Sjögren's disease & overlap diseases

Diagnostic Use of Testing for Novel Murine Autoantibodies for Sjögren Disease in the Rheumatology Outpatient Setting

Arthritis Care Res (Hoboken)Published Diagnostic accuracy study

Authors' conclusion

Testing serum for NA demonstrated a poor ability to distinguish patients with SjD from control patients or those with CS or other ARDs.

Study context

Population
Rheumatology outpatients with confirmed Sjögren disease (SjD), systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), systemic sclerosis (SSc), nonspecific chronic sialadenitis, and healthy controls468 screened
Participants
444 outpatients
Comparison
Serum testing for three novel autoantibodies (SP-1, parotid secretory protein, CA-6) in SjD vs other autoimmune rheumatic diseases (ARDs), nonspecific chronic sialadenitis and controls
  • SjDn = 149
  • SLEn = 70
  • SScn = 56
  • RAn = 73
  • Chronic sialadenitis (CS)n = 31reference
  • Controlsn = 65reference
Outcome
Diagnostic performance of three novel autoantibodies (NA) for SjD: NA prevalence; ROC C-statistics, sensitivity, specificity, positive and negative likelihood ratios for SjD vs CS or controls
Methodological detailsrheumatology outpatient setting
  • Rheumatology outpatient setting

Performance

As reported in the abstract

Discrimination of SjD vs CS or controls by serum NA
Presence of ≥1 novel autoantibodies (NA) in serum, SjD vs other ARDs, CS or controls: no statistical difference
P = 0.80
ROC C-statistic, any positive NA, SjD vs CS or controls (poor discriminative ability)
0.47
ROC C-statistic, any individual NA, SjD vs CS or controls (range)
0.44-0.53
Positive likelihood ratio, any positive NA, SjD vs CS
1.04
Positive likelihood ratio, any positive NA, SjD vs controls
0.83

Original publication

Diagnostic Use of Testing for Novel Murine Autoantibodies for Sjögren Disease in the Rheumatology Outpatient Setting. Arthritis Care Res (Hoboken). Published 2 March 2026. doi:10.1002/acr.70005

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