Sjögren's disease & overlap diseases

Estimated prevalence, incidence and healthcare costs of Sjögren’s syndrome in France: a national claims-based study

RMD OpenPublished Retrospective cohort study

Authors' conclusion

In this large French population database study, the low prevalence of pSS confirms that it is an orphan disease.

Study context

Population
Patients with SS identified by algorithm in French national healthcare claims, 2011–2018
Participants
23,848 vs 14,809
Exposure
Primary Sjögren's syndrome (pSS) vs SS+AID
  • pSSn = 23,848
  • SS+AIDn = 14,809
Outcome
Prevalence, incidence and mortality rates, and annual healthcare costs of pSS and SS+AID
Follow-up
2011–2018
Methodological detailsnational healthcare claims-based, Système National des Données de Santé database
  • National healthcare claims-based
  • Système National des Données de Santé database

Main finding

As reported in the abstract

Prevalence rate per 100 000, 2011 to 2018
GroupValueFemales
pSS23-32 per 10000090%-91%
SS+AID16-20 per 100 00092%-93%

Value

pSS23-32 per 100000
SS+AID16-20 per 100 000

Females

pSS90%-91%
SS+AID92%-93%

Observational data: associations, not effects.

Further findings

Incidence rate per 100 000 persons, 2012

Incidence rate per 100 000 persons, 2017 (decreased from 2012)

OutcomepSSSS+AID
Mortality rate per 100 000 persons, 2012 to 2018 (increased)0.2-0.8 per 100 0000.1-0.5 per 100 000

Mortality rate per 100 000 persons, 2012 to 2018 (increased)

Mean age of death also increased

Healthcare use and costs · 2011–2018

Artificial tears and HCQ were the most common drug reimbursements
Less than half of patients received annual specialist care from a dentist or ophthalmologist
SS-associated healthcare costs increased from 2011 to 2018 and exceeded the national estimate of expected costs for chronic diseases

Original publication

Estimated prevalence, incidence and healthcare costs of Sjögren’s syndrome in France: a national claims-based study. RMD Open. Published 2 February 2024. doi:10.1136/rmdopen-2023-003591

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