Sjögren's disease & overlap diseases

Primary Sjögren’s syndrome independently promotes premature subclinical atherosclerosis

RMD OpenPublished Cross-sectional study

Main finding · Subclinical atherosclerosis after matchingResult — go to the resultOdds ratio 1.82 95% CI 1.14–2.95

Authors' conclusion

Subclinical atherosclerosis occurs earlier and more severely in patients with pSS.

Study context

Population
Patients with pSS from a rheumatology outpatient clinic and age- and sex-matched controls; aged 59.4 years (50.6–65.0), 19.1% male
Participants
299 patients
Exposure
pSS vs age- and sex-matched controls
  • pSSn = 199
  • Controlsn = 100reference
Outcome
Subclinical atherosclerosis: plaque extent and carotid intima-media thickness (cIMT) by Doppler US
Methodological detailsage- and sex-matched controls (2:1 ratio), propensity score matching, consecutive inclusion
  • Age- and sex-matched controls (2:1 ratio)
  • Propensity score matching
  • Consecutive inclusion

Main finding

Subclinical atherosclerosis after matching

Odds ratio

1.82

95% CI 1.14–2.95

pSSvs Controls
OR 1.82 (95% CI 1.14–2.95)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
cIMT and plaque occurrence, pSS with vs without organ involvement (subgroup)OIvs No OIPlaque occurrence1.74 (1.02–3.01)
OutcomeP value
cIMT and plaque occurrence, pSS with vs without organ involvement (subgroup)OI vs No OIP = 0.025

OxLDL ab in pSS

OxLDL ab tended to be lower in patients with plaque
P = 0.052
Higher Oxidized Low Density Lipoprotein (oxLDL) ab correlated with ESSDAI
P < 0.001
Higher oxLDL ab correlated with SSA/Ro antibodies
P = 0.026

Original publication

Primary Sjögren’s syndrome independently promotes premature subclinical atherosclerosis. RMD Open. Published 24 April 2024. doi:10.1136/rmdopen-2023-003559

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.