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. Author manuscript; available in PMC: 2012 Jul 1.
Published in final edited form as: J Rheumatol. 2011 Jun 17;38(7):1317–1325. doi: 10.3899/jrheum.100956

Table 2.

Organ involvement and functional measures among 2300 SSc patients evaluated from 1990–2009.

Frequency of Dichotmized Medsger Severity Scores (%)
Age of onset < 65 years Age of onset ≥ 65 years
No Yes No Yes p-value
Cardiac Disease* 1386 (77) 425 (23) 113 (63) 67 (37) <0.001
Digital Ischemia§ 893 (43) 1180 (57) 133 (62) 80 (37) <0.001
GI Involvement 206 (19) 857 (81) 31 (34) 59 (66) 0.001
Renal Involvement** 1536 (84) 302 (16) 127 (69) 57 (31) <0.001
Muscle Weakness†† 1384 (77) 418 (23) 118 (68) 56 (32) 0.008
Maximum Scleroderma Health Assessment Questionnaire Score, mean ± SD (N)
Age of onset < 65 years Age of onset ≥ 65 years p-value
General disease 1.58 ± 2.70 (1478) 1.50 ± 0.91 (138) 0.742
Intestine 0.95 ± 0.97 (1475) 0.79 ± 0.90 (136) 0.059
Breathing 1.00 ± 0.98 (1482) 1.07 ± 1.01 (135) 0.435
Raynaud phenomenon 1.28 ± 1.04 (1461) 0.94 ± 0.92 (131) <0.001
Digital ulcers 0.97 ± 1.22 (1463) 0.66 ± 0.97 (129) 0.005
Maximum General Health Assessment Questionnaire Disability Index, mean ± SD (N)
Score 1.11 ± 0.8 (1847) 1.23 ± 0.8 (185) 0.055
*

Cardiac MSS ≥1 which includes clinically significant conduction or structural cardiac abnormalities or overt heart failure

§

Raynaud MSS ≥2 which includes digital pitting, ulcers or gangrene and indicates the presence of tissue damage

GI MSS ≥ 2 which includes any GI involvement beyond gastroesophageal reflux requiring routine treatment

**

Renal MSS ≥1 which includes a creatinine ≥1.3 mg/dL or ≥2+ protein on urine dipstick

††

Muscle MSS ≥1 which equates to motor strength <5/5 in upper or lower extremity proximal muscle groups