Sjögren's disease & overlap diseases

Increasing the number of minor salivary glands from patients with Sjögren's disease improves the diagnostic and measurement precision of the histological focus score

Ann Rheum DisPublished Simulation study

Authors' conclusion

For continuous FS values, a larger number of MSGs (eg, 6) will increase reproducibility further and reduce clinical trial sample size requirements.

Study context

Population
Simulated patients with Sjögren's disease undergoing minor salivary gland (MSG) biopsy
Comparison
Different numbers of MSGs per biopsy
Outcome
Reproducibility: absolute difference between 2 within-patient FS measurements
Methodological detailsMonte Carlo, Monte Carlo simulations, MSG number varied (range, 2-7)
  • Monte Carlo
  • Monte Carlo simulations
  • MSG number varied (range, 2-7)

Main finding

As reported in the abstract

2 glands

1.05

median · SD 0.25

7 glands

0.52

median · SD 0.12

Further findings

Outcome2 glands≥5 glands7 glands
Probability of a simulated patient receiving a FS ≥1Median0.670.77— not stated in the abstract
Sample size per group for 80% power to detect a 40% FS reduction62— not stated in the abstract25

— not stated in the abstract

Original publication

Increasing the number of minor salivary glands from patients with Sjögren's disease improves the diagnostic and measurement precision of the histological focus score. Ann Rheum Dis. Published 17 February 2025. doi:10.1016/j.ard.2025.01.038

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

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