Table 1

Baseline demographic and clinical characteristics* of adult patients identified with newly diagnosed SLE between January 2005 and December 2014 from US commercial claims data, for all patients and by SLE disease severity

VariableAll patients
(N=2227)
SLE disease severity†P value‡
Mild (n=586)Moderate (n=1135)Severe (n=506)
Age, mean (SD), years50.2 (13.0)50.0 (12.2)49.7 (13.1)51.8 (13.3)0.0088
Age category, n (%)
 18–44 years709 (31.8)187 (31.9)373 (32.9)149 (29.4)0.0298
 45–64 years1252 (56.2)336 (57.3)640 (56.4)276 (54.5)
 ≥65 years266 (11.9)63 (10.8)122 (10.7)81 (16.0)
Female, n (%)2017 (90.6)544 (92.8)1030 (90.7)443 (87.5)0.0113
Race/ethnicity, n (%)
 Non-Hispanic white1212 (54.4)318 (54.3)621 (54.7)273 (54.0)0.2913
 Non-Hispanic black298 (13.4)87 (14.8)136 (12.0)75 (14.8)
 Hispanic105 (4.7)25 (4.3)61 (5.4)19 (3.8)
 Other124 (5.6)40 (6.8)58 (5.1)26 (5.1)
 Unknown488 (21.9)116 (19.8)259 (22.8)113 (22.3)
Region, n (%)
 Northeast415 (18.6)92 (15.7)211 (18.6)112 (22.1)0.0517
 North central289 (13.0)75 (12.8)139 (12.2)75 (14.8)
 South1303 (58.5)354 (60.4)681 (60.0)268 (53.0)
 West210 (9.4)64 (10.9)97 (8.5)49 (9.7)
 Unknown10 (0.4)1 (0.2)7 (0.6)2 (0.4)
Health plan type, n (%)
 HMO219 (9.8)60 (10.2)114 (10.0)45 (8.9)0.0873
 Indemnity169 (7.6)43 (7.3)74 (6.5)52 (10.3)
 POS244 (11.0)73 (12.5)119 (10.5)52 (10.3)
 PPO1367 (61.4)355 (60.6)719 (63.3)293 (57.9)
 Other164 (7.4)40 (6.8)82 (7.2)42 (8.3)
 Unknown64 (2.9)15 (2.6)27 (2.4)22 (4.3)
Payer type, n (%)
 Commercial1953 (87.7)521 (88.9)1008 (88.8)424 (83.8)0.0098
 Medicare supplemental274 (12.3)65 (11.1)127 (11.2)82 (16.2)
Medication use, n (%)
 Opioids1199 (53.8)248 (42.3)649 (57.2)302 (59.7)<0.0001
 Antidepressants784 (35.2)173 (29.5)420 (37.0)191 (37.7)0.0034
 Muscle relaxants523 (23.5)111 (18.9)294 (25.9)118 (23.3)0.0054
 Sedatives508 (22.8)106 (18.1)254 (22.4)148 (29.2)<0.0001
 Gabapentin189 (8.5)23 (3.9)116 (10.2)50 (9.9)<0.0001
 Antimigraine133 (6.0)23 (3.9)86 (7.6)24 (4.7)0.0042
CCI, mean (SD)1.2 (1.5)0.8 (1.1)1.1 (1.4)1.8 (1.8)<0.0001
CCI category, n (%)
 0895 (40.2)301 (51.4)461 (40.6)133 (26.3)<0.0001
 1664 (29.8)177 (30.2)345 (30.4)142 (28.1)
 2341 (15.3)72 (12.3)172 (15.2)97 (19.2)
 ≥3327 (14.7)36 (6.1)157 (13.8)134 (26.5)
Individual comorbidities from the CCI§, n (%)
 Diabetes mellitus298 (13.4)50 (8.5)147 (13.0)101 (20.0)<0.0001
 Cerebrovascular accident140 (6.3)15 (2.6)44 (3.9)81 (16.0)<0.0001
 Liver disease142 (6.4)23 (3.9)69 (6.1)50 (9.9)0.0003
 Any malignancy135 (6.1)28 (4.8)68 (6.0)39 (7.7)0.1280
 Peripheral vascular disease106 (4.8)13 (2.2)53 (4.7)40 (7.9)<0.0001
 Congestive heart failure85 (3.8)12 (2.0)38 (3.3)35 (6.9)<0.0001
 Myocardial infarction22 (1.0)0 (0.0)11 (1.0)11 (2.2)0.0014
  • *During the 1-year period before diagnosis.

  • †Disease severity was assessed during the 1-year period after diagnosis, and patients were classified to the most severe level during that period.

  • ‡P values are for differences between the three disease severity groups.

  • §Comorbidity reported if present in ≥2% in any group.

  • CCI, Charlson Comorbidity Index; HMO, health maintenance organisation; POS, point of service; PPO, preferred provider organisation.