Systemic sclerosis & Raynaud's

Evaluating the Associations Among Dysautonomia, Gastrointestinal Transit, and Clinical Phenotype in Patients With Systemic Sclerosis

Arthritis Care Res (Hoboken)Published Prospective cohort study

Authors' conclusion

Symptoms of global dysautonomia are seen in up to one-third of patients with SSc and GI involvement.

Study context

Population
Patients with systemic sclerosis (SSc) and gastrointestinal (GI) involvement (mean age 57 years, 90% female, 74% limited cutaneous disease, 83% significant GI disease [Medsger score ≥2])
Participants
91 patients
Exposure
Global autonomic dysfunction vs limited autonomic dysfunction
Outcome
Dysautonomia burden (COMPASS-31) and its associations with clinical features, GI symptoms and GI transit (whole-gut scintigraphy)

Main finding

As reported in the abstract

Dysautonomia (COMPASS-31)
Mean COMPASS-31 score, SSc vs controls
38.8 vs 7.2

Observational data: associations, not effects.

Further findings

Limited SSc

P < 0.01

Sicca symptoms

P = 0.01

Gastric and colonic transit · faster in global autonomic dysfunction (GAD)
P < 0.05

Upper GI involvement (Medsger GI score 1 or 2) and total COMPASS-31 score

Associated with higher total COMPASS-31 scores (P = 0.02)

Original publication

Evaluating the Associations Among Dysautonomia, Gastrointestinal Transit, and Clinical Phenotype in Patients With Systemic Sclerosis. Arthritis Care Res (Hoboken). Published 10 September 2024. doi:10.1002/acr.25411

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

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