Infections Are Not Increased in Scleroderma Compared to Non-Inflammatory Musculoskeletal Disorders Prior to Disease Onset
2007

Infections and Scleroderma: No Increased Risk

Sample size: 434 publication Evidence: moderate

Author Information

Author(s): Janet E Pope, Jodi L Goodwin, Janine M Ouimet, Adriana Krizova, Matthew Laskin

Primary Institution: The University of Western Ontario

Hypothesis

Are viral and bacterial infections risk factors for scleroderma compared to non-inflammatory musculoskeletal disorders?

Conclusion

The study found no evidence that infections are more common in scleroderma patients compared to controls before diagnosis.

Supporting Evidence

  • Controls were more likely to report any infection within 1-year prior to disease diagnosis (35% vs. 16%).
  • No significant differences in reported infections between scleroderma patients and controls.
  • Scleroderma patients reported slightly more hepatitis B and herpes zoster, but these were not statistically significant.

Takeaway

The study looked at whether people with scleroderma had more infections before they got sick, but it turns out they didn't have more than people without that disease.

Methodology

A questionnaire was sent to 83 scleroderma patients and 351 controls with non-inflammatory musculoskeletal disorders to assess past infections and vaccinations.

Potential Biases

Recall bias may have occurred, as patients might misinterpret survey questions.

Limitations

Lower response rate in the control group and potential recall bias.

Participant Demographics

Mean age was 56 for scleroderma patients and 58 for controls; 88% of scleroderma patients and 82% of controls were female.

Statistical Information

P-Value

p<0.006

Statistical Significance

p<0.006

Digital Object Identifier (DOI)

10.2174/1874312900701010012

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