Sjögren's disease & overlap diseases

Impact of smoking status on Sjögren’s disease diagnosis and phenotype: results from a cohort study with matched population controls

Rheumatology (Oxford)Published Cohort study

Authors' conclusion

Smoking was negatively associated with SjD diagnosis compared with sicca, but not population controls.

Study context

Population
Adults referred for suspected SjD to the OASIS cohort, 2014–2023smoking data for 85.0%
Exposure
SjD vs non-Sjögren's sicca syndrome and matched population controls, by smoking status
  • SjDn = 317
  • Siccan = 170reference
Outcome
SjD diagnosis (SjD meeting 2016 classification criteria vs sicca) by smoking status
Methodological detailsmatched population controls, multivariate logistic and linear regression
  • Matched population controls
  • Multivariate logistic and linear regression

Main finding

As reported in the abstract

Odds ratio

0.37

95% CI 0.15–0.92

By group

Observational data: associations, not effects.

Further findings

OutcomeSiccaPopulation controlsP value
Ever-smoking vs population controls49.6%39.1%P = 0.049

Phenotype in never smokers

Higher IgG levels in never smokers
P = 0.003
More frequent biological ESSDAI activity in never smokers
P = 0.038
Smoking exposure correlated with reduced IgG, RF levels and seropositivity, independent of DMARD use

Ever-smoking vs population controls

SjD did not show higher ever-smoking rates than population controls

Original publication

Impact of smoking status on Sjögren’s disease diagnosis and phenotype: results from a cohort study with matched population controls. Rheumatology (Oxford). Published 24 June 2026. doi:10.1093/rheumatology/keag334

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.