The clinical characteristics of systemic lupus erythematosus patients in Indonesia: a cohort registry from an Indonesia-based tertiary referral hospital

Introduction To date, no national epidemiological data of systemic lupus erythematosus are available in Indonesia. Objective We aimed to demonstrate clinical characteristics of systemic lupus erythematosus patients of the Dr Hasan Sadikin General Hospital, one of Indonesia's top tertiary-referr...

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Veröffentlicht in:Lupus 2019-11, Vol.28 (13), p.1604-1609
Hauptverfasser: Hamijoyo, L, Candrianita, S, Rahmadi, A R, Dewi, S, Darmawan, G, Suryajaya, B S, Rainy, NR, Hidayat, I I, Moenardi, V N, Wachjudi, R G
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container_end_page 1609
container_issue 13
container_start_page 1604
container_title Lupus
container_volume 28
creator Hamijoyo, L
Candrianita, S
Rahmadi, A R
Dewi, S
Darmawan, G
Suryajaya, B S
Rainy, NR
Hidayat, I I
Moenardi, V N
Wachjudi, R G
description Introduction To date, no national epidemiological data of systemic lupus erythematosus are available in Indonesia. Objective We aimed to demonstrate clinical characteristics of systemic lupus erythematosus patients of the Dr Hasan Sadikin General Hospital, one of Indonesia's top tertiary-referral hospitals. Method We reviewed retrospective cohort data from the Hasan Sadikin Lupus Registry, which was created in January 2016. Initial retrospective data were collected from the medical records of systemic lupus erythematosus patients from 2008 to 2015 and enhanced the cohort data from January 2016 to December 2017. The records were analysed for age, sex, clinical manifestations, comorbidity, treatment and outcome. Results Of 813 patients, 95.6% were females. Mean age at diagnosis was 27.7 ± 9.4 years, with a mean disease duration of 76.5 ± 53.1 months. Major clinical manifestations were arthritis (75.5%) and malar rash (68.3%). The majority of patients received steroid treatment, beside chloroquine and azathioprine. In total, 93 patients (11.4%) developed tuberculosis, 522 patients (64.2%) had routine follow-up and 66 patients (8.1%) died. Infection was the most common cause of death (36.4%). Conclusion Arthritis and malar rash were the most commonly encountered clinical manifestations in the Hasan Sadikin Lupus Registry. Tuberculosis incidence in systemic lupus erythematosus patients was high, as was the mortality rate of lupus.
doi_str_mv 10.1177/0961203319878499
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Objective We aimed to demonstrate clinical characteristics of systemic lupus erythematosus patients of the Dr Hasan Sadikin General Hospital, one of Indonesia's top tertiary-referral hospitals. Method We reviewed retrospective cohort data from the Hasan Sadikin Lupus Registry, which was created in January 2016. Initial retrospective data were collected from the medical records of systemic lupus erythematosus patients from 2008 to 2015 and enhanced the cohort data from January 2016 to December 2017. The records were analysed for age, sex, clinical manifestations, comorbidity, treatment and outcome. Results Of 813 patients, 95.6% were females. Mean age at diagnosis was 27.7 ± 9.4 years, with a mean disease duration of 76.5 ± 53.1 months. Major clinical manifestations were arthritis (75.5%) and malar rash (68.3%). The majority of patients received steroid treatment, beside chloroquine and azathioprine. In total, 93 patients (11.4%) developed tuberculosis, 522 patients (64.2%) had routine follow-up and 66 patients (8.1%) died. Infection was the most common cause of death (36.4%). Conclusion Arthritis and malar rash were the most commonly encountered clinical manifestations in the Hasan Sadikin Lupus Registry. Tuberculosis incidence in systemic lupus erythematosus patients was high, as was the mortality rate of lupus.</description><identifier>ISSN: 0961-2033</identifier><identifier>EISSN: 1477-0962</identifier><identifier>DOI: 10.1177/0961203319878499</identifier><identifier>PMID: 31566078</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adolescent ; Adult ; Arthritis ; Arthritis - epidemiology ; Arthritis - etiology ; Azathioprine ; Chloroquine ; Cohort Studies ; Epidemiology ; Exanthema ; Female ; Humans ; Indonesia ; Lupus ; Lupus Erythematosus, Systemic - diagnosis ; Lupus Erythematosus, Systemic - physiopathology ; Male ; Medical records ; Patients ; Registries ; Retrospective Studies ; Skin - pathology ; Systemic lupus erythematosus ; Tertiary Care Centers ; Tuberculosis ; Tuberculosis - epidemiology ; Young Adult</subject><ispartof>Lupus, 2019-11, Vol.28 (13), p.1604-1609</ispartof><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c431t-36481a611a5bc7a2673477f8d93b78c52acfdfad11a1a66bf43bf6961e8ebaa3</citedby><cites>FETCH-LOGICAL-c431t-36481a611a5bc7a2673477f8d93b78c52acfdfad11a1a66bf43bf6961e8ebaa3</cites><orcidid>0000-0002-1310-674X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0961203319878499$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0961203319878499$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31566078$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hamijoyo, L</creatorcontrib><creatorcontrib>Candrianita, S</creatorcontrib><creatorcontrib>Rahmadi, A R</creatorcontrib><creatorcontrib>Dewi, S</creatorcontrib><creatorcontrib>Darmawan, G</creatorcontrib><creatorcontrib>Suryajaya, B S</creatorcontrib><creatorcontrib>Rainy, NR</creatorcontrib><creatorcontrib>Hidayat, I I</creatorcontrib><creatorcontrib>Moenardi, V N</creatorcontrib><creatorcontrib>Wachjudi, R G</creatorcontrib><title>The clinical characteristics of systemic lupus erythematosus patients in Indonesia: a cohort registry from an Indonesia-based tertiary referral hospital</title><title>Lupus</title><addtitle>Lupus</addtitle><description>Introduction To date, no national epidemiological data of systemic lupus erythematosus are available in Indonesia. Objective We aimed to demonstrate clinical characteristics of systemic lupus erythematosus patients of the Dr Hasan Sadikin General Hospital, one of Indonesia's top tertiary-referral hospitals. Method We reviewed retrospective cohort data from the Hasan Sadikin Lupus Registry, which was created in January 2016. Initial retrospective data were collected from the medical records of systemic lupus erythematosus patients from 2008 to 2015 and enhanced the cohort data from January 2016 to December 2017. The records were analysed for age, sex, clinical manifestations, comorbidity, treatment and outcome. Results Of 813 patients, 95.6% were females. Mean age at diagnosis was 27.7 ± 9.4 years, with a mean disease duration of 76.5 ± 53.1 months. Major clinical manifestations were arthritis (75.5%) and malar rash (68.3%). The majority of patients received steroid treatment, beside chloroquine and azathioprine. In total, 93 patients (11.4%) developed tuberculosis, 522 patients (64.2%) had routine follow-up and 66 patients (8.1%) died. Infection was the most common cause of death (36.4%). Conclusion Arthritis and malar rash were the most commonly encountered clinical manifestations in the Hasan Sadikin Lupus Registry. Tuberculosis incidence in systemic lupus erythematosus patients was high, as was the mortality rate of lupus.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Arthritis</subject><subject>Arthritis - epidemiology</subject><subject>Arthritis - etiology</subject><subject>Azathioprine</subject><subject>Chloroquine</subject><subject>Cohort Studies</subject><subject>Epidemiology</subject><subject>Exanthema</subject><subject>Female</subject><subject>Humans</subject><subject>Indonesia</subject><subject>Lupus</subject><subject>Lupus Erythematosus, Systemic - diagnosis</subject><subject>Lupus Erythematosus, Systemic - physiopathology</subject><subject>Male</subject><subject>Medical records</subject><subject>Patients</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Skin - pathology</subject><subject>Systemic lupus erythematosus</subject><subject>Tertiary Care Centers</subject><subject>Tuberculosis</subject><subject>Tuberculosis - epidemiology</subject><subject>Young Adult</subject><issn>0961-2033</issn><issn>1477-0962</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAQhi0EotvCnROyxIVLwI6zdsINVUArVeKy92jiTBpXSRw8zmH_CT-XWW35UCVO1nieeefjFeKNVh-0du6jaqwulTG6qV1dNc0zsdOVcwX_l8_F7pQuTvkLcUn0oJRi0r4UF0bvrVWu3omfhxGln8ISPEzSj5DAZ0yBcvAk4yDpSBnn4OW0rRtJTMc84gw5Ekcr5IBLJhkWebv0cUEK8EmC9HGMKcuE96yUjnJIcZbwD1R0QNhLbpUDMJBwwJR4hDHSGjJMr8SLASbC14_vlTh8_XK4vinuvn-7vf58V_jK6FwYW9UarNaw77yD0jrDBxjqvjGdq_2-BD_0A_QMMGa7oTLdYPkuWGMHYK7E-7PsmuKPDSm3cyCP0wQLxo3asmyaqnKqsoy-e4I-xC0tPFxbGs0m1KZqmFJnyqdIxGu1awozr9hq1Z5Ma5-axiVvH4W3bsb-T8FvlxgozgDBPf7t-l_BX-W8omI</recordid><startdate>20191101</startdate><enddate>20191101</enddate><creator>Hamijoyo, L</creator><creator>Candrianita, S</creator><creator>Rahmadi, A R</creator><creator>Dewi, S</creator><creator>Darmawan, G</creator><creator>Suryajaya, B S</creator><creator>Rainy, NR</creator><creator>Hidayat, I I</creator><creator>Moenardi, V N</creator><creator>Wachjudi, R G</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1310-674X</orcidid></search><sort><creationdate>20191101</creationdate><title>The clinical characteristics of systemic lupus erythematosus patients in Indonesia: a cohort registry from an Indonesia-based tertiary referral hospital</title><author>Hamijoyo, L ; Candrianita, S ; Rahmadi, A R ; Dewi, S ; Darmawan, G ; Suryajaya, B S ; Rainy, NR ; Hidayat, I I ; Moenardi, V N ; Wachjudi, R G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c431t-36481a611a5bc7a2673477f8d93b78c52acfdfad11a1a66bf43bf6961e8ebaa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Arthritis</topic><topic>Arthritis - epidemiology</topic><topic>Arthritis - etiology</topic><topic>Azathioprine</topic><topic>Chloroquine</topic><topic>Cohort Studies</topic><topic>Epidemiology</topic><topic>Exanthema</topic><topic>Female</topic><topic>Humans</topic><topic>Indonesia</topic><topic>Lupus</topic><topic>Lupus Erythematosus, Systemic - diagnosis</topic><topic>Lupus Erythematosus, Systemic - physiopathology</topic><topic>Male</topic><topic>Medical records</topic><topic>Patients</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Skin - pathology</topic><topic>Systemic lupus erythematosus</topic><topic>Tertiary Care Centers</topic><topic>Tuberculosis</topic><topic>Tuberculosis - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hamijoyo, L</creatorcontrib><creatorcontrib>Candrianita, S</creatorcontrib><creatorcontrib>Rahmadi, A R</creatorcontrib><creatorcontrib>Dewi, S</creatorcontrib><creatorcontrib>Darmawan, G</creatorcontrib><creatorcontrib>Suryajaya, B S</creatorcontrib><creatorcontrib>Rainy, NR</creatorcontrib><creatorcontrib>Hidayat, I I</creatorcontrib><creatorcontrib>Moenardi, V N</creatorcontrib><creatorcontrib>Wachjudi, R G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Lupus</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hamijoyo, L</au><au>Candrianita, S</au><au>Rahmadi, A R</au><au>Dewi, S</au><au>Darmawan, G</au><au>Suryajaya, B S</au><au>Rainy, NR</au><au>Hidayat, I I</au><au>Moenardi, V N</au><au>Wachjudi, R G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The clinical characteristics of systemic lupus erythematosus patients in Indonesia: a cohort registry from an Indonesia-based tertiary referral hospital</atitle><jtitle>Lupus</jtitle><addtitle>Lupus</addtitle><date>2019-11-01</date><risdate>2019</risdate><volume>28</volume><issue>13</issue><spage>1604</spage><epage>1609</epage><pages>1604-1609</pages><issn>0961-2033</issn><eissn>1477-0962</eissn><abstract>Introduction To date, no national epidemiological data of systemic lupus erythematosus are available in Indonesia. Objective We aimed to demonstrate clinical characteristics of systemic lupus erythematosus patients of the Dr Hasan Sadikin General Hospital, one of Indonesia's top tertiary-referral hospitals. Method We reviewed retrospective cohort data from the Hasan Sadikin Lupus Registry, which was created in January 2016. Initial retrospective data were collected from the medical records of systemic lupus erythematosus patients from 2008 to 2015 and enhanced the cohort data from January 2016 to December 2017. The records were analysed for age, sex, clinical manifestations, comorbidity, treatment and outcome. Results Of 813 patients, 95.6% were females. Mean age at diagnosis was 27.7 ± 9.4 years, with a mean disease duration of 76.5 ± 53.1 months. Major clinical manifestations were arthritis (75.5%) and malar rash (68.3%). The majority of patients received steroid treatment, beside chloroquine and azathioprine. In total, 93 patients (11.4%) developed tuberculosis, 522 patients (64.2%) had routine follow-up and 66 patients (8.1%) died. Infection was the most common cause of death (36.4%). Conclusion Arthritis and malar rash were the most commonly encountered clinical manifestations in the Hasan Sadikin Lupus Registry. Tuberculosis incidence in systemic lupus erythematosus patients was high, as was the mortality rate of lupus.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>31566078</pmid><doi>10.1177/0961203319878499</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1310-674X</orcidid></addata></record>
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source MEDLINE; SAGE Complete A-Z List
subjects Adolescent
Adult
Arthritis
Arthritis - epidemiology
Arthritis - etiology
Azathioprine
Chloroquine
Cohort Studies
Epidemiology
Exanthema
Female
Humans
Indonesia
Lupus
Lupus Erythematosus, Systemic - diagnosis
Lupus Erythematosus, Systemic - physiopathology
Male
Medical records
Patients
Registries
Retrospective Studies
Skin - pathology
Systemic lupus erythematosus
Tertiary Care Centers
Tuberculosis
Tuberculosis - epidemiology
Young Adult
title The clinical characteristics of systemic lupus erythematosus patients in Indonesia: a cohort registry from an Indonesia-based tertiary referral hospital
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