (mmHg) (n = 96)

46.8 ± 21.9

40.5 ± 17.9

42.5 ± 19.3

n.s.

PAPmean (mmHg) (n = 146)

36.2 ± 15.4

28.5 ± 12.0

30.8 ± 13.5

0.003

PVR (dyn · sec · cm-5) (n = 94)

541.5 ± 498

213.5 ± 258.1

328.6 ± 391.2

0.001

PWP (mmHg) (n = 113)

12.1 ± 7.0

12.2 ± 9.6

12.2 ± 9.0

n.s.

CI (l/min/m2) (n = 100)

2.8 ± 0.6

3.3 ± 1.1

3.1 ± 1.0

0.021

6 MWD

    

6 MWD (m) (n = 551)

444.9 ± 129.6

421.3 ± 123.8

428.1 ± 125.9

0.021

O2 saturation at rest (n = 457)

96 ± 6.3

95.9 ± 4.3

96.0 ± 5.0

n.s.

O2 saturation at exercise (n = 389)

92.9 ± 8.0

92.2 ± 8.0

92.4 ± 8.0

n.s.

  1. BMI body mass index, mRSS modified Rodnan skin score, DLCO diffusing capacity of the lung for carbon monoxide, FVC forced vital capacity, FEV-1 forced expiratory volume in one second, TLC total lung capacity, NYHA New York Heart Association, ANA anti-nuclear antibodies, ACA anti-centromere antibodies, SCL70 anti-topoisomerase I antibody, U1 RNP U1-small nuclear ribonucloprotein particle, RNA ribonucleic acid antibody, PM SCL polymyositis scleroderma antibody, CRP C-reactive protein, CK creatin kinase, ESR erythrocyte sedimentation rate, PFT pulmonary function test, LVEF left ventricular ejection fraction, PAPsys systolic pulmonary arterial pressure, RVSP right ventricular systolic pressure, PAPmean mean pulmonary arterial pressure, PVR pulmonary vascular resistance, PWP pulmonary wedge pressure, CI cardiac index, 6 MWD 6 minute walk distance, n.s. not significant