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. |