Sjögren's disease & overlap diseases

Autonomic dysfunction symptoms in Sjögren’s Disease: A missed dimension linked to disease burden and work disability

Semin Arthritis RheumPublished Cross-sectional study

An erratum to this article was published (Semin Arthritis Rheum, Dec 2025 ↗)

Authors' conclusion

AD symptoms are not captured by established outcome measures but meaningfully contribute to disease burden and work disability.

Study context

Population
Sjögren's Disease (SjD) patients from the Belgian Sjögren's Syndrome Transition Trial
Participants
266 patients
Exposure
Low Symptom Burden vs Dryness Dominant with Fatigue vs Pain Dominant with Fatigue (PDF) vs High Symptom Burden (HSB)
Outcome
Autonomic dysfunction (AD) symptoms (COMPASS-31) and their association with established SjD outcome measures
Methodological detailscohort from the Belgian Sjögren's Syndrome Transition Trial
  • Cohort from the Belgian Sjögren's Syndrome Transition Trial

Main finding

As reported in the abstract

Anxiety, ρ
0.41
Depression, ρ
0.44
Pain, ρ
0.35
Dryness, ρ
0.29
Fatigue, ρ
0.37

Observational data: associations, not effects.

Further findings

Work disability

OR (95 % CI)P value
COMPASS-31Independent predictor2.10 (1.29–3.44)P < 0.01

COMPASS-31 by symptom-based endotype

Highest in HSB and PDF (p < 0.001)

COMPASS-31 in premenopausal women with vaginal dryness

Higher in premenopausal women with vaginal dryness (p < 0.01)

Original publication

Autonomic dysfunction symptoms in Sjögren’s Disease: A missed dimension linked to disease burden and work disability. Semin Arthritis Rheum. Published 17 September 2025. doi:10.1016/j.semarthrit.2025.152832

Composed by AI from the published abstract and checked against it. How Briefs are made →

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