Sjögren's disease & overlap diseases

Arterial cardiovascular outcomes and venous thromboembolism in patients with primary Sjögren’s syndrome: a Danish cohort study

Rheumatology (Oxford)Published Nationwide population-based cohort study

Authors' conclusion

This study provides firm evidence that pSS is associated with increased risk of all atherosclerotic cardiovascular outcomes and venous thromboembolism

Study context

Population
Patients with pSS in Denmark, 1996–2017 (median age 57 years, 87% women), and a matched general-population cohortmedian follow-up 7.6 years
Participants
4,697 vs 46,970
Exposure
pSS vs matched comparison cohort from the general population
  • pSSn = 4,697
  • Comparisonn = 46,970reference
Outcome
Atherosclerotic CVD outcomes, VTE, HF and cardiovascular mortality (hospital contact diagnoses)
Methodological detailsmatched on age, gender and calendar year, Cox regression, adjusted for potential confounders
  • Matched on age, gender and calendar year
  • Cox regression, adjusted for potential confounders

Main finding

As reported in the abstract

Arterial cardiovascular outcomes, VTE, HF and cardiovascular death
pSS vs ComparisonAdjusted hazard ratio (95% CI)
MI
1.23(1.01–1.50)
Ischaemic stroke
1.31(1.14–1.52)
Haemorrhagic stroke
1.51(1.13–2.03)
Peripheral artery disease
1.44(1.13–1.83)
VTE
1.57(1.33–1.85)
Cardiovascular death (slightly elevated)
1.11(0.95–1.30)
HF (slightly elevated)
1.17(0.99–1.39)

Observational data: associations, not effects.

Original publication

Arterial cardiovascular outcomes and venous thromboembolism in patients with primary Sjögren’s syndrome: a Danish cohort study. Rheumatology (Oxford). Published 23 April 2025. doi:10.1093/rheumatology/keaf210

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