Association of Gender with Clinical Expression, Quality of Life, Disability, and Depression and Anxiety in Patients with Systemic Sclerosis
2011

Gender Differences in Systemic Sclerosis

Sample size: 381 publication 10 minutes Evidence: moderate

Author Information

Author(s): Nguyen Christelle, Bérezné Alice, Baubet Thierry, Mestre-Stanislas Caroline, Rannou François, Papelard Agathe, Morell-Dubois Sandrine, Revel Michel, Guillevin Loïc, Poiraudeau Serge, Mouthon Luc

Primary Institution: Université Paris Descartes, Faculté de Médecine

Hypothesis

To assess the association of gender with clinical expression, health-related quality of life, disability, and self-reported symptoms of depression and anxiety in patients with systemic sclerosis.

Conclusion

In SSc patients, male gender tends to be associated with diffuse disease and female gender with calcinosis and self-reported symptoms of anxiety.

Supporting Evidence

  • Males had a higher body mass index (BMI) than females.
  • Diffuse cutaneous SSc was more frequent in males.
  • Females reported more symptoms of anxiety than males.
  • No significant differences in health-related quality of life were found between genders.

Takeaway

This study looked at how being male or female affects people with a disease called systemic sclerosis. It found that men often have more severe disease, while women report more anxiety.

Methodology

A cross-sectional survey of 381 patients with systemic sclerosis was conducted, assessing clinical symptoms, disability, health-related quality of life, and self-reported symptoms of depression and anxiety.

Potential Biases

Patients were recruited from a patient association or tertiary care units, which may not reflect the broader population.

Limitations

The sample of males was small, and the study may not be representative of the entire French SSc population.

Participant Demographics

381 patients (62 males, 319 females) with a mean age of 55.9 years.

Statistical Information

P-Value

p=0.006 for anxiety symptoms in females vs males

Confidence Interval

95% CI 1.01–1.24 for BMI association with gender

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0017551

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