Sjögren's disease & overlap diseases

Diagnosing a child presenting with symptoms suggesting Sjögren’s disease: a tool for clinical practice

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

It performed well in an international cohort of cSjD, supporting the integration of this algorithm into clinical practice; however, its utility may be limited by low utilization of diagnostic testing in this population.

Study context

Population
International cohort of participants with clinician-diagnosed childhood SjD (cSjD)100 with data for ≥1 pathway
Participants
300 participants
Outcome
Sensitivity of the cSjD diagnostic algorithm
Methodological detailsexpert consensus-developed algorithm, international cohort, Algorithm developed by CARRA Sjögren Disease Workgroup and International Childhood Sjögren Disease Workgroup experts via virtual meetings, using adult classification criteria as framework, finalized by majority rule
  • Expert consensus-developed algorithm
  • International cohort
  • Algorithm developed by CARRA Sjögren Disease Workgroup and International Childhood Sjögren Disease Workgroup experts via virtual meetings, using adult classification criteria as framework, finalized by majority rule

Performance

As reported in the abstract

Overall sensitivity of the cSjD diagnostic algorithm
Test or modelSensitivity
Algorithm75%

Algorithm

Sensitivity75%

Further findings

Parotitis pathway sensitivity
70%
Sicca pathway sensitivity
82%
Extraglandular pathway sensitivity (lowest)
52%

Original publication

Diagnosing a child presenting with symptoms suggesting Sjögren’s disease: a tool for clinical practice. Rheumatology (Oxford). Published 3 December 2024. doi:10.1093/rheumatology/keae640

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