Sjögren's disease & overlap diseases

Influence of exposure to climate-related hazards in the phenotypic expression of primary Sjögren's syndrome

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

Local exposure to extreme climate-related hazards plays a role in modulating the presentation of Sjögren across countries concerning the age at which the disease is diagnosed, the frequency of dryness, and the degree of systemic activity.

Study context

Population
Patients with primary SjD (2002/2016 criteria) from 23 countries in the OECD climate rankings
Participants
16,042 patients23 countries
Exposure
Countries among the top 10 most exposed to each climate-related hazard vs no-risk countries
Outcome
Sjögren's phenotype at diagnosis: age at diagnosis, dry eyes, dry mouth and overall ESSDAI score
Follow-up
At diagnosis
Methodological detailsmultinational database, OECD climate-related hazard rankings, climatic variables dichotomous (top 10 most exposed countries)
  • Multinational database
  • OECD climate-related hazard rankings
  • Climatic variables dichotomous (top 10 most exposed countries)

Main finding

As reported in the abstract

Phenotype at diagnosis by climate-hazard exposure
Lower frequency of dry eyes with exposure to wind threats, river flooding and coastal flooding
p<0.0001 for the three variables
Lower frequency of dry mouth with exposure to river flooding
p<0.0001
Lower frequency of dry mouth with exposure to coastal flooding
p<0.0001
Higher mean ESSDAI with exposure to extreme temperature vs no-risk countries
p<0.0001
Higher mean ESSDAI with exposure to river flooding vs no-risk countries
p<0.0001
Lower mean ESSDAI with exposure to wind threats vs no-risk countries
p<0.0001
Lower mean ESSDAI with exposure to coastal flooding vs no-risk countries
p<0.0001

Observational data: associations, not effects.

Original publication

Influence of exposure to climate-related hazards in the phenotypic expression of primary Sjögren's syndrome. Clin Exp Rheumatol. Published 28 September 2023. doi:10.55563/clinexprheumatol/pmbay6

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

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