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The Impact of Demographics on Organ Damage in Behcet's Syndrome: A Cross-Sectional Analysis of the International Probe Cohort Publisher Pubmed



Floris A ; Laconi R ; Chadli S ; Laymouna A ; Hegazy MT ; Yagiz Ozogul Y ; Ozguler Y ; Serpa Pinto L ; Alikhani M ; Oliveira NL ; Sota J ; Lopalco G ; Carboni P ; Poddighe D Show All Authors
Authors
  1. Floris A
  2. Laconi R
  3. Chadli S
  4. Laymouna A
  5. Hegazy MT
  6. Yagiz Ozogul Y
  7. Ozguler Y
  8. Serpa Pinto L
  9. Alikhani M
  10. Oliveira NL
  11. Sota J
  12. Lopalco G
  13. Carboni P
  14. Poddighe D
  15. Kougkas N
  16. Khabbazi A
  17. De Souza AWS
  18. Lo Monaco A
  19. Espinosa G
  20. Butendieck Rr JR
  21. Govoni M
  22. Issayeva B
  23. Iannone F
  24. Fabiani C
  25. Cantarini L
  26. Shahram F
  27. Araujo Correia J
  28. Tazi Mezalek Z
  29. Ragab G
  30. Arnaud L
  31. Cauli A
  32. Hatemi G
  33. Piga M
  34. Avgerou P
  35. Akhlaghi M
  36. Faezi ST
  37. Filho FP

Source: Rheumatology Published:2026


Abstract

Objective To examine the influence of demographics on organ damage in a broad, multiethnic cohort of patients with Behcet's syndrome (BS). Methods In this cross-sectional ancillary analysis of the PROBE project, the investigated demographic variables were sex, age, education level and geographic area of residence. Damage was measured by the BS Overall Damage Index (BODI). Multivariate linear (β) and logistic (adjusted odds ratio [adjOR]) regression analyses examined associations between demographics and the extent and prevalence of damage. Results A total of 970 patients were enrolled. The median (interquartile range) age was 40 (31-50) years; 56.5% were males; 21.4% had a low level of education. The median BODI score was 1 (0-3), with 65.6% of patients having a BODI ≥1. Males had higher damage (β 0.103) and a higher prevalence of total (adjOR 1.7, per 10 years), ocular (adjOR 1.6), and vascular (adjOR 2.1) damage. Age was associated with greater damage (β 0.104), and a higher prevalence of overall (adjOR 1.4), neuropsychiatric (adjOR 1.2) and miscellaneous (adjOR 2.0) damage. Low education was associated with a greater frequency of overall (adjOR 1.9) and ocular (adjOR 1.6) damage. North African patients experienced greater damage than South European (β 0.400) and Middle Eastern (β 0.314) patients, as well as a higher risk of overall damage (adjOR 13.9 and 10.7, respectively) across all organ domains, except for the reproductive and gastrointestinal systems. Conclusions This study demonstrates how the extent, prevalence and characteristics of damage in BS vary with demographic factors, underscoring their importance in research and personalized management. © 2025 The Author(s). Published by Oxford University Press on behalf of the British Society for Rheumatology.